School of Population Health And Environmental Sciences, Kings College London.
College of Applied Medical Sciences, King Faisal University.
Perspect Health Inf Manag. 2023 Apr 1;20(2):1d. eCollection 2023 Spring.
Computerized clinical decision support systems (CDSS) are increasingly being used to facilitate the role of clinicians in complex decision-making processes. This systematic review evaluates evidence of the available CDSS developed and tested to support the decision-making process in primary healthcare for stroke prevention and barriers to practical implementations in primary care settings. A systematic search of Web of Science, Medline Ovid, Embase Ovid, and Cinahl was done. A total of five studies, experimental and observational, were synthesised in this review. This review found that CDSS facilitate decision-making processes in primary health care settings in stroke prevention options. However, barriers were identified in designing, implementing, and using the CDSS.
计算机化临床决策支持系统（CDSS）越来越多地被用于协助临床医生在复杂的决策过程中发挥作用。本系统评价评估了为支持初级保健中风预防决策过程而开发和测试的可用 CDSS 的证据，以及在初级保健环境中实际实施的障碍。对 Web of Science、Medline Ovid、Embase Ovid 和 Cinahl 进行了系统检索。本综述综合了五项研究，包括实验性和观察性研究。本综述发现，CDSS 有助于初级保健中风预防选择中的决策过程。然而，在设计、实施和使用 CDSS 方面存在障碍。
