Clinical Decision Support Systems (CDSS): Enhancing Healthcare Through Intelligent Decision Aids

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Sunil Nair

Health & Medicine Business

Artificial Intelligence in Medicine ,[object Object],[object Object],[object Object],[object Object]

What are CDSS’s ,[object Object],[object Object]

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]

Clinical decision making Paul Gorman, Medical Decision Making 1995

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 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]

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