PURPOSE To explore the need for, and use of, high-quality, collaborative, clinical knowledge management (CKM) tools and techniques to manage clinical decision support (CDS) content. METHODS In order to better understand the current state of the art in CKM, we developed a survey of potential CKM tools and techniques. We conducted an exploratory study by querying a convenience sample of respond...

BACKGROUND Human Papillomavirus (HPV) leads to serious health issues and remains the most common sexually transmitted infection. Despite availability of effective vaccines, HPV vaccination rates are suboptimal. Furthermore, providers recommend the HPV vaccine less than half the time for eligible patients. Prior informatics research has demonstrated the effectiveness of computer-based clinical d...

Agent-based collaborative decision support is a methodology of utilizing domain specific intelligent systems, interacting in a common environment, to partner with one or more human decision makers to reach a consensus solution to a complex problem. An example is the recently developed Collaborative Infrastructure Assessment Tool (CIAT) that provides a collaborative planning facility management ...

The paper deals with ideas of multicriteria decision support with the use of computer based systems. A negotiation problem is considered related to joint realization of a risky innovative project by two parties. It is considered as a multicriteria bargaining problem. A procedure enabling interactive multicriteria analysis and derivation of mediation proposals is proposed. Some results of experi...

This paper describes an intelligent computer system giving decision support in the area of sentencing of traffic law offenders. The system evaluates the previous record of a traffic offender, and suggests how to consider that record when passing sentence in a new traffic case.

OBJECTIVE A gap exists between the information contained in published clinical practice guidelines and the knowledge and information that are necessary to implement them. This work describes a process to systematize and make explicit the translation of document-based knowledge into workflow-integrated clinical decision support systems. DESIGN This approach uses the Guideline Elements Model (G...

In this paper we present our experience in designing and applying an evaluation protocol for assessing usability of a clinical decision support (CDS) system. The protocol is based on component-based usability testing, cognitive interviewing, and a rigorous coding scheme cross-referenced to a component library. We applied this protocol to evaluate alternate designs of a CDS interface for a nursi...

Experiences in developing a Clinical Decision Support System (CDSS) for dry mouth revealed that traditional approaches for creating clinical applications are not suitable because of the lack of structured knowledge in the domain and the complex nature of existing knowledge. Nevertheless, openEHR offers various benefits. This paper presents the issues related to developing an openEHR-based CDSS ...

Shortage of medical professionals in the rural area has been one of the reasons why maternal mortality is still very high. Midwife family program had been introduced to overcome the shortage but the lack of skills in recognizing high risk pregnancy becomes another factor of high maternal mortality rate. A good prenatal care program will help to identify the danger in time and provide early mana...

Temporal indeterminancy is common in clinical medicine because the time of many clinical events is frequently not precisely known. Decision support systems that reason with clinical data may need to deal with this indeterminancy. This indeterminacy support must have a sound foundational model so that other system components may take advantage of it. In particular, it should operate in concert w...