Clinical Decision Support Systems (CDSS) have the potential to help physicians overcome their own limitations in terms of information processing and decision making to create an outcome that is most beneficial to patients. While the impacts of CDSS have been shown to increase efficiency in a number of clinical trials, the results of these trials is varied and the manner in which CDSS affects ou...

OBJECTIVE Nurses are increasingly using computerised decision support systems (CDSS) to support their practice. Previous studies have highlighted the importance organisational factors have on the successful implementation of new technologies in healthcare. However, it is unclear how the organisations where nurses work either facilitate or inhibit the successful use of CDSS. The aim of this pape...

Clinical Decision Support Systems (CDSS) help to improve health care and reduce costs. However, the lack of knowledge management and modelling hampers their maintenance and reuse. Current EHR standards and terminologies can allow the semantic representation of the data and knowledge of CDSS systems boosting their interoperability, reuse and maintenance. This paper presents the modelling process...

OBJECTIVE To assess compliance with a clinical decision support system (CDSS) for diagnostic management of children with fever without apparent source and to study the effects of application of the CDSS on time spent in the emergency department (ED) and number of laboratory tests. DESIGN The CDSS was used by ED nursing staff to register children presenting with fever. The CDSS identified chil...

BACKGROUND Clinical decision support systems (CDSS) can modify clinician behaviour, yet the factors influencing their effect remain poorly understood. This study assesses the feasibility and acceptability of a CDSS supporting diagnostic and treatment decisions for patients with suspected stable angina. METHODS Intervention The Optimising Management of Angina (OMA) programme includes a CDSS gu...

BACKGROUND Clinical decision support systems (CDSS) are a method used to support prescribing accuracy when deployed within a computerized provider order entry system (CPOE). Divergence from using CDSS is exemplified by high alert override rates. Excessive cognitive load imposed by the CDSS may help to explain such high rates. OBJECTIVES The aim of this study was to describe the cognitive impa...

OBJECTIVES To examine the current status of hospital information systems (HIS), analyze the effects of Electronic Medical Records (EMR) and Clinical Decision Support Systems (CDSS) have upon hospital performance, and examine how management issues change over time according to various growth stages. METHODS Data taken from the 2010 survey on the HIS status and management issues for 44 tertiary...

CONTEXT Clinical decision support systems (CDSS) are becoming increasingly common in medical practice. OBJECTIVE To assess utilization, level of interest, and potential barriers to implementation of CDSS among physicians providing inpatient care in Wisconsin. DESIGN AND PARTICIPANTS A Web-based survey consisting of 20 questions e-mailed to 5783 members of the Wisconsin Medical Society. RE...

BACKGROUND It is estimated that one million people infected with HIV initiate anti-retroviral therapy (ART) in resource-constrained countries annually. This occurs against a background of overburdened health workers with limited skills to handle rapidly changing treatment standards and guidelines hence compromising quality of care. Electronic medical record (EMR)-based clinical decision support...

Clinical Decision Support Systems (CDSS) are software applications that support clinicians in making healthcare decisions providing relevant information for individual patients about their specific conditions. The lack of integration between CDSS and Electronic Health Record (EHR) has been identified as a significant barrier to CDSS development and adoption. Andalusia Healthcare Public System (...