Component 5; Unit 7: History of Clinical Decision Support Systems
Description:
This unit describes the history of clinical decision support systems.
Objectives:
- Describe various types and structures of clinical decision support (CDS) systems.
- Discuss the evolution of clinical decision support from expert system research.
- Discuss the changes in focus of clinical decision support from the 1980s to the present.
- Discuss the change in architecture and mode of access of clinical decision support systems from the 1980s to the present.
- Describe some of the early clinical decision support systems.
- Discuss the historical challenges in implementing CDS.
Component 5; Unit 7; Lecture 7a comp5_unit7a_lecture_slides
What is CDS? (18:30): 1. Definition of clinical decision support (CDS); 2) Types of CDS; 3) “Classic” clinical decision support systems
Component 5; Unit 7; Lecture 7b comp5_unit7b_lecture_slides
Examples of Early CDS (14:29)
Component 5; Unit 7; Lecture 7c comp5_unit7c_lecture_slides
Evolution of CDS (19:05): Challenges to be overcome
Component 5; Unit 8
Suggested Readings
Berner ES. Clinical decision support systems: State of the art. AHRQ publication No. 09-0069-EF. Rockville, Maryland: Agency for Healthcare Research and Quality. June 2009. Available from: https://healthit.ahrq.gov/sites/default/files/docs/page/09-0069-EF_1.pdf
Miller RA. Medical diagnostic decision support systems-past, present, and future: a threaded bibliography and brief commentary. J Am Med Inform Assoc 1994; 1(1):8-27. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC116181/
Osheroff JA, Teich JM, Middleton B, Steen EB, Wright A, Detmer DE. A roadmap for national action on clinical decision support, J Am Med Inform Assoc 2007; 14:141-145. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2213467/
Wright A, Sittig DA. A four-phase model of the evolution of clinical decision support architectures. Int J Med Inform 2008; 77(10):641-649 Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2627782/pdf/nihms68821.pdf
Additional Materials
Demonstration of DXplain CDS: Massachusetts General Hospital. DXplain. [Homepage on the Internet]. 2008 [cited 2010 Jul 12]. Available from: http://dxplain.mgh.harvard.edu/dxp/dxp.sdemo.pl