Castillo Ranielle S, Kelemen Arpad
Children's National Medical Center, Washington, DC, USA.
Comput Inform Nurs. 2013 Jul;31(7):319-26; quiz 327-8. doi: 10.1097/NXN.0b013e3182997a9c.
Clinical decision support systems have the potential to improve patient care in a multitude of ways. Clinical decision support systems can aid in the reduction of medical errors and reduction in adverse drug events, ensure comprehensive treatment of patient illnesses and conditions, encourage the adherence to guidelines, shorten patient length of stay, and decrease expenses over time. A clinical decision support system is one of the key components for reaching compliance for Meaningful Use. In this article, the advantages, potential drawbacks, and clinical decision support system adoption barriers are discussed, followed by an in-depth review of the characteristics that make a clinical decision support system successful. The legal and ethical issues that come with the implementation of a clinical decision support system within an organization and the future expectations of clinical decision support system are reviewed.
临床决策支持系统有潜力通过多种方式改善患者护理。临床决策支持系统有助于减少医疗差错和药物不良事件,确保对患者疾病和状况进行全面治疗,鼓励遵循指南,缩短患者住院时间,并随着时间推移降低费用。临床决策支持系统是实现有意义使用合规性的关键组成部分之一。本文讨论了临床决策支持系统的优点、潜在缺点和采用障碍,随后深入回顾了使临床决策支持系统成功的特征。还回顾了在组织内实施临床决策支持系统所带来的法律和伦理问题以及对临床决策支持系统的未来期望。