1. Health Technology Assessment: How to choose the best Medical Decision Support System to implement in your wards Dott. Filippo Bartoccioni U.O. Education and Clinical Governance S.Camillo-Forlanini Hospital, Rome, Italy

2. MedicalDecisionSupport System (MDSS) It is a Clinical reference tool created by physicians for physicians and other healthcare professionals for use primarily at the 'point-of-care' with clinically-organized summaries What problem are you trying to solve? Quality Assurance Safety (reduction of medication errors) Regulatory (in compliance with standards) Operational efficiencies (automatic requests for consultation) Financial (reduce duplicate test ordering)

3. Aimof the study To identify the best MDSS for the San Camillo-Forlanini Hospital library for year 2011 optimizing quality and costs Weevaluatedseveral MDSS and Wefocusedespecially on the free ones

4. Decision-making Based on EBM and daily update ToPurchase With MD Consult (MDSS) provideebook and electronic journals Clinical Knowledge Summariessponsored by National Istitute for Health and ClinicalExcelence Created for emergency medicine Free Clinical database only for members of American College of Physicians Section of Web Mdhealth Professional Network.Hasabout 28000 multimedialfiles Available free ofchargeonly in part Decisionaltree for physicians General Practice Notebook created bystudentnowavailable for healthcareprofessionals

5. Identificationof key parameterstoevaluate the MDSS Following letterature reviewswereselected 81 evaluationsparameters , rappresenting the maincharacteristics of ideal MDSS for physician and otherhealthcareprofessional.

6. Results The decisiontreemodelwasused

7. Conclusions The HTA allowedustoidentify the best qualityproduct and compare itwith the othersproducts on the market, especially the free ones. Ithasveryhelpfultochoose the best investiment, accordingto the budget. Thanksto HTA waspossibletoidentify the best quality/costratioproduct and toaddnew free MDSS in the library Thankyouforyourattention Nucleo HTA E-mail: htacamp@gmail.com