Johnson K B, Feldman M J
Department of Pediatrics, Johns Hopkins Hospital, Baltimore, Md, USA.
Arch Pediatr Adolesc Med. 1995 Dec;149(12):1371-80. doi: 10.1001/archpedi.1995.02170250077014.
Decision support is an important area of medical informatics research. Computer-based decision-support tools facilitate diagnosis and the management of patients after a diagnosis has been established. Diagnostic decision-support tools, such as Meditel, Quick Medical Reference, DXplain, Iliad, and PEM-DXP are potentially useful "expert systems." Other management-support tools, such as systems that use clinical practice guidelines to create reminders and alerts, also have been developed and evaluated. We do the following: (1) to provide an overview of diagnostic and management decision-support systems; (2) explore the background of and motivation behind these systems; (3) survey the uses of decision-support technology in office-based and inpatient pediatric practices; and (4) discuss the virtues and problems associated with some of these tools, and current controversies and future goals for computer-based decision support.
决策支持是医学信息学研究的一个重要领域。基于计算机的决策支持工具有助于诊断以及在确诊后对患者的管理。诊断决策支持工具，如Meditel、快速医学参考、DXplain、Iliad和PEM-DXP等，是潜在有用的“专家系统”。其他管理支持工具，如利用临床实践指南来创建提醒和警报的系统，也已得到开发和评估。我们开展以下工作：（1）概述诊断和管理决策支持系统；（2）探究这些系统的背景和背后的动机；（3）调查决策支持技术在门诊和住院儿科实践中的应用；（4）讨论其中一些工具的优点和问题，以及基于计算机的决策支持当前的争议和未来目标。
