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Clinical Decision-Support Systems

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Biomedical Informatics

Part of the book series: Health Informatics ((HI))

Abstract

After reading this chapter, you should know the answers to these questions:

  • What are three requirements for an excellent decision-making system?

  • What are three decision-support roles for computers in clinical medicine?

  • How has the use of computers for clinical decision support evolved since the1960s?

  • What is a knowledge-based system?

  • What influences account for the gradual improvement in professional attitudes toward use of computers for clinical decision support?

  • What are the five dimensions that characterize clinical decision-support tools?

  • What are clinical-practice guidelines, and what are the challenges in providing guideline-based decision support?

  • What are the principal scientific challenges in building useful and acceptable clinical decision-support tools?

  • What legal and regulatory barriers could affect distribution of clinical decisionsupport technologies?

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Suggested Readings

  • Berg M. (1997). Rationalizing Medical Work: Decision Support Techniques and Medical Practices. Cambridge, MA: MIT Press.

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  • Ledley R., Lusted, L. (1959). Reasoning foundations of medical diagnosis. Science, 130:9–21.

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  • Musen, M.A. (2000). Scalable software architectures for decision support. Methods of Information in Medicine,38:229–238.

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  • Schwartz W. (1970). Medicine and the computer: the promise and problems of change. New England Journal of Medicine, 283(23):1257–1264.

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Author information

Authors and Affiliations

  1. Stanford Medical Informatics, Department of Medicine, Stanford University, Stanford, CA, 94305, USA

    Mark A. Musen

  2. Head, Medical Informatics Research Center, Head, Graduate Program Information Systems Engineering, Deputy Dean for Research, Faculty of Engineering, Ben-Gurion University of the Negev, Beer-Sheva, 84105, Israel

    Yuval Shahar

  3. Department of Biomedical Informatics, Professor of Medicine and Computer Science, Columbia University, New York, NY, 10032, USA

    Edward H. Shortliffe MD, PhD, MACP

Authors
  1. Mark A. Musen
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  2. Yuval Shahar
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  3. Edward H. Shortliffe MD, PhD, MACP
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Editor information

Editors and Affiliations

  1. Department of Biomedical Informatics, Columbia University Medical Center, New York, NY, 10032-3720, USA

    Edward H. Shortliffe MD, PhD, MACP  & James J. Cimino MD, FACP  & 

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© 2006 Springer Science+Business Media, LLC

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Musen, M.A., Shahar, Y., Shortliffe, E.H. (2006). Clinical Decision-Support Systems. In: Shortliffe, E.H., Cimino, J.J. (eds) Biomedical Informatics. Health Informatics. Springer, New York, NY. https://doi.org/10.1007/0-387-36278-9_20

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  • DOI: https://doi.org/10.1007/0-387-36278-9_20

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-28986-1

  • Online ISBN: 978-0-387-36278-6

  • eBook Packages: MedicineMedicine (R0)

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