CLINICAL DLCISICN SUCk1

SS1LM
Jf |s c||n|cf| dec|s|on suppor sysem?
CDSS is an inieiaciive dccision
suppovt systcm sofiwaie, wlicl is
designed io assisi physicians and
oilei lealil piofessionals wiil
dccision making iasls.
1?LS Cl CuSS
KNOWLEDGE BASED NON KOWLEDGE BASED
O Applies iules io paiieni daia
using an infeience engine and
displays ile iesulis io end
usei.
O Need coniinuous updaies.
O Peifoims consisienily.
O Relies on macline leaining io
analyze clinical daia.
O Do noi need official updaies.
O Peifoims beiiei wiil moie
usage.
Novembei :oo CDS: Cuiieni Tiends, Emeiging Paiadigms
Cllnlcal ueclslon SupporL SysLems
Tle inpui
Expeiis' domain lnowledge,
Infoimaiion fiom liieiaiuie,
daiabases
Tle engine
Neiwoiled, disiiibuied sysiems
Advanced modeling and analysis iools
Muliiple inieifaces - GUIs, sysiem inieifaces, web inieifaces
Tle ouipui
Cleai Insiglis,
Smaii cloices,
Beiiei ouicomes
A Nove| know|edge 8fse
Dec|s|on Suppor Sysem Mode|
for 8refs Cfncer 1refmen
C8ILC1IVL
To design, developmeni and implemeniaiion of a
Novel Knowledge Based Decision Suppoii Sysiem
model in bieasi cancei iieaimeni foi impioving ile
accessibiliiy of domain specific clinical daia foi fasiei
and moie efficieni use.
DLSIGN AND IN1LkVLN1ICN
O An iniensive liieiaiuie seaicl and siiuciuied
inieiview of clinicians was conducied.
O Based on ile analysis, five modules weie incoipoiaied
inio ile sysiem io assisi clinicians.
CDSS
paiieni
infoimaiion
Seaicl
engine
Knowledge
base
Case base siaiisiical
R. K. Snho / Sr Ionko )ournol oj Bo-MeJcol Injormocs ;():-
kLSUL1S
Diffeieni modules ilai weie incoipoiaied in Clinical
Decision Suppoii Sysiem suppoiis ile clinicians in
pioviding easy and insiani access of accuiaie,
compleie and adequaie paiieni's infoimaiion and
domain lnowledge foi qualiiy decision maling,
ieducing medical eiiois and piomoiing evidence
based piaciice.
A Randomizcd Tvia!
Picvvc-Mavic Roy, MD, PhD; Picvvc Duvicux, MD; F!ovcncc Gi!!aizcau, MS; Cathcvinc
Lcga!!, MD; Auvovc Avmand-Pcvvoux, MD;
Ludovic Mavtino, MD; Mohamcd Hachc!aI, MD; A!ain-Evic Dubavt, MD; Jcannot
Schmidt, MD, PhD; Mivko Cvistiano, MD;
Jcan-Mavic Chvcticn, MS; Avnaud Pcvvicv, MD; and Guy Mcycv, MD
C8ILC1IVL
To assess ile effeciiveness of a landleld
clinical decision-suppoii sysiem io impiove
ile diagnosiic woil-up of suspecied
pulmonaiy embolism among paiienis in ile
emeigency.
IN1LkVLN1ICN
AItcv a pvc intcvvcntion pcviod invo!ving io
ccntcvs and iio paiienis, in wlicl piovideis giew
accusiomed io inpuiiing clinical daia inio landleld
devices and invesiigaiois assessed baseline iesiing,
emeigency depaiimenis weie iandomly assigned io
aciivaiion of a decision-suppoii sysiem on ile devices
(io cenieis, paiienis) oi posieis and poclei caids
ilai slowed validaied diagnosiic siiaiegies .
kLSUL1S
O Tle piopoiiion of paiienis wlo ieceived appiopiiaie
diagnosiic woil-ups was gieaiei duiing ile iiial ilan
in ile pie inieiveniion peiiod especially in compuiei
based guidelines gioup.
O Amonq paiienis wiil appiopiiaie woil-ups, ilose in
ile compuiei-based guidelines gioup ieceived sliglily
fewei iesis ilan did paiienis in ile papei guidelines
gioup.
CCNCLUSICN
O Pieveniion and cuie of vaiious diseases can be possible
iliougl qualiiy decision maling and ilis can be
aclieved wlen ileie is insiani access and availabiliiy
of paiieni infoimaiion and domain specific lnowledge
io ile lealilcaie piovideis.
O CDSS on a Handleld device impioves adleience io
guidelines ilen ile papei guidelines foi diagnosing
pulmonaiy embolism and impioves ile diagnosis of
pulmonaiy embolism in clinical piaciice.
LlLLnCLS
O www.Jmconf.com.sq}sliJes}-profleonq.ppt
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