A framework and model for evaluating clinical decision support architectures

被引:40
作者
Wright, Adam [1 ,2 ]
Sittig, Dean F. [3 ,4 ]
机构
[1] Harvard Univ, Sch Med, Brigham & Womens Hosp, Div Gen Med, Boston, MA 02115 USA
[2] Partners Healthcare, Clin Informat Res & Dev, Boston, MA USA
[3] Northwest Permanente, Dept Med Informat, Portland, OR USA
[4] Oregon Hlth & Sci Univ, Dept Med Informat & Clin Epidemiol, Portland, OR 97201 USA
关键词
Medical records systems; Computerized decision support systems; Clinical decision making; Computer-assisted decision support techniques; Hospital information systems; Computer communication networks/standards; Information systems/organization & administration/standards; Systems integration; Evaluation;
D O I
10.1016/j.jbi.2008.03.009
中图分类号
TP39 [计算机的应用];
学科分类号
081203 ; 0835 ;
摘要
In this paper, we develop a four-phase model for evaluating architectures for clinical decision support that focuses on: defining a set of desirable features for a decision support architecture; building a proof-of-concept prototype; demonstrating that the architecture is useful by showing that it can be integrated with existing decision support systems and comparing its coverage to that of other architectures. We apply this framework to several well-known decision support architectures, including Arden Syntax, GLIF, SEBASTIAN, and SAGE. (c) 2008 Elsevier Inc. All rights reserved.
引用
收藏
页码:982 / 990
页数:9
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