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A clinical decision support system (CDSS) and its components can malfunction due to various reasons. Monitoring the system and detecting its malfunctions can help one to avoid any potential mistakes and associated costs. In this paper, we investigate the problem of detecting changes in the CDSS operation, in particular its monitoring and alerting subsystem, by monitoring its rule firing counts....

Clinical decision support systems (CDSSs) are believed to have the potential to improve care and change the behavior of health personnel. The project has focused on developing a CDSS to support prevention of pressure ulcer and undernutrition that is completely integrated in the electronic health record in nursing homes. Nursing staff have been involved in all phases in the development of the CD...

OBJECTIVES The use of clinical decision support systems (CDSS) can improve the overall safety and quality of health care delivery, but may also introduce machine-related errors. Recent concerns about the potential for CDSS to harm patients have generated much debate, but there is little research available to identify the nature of such errors, or quantify their frequency or clinical impact. M...

Objective. To identify controlled evidence from the child health literature on patient conditions and clinical procedures that resulted in unacceptable adverse outcomes. Methods: Systematic searches ofMEDLINE (1966 to 2001), and Cochrane Database of Systematic Reviews (2001) were done. Studies that met the eligibility criteria, were verified for quality of methodology and lack of conflicting st...

Decision support is a crucial function for decision makers in many industries. Typically, decision support systems help decision-makers to gather and interpret information and build a foundation for decision-making. Medical Decision Support Systems (DSS) play an increasingly important role in medical practice. By assisting physicians with making clinical decisions, DSS are expected to improve t...

Computer-based clinical decision support systems (CDSSs) are often implemented at a cluster level, but standard statistical methods for sample estimation and analysis may not be appropriate for such studies. This review aims to determine whether the design and analysis methods of cluster-based studies were adequately addressed in reports of CDSS studies. We retrieved 61 reports of the CDSS cont...