Holbrook Anne, Xu Sophia, Banting Jessica
Centre for Evaluation of Medicines and Division of Clinical Pharmacology, McMaster University.
AMIA Annu Symp Proc. 2003;2003:862.
Computerized decision support systems (CDSS) which improve the quality of patient care are strong and necessary incentives for clinicians to use electronic medical records. We have noted previously that the logical path of CDSS design, which would be to determine the factors that predict success before the system is designed, appears rarely to have been followed. In this overview update of the literature on predictors of successful CDSS, we conclude that the predictors have not been adequately identified and the success of CDSS may improve when they are.
能够提高患者护理质量的计算机化决策支持系统(CDSS)是促使临床医生使用电子病历的强大且必要的诱因。我们之前已经指出,CDSS设计的合理路径,即在系统设计前确定预测成功的因素,似乎很少被遵循。在本次关于CDSS成功预测因素的文献综述更新中,我们得出结论,这些预测因素尚未得到充分识别,若能充分识别,CDSS的成功率可能会提高。