What can be done to increase the use of diagnostic decision support systems?

被引:9
作者
Berner, Eta S. [1 ]
机构
[1] Univ Alabama Birmingham, Ctr Hlth Informat Patient Safety Qual, Sch Med,Hlth Informat, Sch Hlth Profess,Dept Hlth Serv Adm,Dept Med Educ, 1705 Univ Blvd 590J, Birmingham, AL 35294 USA
关键词
diagnostic decision support systems; diagnostic errors; feedback;
D O I
10.1515/dx-2013-0014
中图分类号
R5 [内科学];
学科分类号
1002 [临床医学]; 100201 [内科学];
摘要
This essay explores the reasons why diagnostic decision support systems are underutilized despite growing concern about diagnostic errors. Factors related to the motivation to use the systems, clinician cognition, system design and implementation, as well as the absence of feedback in routine clinical care are discussed. Suggestions for design and implementation strategies for diagnostic decision support systems that can increase appropriate utilization are discussed.
引用
收藏
页码:119 / 123
页数:5
相关论文
共 27 条
[1]
Aspden P, 2007, PREVENTING MEDICATIO
[2]
Informatics challenges for the impending patient information explosion [J].
Berner, ES ;
Moss, J .
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION, 2005, 12 (06) :614-617
[3]
Diagnostic decision support systems: How to determine the gold standard? [J].
Berner, ES .
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION, 2003, 10 (06) :608-610
[4]
Berner ES, 2008, AM J MED S, V121
[5]
Berner Eta S, 2006, AMIA Annu Symp Proc, P1167
[6]
Mind wandering and medical errors [J].
Berner, Eta S. .
MEDICAL EDUCATION, 2011, 45 (11) :1068-1069
[7]
The "Meaningful Use" Regulation for Electronic Health Records [J].
Blumenthal, David ;
Tavenner, Marilyn .
NEW ENGLAND JOURNAL OF MEDICINE, 2010, 363 (06) :501-504
[8]
The importance of cognitive errors in diagnosis and strategies to minimize them [J].
Croskerry, P .
ACADEMIC MEDICINE, 2003, 78 (08) :775-780
[9]
Diagnostic Errors in Primary Care: Lessons Learned [J].
Ely, John W. ;
Kaldjian, Lauris C. ;
D'Alessandro, Donna M. .
JOURNAL OF THE AMERICAN BOARD OF FAMILY MEDICINE, 2012, 25 (01) :87-97
[10]
Heuristics and biases - a biased perspective on clinical reasoning [J].
Eva, KW ;
Norman, GR .
MEDICAL EDUCATION, 2005, 39 (09) :870-872