O'Sullivan Dympna, Fraccaro Paolo, Carson Ewart, Weller Peter
Centre for Health Informatics, City University London, UK Dympna.O'
Centre for Health Informatics, City University London, UK.
Clin Med (Lond). 2014 Aug;14(4):338-41. doi: 10.7861/clinmedicine.14-4-338.
Clinical decision support systems are interactive software systems designed to help clinicians with decision-making tasks, such as determining a diagnosis or recommending a treatment for a patient. Clinical decision support systems are a widely researched topic in the computer science community, but their inner workings are less well understood by, and known to, clinicians. This article provides a brief explanation of clinical decision support systems and some examples of real-world systems. It also describes some of the challenges to implementing these systems in clinical environments and posits some reasons for the limited adoption of decision-support systems in practice. It aims to engage clinicians in the development of decision support systems that can meaningfully help with their decision-making tasks and to open a discussion about the future of automated clinical decision support as a part of healthcare delivery.
临床决策支持系统是交互式软件系统,旨在帮助临床医生完成决策任务,例如确定诊断或为患者推荐治疗方案。临床决策支持系统是计算机科学界广泛研究的课题,但临床医生对其内部工作原理的了解和认识较少。本文简要解释了临床决策支持系统以及一些实际系统的示例。它还描述了在临床环境中实施这些系统所面临的一些挑战,并提出了决策支持系统在实践中采用有限的一些原因。其目的是促使临床医生参与到能够切实帮助他们完成决策任务的决策支持系统的开发中,并开启关于自动化临床决策支持作为医疗服务一部分的未来的讨论。