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J Am Med Inform Assoc. 2001 Nov-Dec;8(6):527-34.

Clinical decision support systems for the practice of evidence-based medicine.

Author information

  • 1Department of Medicine, University of California-San Francisco, California 94143-0320, USA. sim@medicine.ucsf.edu

Abstract

BACKGROUND:

The use of clinical decision support systems to facilitate the practice of evidence-based medicine promises to substantially improve health care quality.

OBJECTIVE:

To describe, on the basis of the proceedings of the Evidence and Decision Support track at the 2000 AMIA Spring Symposium, the research and policy challenges for capturing research and practice-based evidence in machine-interpretable repositories, and to present recommendations for accelerating the development and adoption of clinical decision support systems for evidence-based medicine.

RESULTS:

The recommendations fall into five broad areas--capture literature-based and practice-based evidence in machine--interpretable knowledge bases; develop maintainable technical and methodological foundations for computer-based decision support; evaluate the clinical effects and costs of clinical decision support systems and the ways clinical decision support systems affect and are affected by professional and organizational practices; identify and disseminate best practices for work flow-sensitive implementations of clinical decision support systems; and establish public policies that provide incentives for implementing clinical decision support systems to improve health care quality.

CONCLUSIONS:

Although the promise of clinical decision support system-facilitated evidence-based medicine is strong, substantial work remains to be done to realize the potential benefits.

PMID:
11687560
[PubMed - indexed for MEDLINE]
PMCID:
PMC130063
Free PMC Article
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