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October 21, 1998

Effects of computer-based clinical decision support systems on physician performance and patient outcomes: a systematic review.

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Authors

DHDereck L. HuntMcMaster UniversityR. Brian HaynesR. Brian HaynesPreventive CardiologySHSteven HannaImpact

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Implication

Systematic review reveals clinical decision support systems improve physician dosing and preventive care performance, indicating major gaps in diagnostic efficacy and patient outcome data.

Key Points

  • To evaluate the impact of computer-based clinical decision support systems (CDSSs) on physician performance and patient health outcomes.
  • Systematic review of published clinical studies examining computer-based clinical decision support systems across various medical domains.
  • CDSSs enhance clinical performance in drug dosing, preventive care, and other aspects of routine medical care.
  • CDSS interventions show unconvincing evidence for diagnostic improvement, and their effects on patient outcomes remain insufficiently studied.

Cite This Study

Hunt et al. (1998) studied this question.

synapsesocial.com/papers/69da2aa2a6045d71bfa3c748https://doi.org/10.1001/jama.280.15.1339
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Computer assisted screening: effect on the patient and his consultation.1985 · 35 citations
  2. 2Prospective comparative study of computer programs used for management of warfarin.1993 · 118 citations
  3. 3Outpatient Management of Warfarin Therapy1991 · 50 citations
  4. 4Individualised aminoglycoside dosage based on pharmacokinetic analysis is superior to dosage based on physician intuition at achieving target plasma drug concentrations [see comments]1989 · 29 citations
  5. 5Effects of Computer-based Clinical Decision Support Systems on Clinician Performance and Patient Outcome: A Critical Appraisal of Research1994 · 717 citations