Cognitive Approaches to Clinical Data Management for Decision Support: Is It Old Wine in New Bottle?
Most current health information technology (HIT) is not designed to support the cognitive aspects of clinicians decision-making task. We propose a case for cognitive support systems (CSS), a class of support systems whose design rationale is based on aligning the decision making process closely with the empirical results on clinicians organization of knowledge structures. Using examples drawn from our current and past studies, we explain an epistemological framework of medical knowledge and how experts’ representations could be better visualized within CSS for efficient and safe decision making. We discuss the state of the current research as well as the challenges for the development of patient-centered decision support, and the cognitive support for other members of the healthcare team, all within the constraints of clinical workflow.
Keywordscognitive support systems clinical decision making intermediate constructs knowledge elicitation knowledge representation cognitive science
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