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Clinical Decision Support Systems (CDSS) Sunil Nair Dalhousie Health Informatics November 1, 2007
Artificial Intelligence in Medicine ,[object Object],[object Object],[object Object],[object Object]
What are CDSS’s ,[object Object],[object Object]
Clinical Decision
CDSS - Definition ,[object Object],[object Object]
Evolution: Early Systems. DX plain  – CDSS – Diagnosis aid 1989 HELP  – HIS integrated with CDSS 1980 Current Systems MYCIN – Infection management  -Rule based, IF and THEN rules. PUFF – LIS for interpretation of Pulmonary function test. 1976 INTERNIST 1 – diagnosis 1974 AAPHELP –Leeds Abdominal Pain System 1972
Why CDSS’s? ,[object Object],[object Object],[object Object],[object Object],[object Object]
The Information Overload
Clinical decision making Paul Gorman, Medical Decision Making 1995
Clinical Workflow: How does CDSS fit?
CDSS application areas
CDSS - Applications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CDSS Functions - trend ,[object Object],[object Object],[object Object],[object Object]
An Effective CDSS should:  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Effective CDSS features contd. ,[object Object],[object Object],[object Object],[object Object],[object Object]
CDSS Goals ,[object Object],[object Object],[object Object]
What makes CDSS possible? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CDSS - Benefits ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CDSS:  Computerized Physician Order Entry  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Opposing views… ,[object Object],[object Object],[object Object],[object Object],[object Object]
CDSS: Drawbacks
CDSS Issues: Success or Failure ,[object Object],[object Object],[object Object],[object Object]
Why does CDSS fail? ,[object Object],[object Object],[object Object],[object Object]
CDSS reasons for failure. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CDSS Integration Objectives: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Evaluation  Problem Definition Potential for Errors Change Issues Measure Outcomes Implementation
CDSS: Summary ,[object Object],[object Object],[object Object]
Conclusion ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object]

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