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psnet.ahrq.gov/issue/evaluating-shared-decision-making-lung-cancer-screening
May 25, 2016 - Study
Evaluating shared decision making for lung cancer screening. … Evaluating Shared Decision Making for Lung Cancer Screening. … Shared decision making (SDM) between clinicians and patients is an integral part of developing true … The Centers for Medicare and Medicaid Services mandates SDM using a formal decision aid for reimbursement … Evaluating Shared Decision Making for Lung Cancer Screening.
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psnet.ahrq.gov/issue/toward-responsible-future-recommendations-ai-enabled-clinical-decision-support
April 03, 2024 - Commentary
Toward a responsible future: recommendations for AI-enabled clinical decision … Toward a responsible future: recommendations for AI-enabled clinical decision support. … Before being implemented into clinical practice, artificial intelligence-enabled clinical decision support … Toward a responsible future: recommendations for AI-enabled clinical decision support. … July 13, 2022
Repurposing clinical decision support system data to measure dosing errors
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psnet.ahrq.gov/issue/medication-related-clinical-decision-support-alert-overrides-inpatients
July 16, 2019 - Study
Medication-related clinical decision support alert overrides in inpatients. … Medication-related clinical decision support alert overrides in inpatients. … Medication-related clinical decision support is a ubiquitous component of computerized provider order … Medication-related clinical decision support alert overrides in inpatients. … April 7, 2019
Prospective evaluation of medication-related clinical decision support
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psnet.ahrq.gov/issue/repurposing-clinical-decision-support-system-data-measure-dosing-errors-and-clinician-level
October 21, 2020 - Study
Repurposing clinical decision support system data to measure dosing errors … Repurposing clinical decision support system data to measure dosing errors and clinician-level quality … Clinical decision support (CDS) alerts can improve patient safety , and prior research suggests that … Repurposing clinical decision support system data to measure dosing errors and clinician-level quality … August 12, 2020
High-priority drug-drug interaction clinical decision support overrides
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psnet.ahrq.gov/issue/improving-diagnostic-decision-support-through-deliberate-reflection-proposal
September 23, 2020 - Commentary
Improving diagnostic decision support through deliberate reflection: a … Improving diagnostic decision support through deliberate reflection: a proposal. … deliberate reflection can improve diagnosis and how deliberate reflection can be integrated into digital decision … Improving diagnostic decision support through deliberate reflection: a proposal. … Related Resources
Effectiveness of artificial intelligence (AI) in clinical decision
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psnet.ahrq.gov/issue/assessing-safety-electronic-health-records-national-longitudinal-study-medication-related
July 29, 2020 - Assessing the safety of electronic health records: a national longitudinal study of medication-related decision … Assessing the safety of electronic health records: a national longitudinal study of medication-related decision … Electronic health record decision support identified 54% of adverse drug events in 2009; this increased … Assessing the safety of electronic health records: a national longitudinal study of medication-related decision … An evaluation of medication-related decision support using the Ambulatory Electronic Health Record Evaluation
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psnet.ahrq.gov/issue/effect-computerized-physician-order-entry-clinical-decision-support-rates-adverse-drug-events
February 26, 2009 - Review
The effect of computerized physician order entry with clinical decision support … The effect of computerized physician order entry with clinical decision support on the rates of adverse … This review examined the impact of computerized physician order entry with clinical decision support … May 27, 2011
Computerized physician order entry with clinical decision support in the … September 27, 2016
Computerized clinical decision support during medication ordering
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psnet.ahrq.gov/issue/cranky-comments-detecting-clinical-decision-support-malfunctions-through-free-text-override
April 29, 2018 - Study
Cranky comments: detecting clinical decision support malfunctions through free-text … Cranky comments: detecting clinical decision support malfunctions through free-text override reasons. … This observational study investigated whether override comments for clinical decision rules could be … Investigators discovered that malfunctions were prevalent in clinical decision support. … A past WebM&M commentary recommended employing human factors engineering to make clinical decision
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psnet.ahrq.gov/issue/do-junior-doctors-make-more-prescribing-errors-experienced-doctors-when-prescribing
February 22, 2023 - prescribing electronically using a computerised physician order entry system combined with a clinical decision … prescribing electronically using a computerised physician order entry system combined with a clinical decision … Even with the use of clinical decision support systems (CDSS), clinicians can still make medication … September 1, 2016
Clinical decision support for atypical orders: detection and warning … January 7, 2015
Decision support for sensible dosing in electronic prescribing systems
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psnet.ahrq.gov/issue/sustained-user-engagement-health-information-technology-long-road-implementation-system
December 21, 2022 - road from implementation to system optimization of computerized physician order entry and clinical decision … Road from Implementation to System Optimization of Computerized Physician Order Entry and Clinical Decision … Computerized provider order entry and clinical decision support are patient safety strategies with … September 1, 2016
Clinical decision support for atypical orders: detection and warning … January 7, 2015
Decision support for sensible dosing in electronic prescribing systems
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psnet.ahrq.gov/issue/clinical-decision-support-drug-related-events-moving-towards-better-prevention
December 16, 2020 - Commentary
Clinical decision support for drug related events: moving towards better … Clinical decision support for drug related events: Moving towards better prevention. … This commentary discusses how organizations are using clinical decision support systems to track problems … Clinical decision support for drug related events: Moving towards better prevention. … June 25, 2018
Unintended adverse consequences of a clinical decision support system:
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psnet.ahrq.gov/issue/evaluation-harm-associated-high-dose-range-clinical-decision-support-overrides-intensive-care
August 17, 2018 - Study
Evaluation of harm associated with high dose-range clinical decision support … Evaluation of Harm Associated with High Dose-Range Clinical Decision Support Overrides in the Intensive … Although clinical decision support is intended to improve safety, decision support alerts often result … The authors conclude that more intelligent clinical decision support for medication dosing is needed … Evaluation of Harm Associated with High Dose-Range Clinical Decision Support Overrides in the Intensive
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psnet.ahrq.gov/issue/high-priority-drug-drug-interaction-clinical-decision-support-overrides-newly-implemented
March 09, 2022 - Study
High-priority drug-drug interaction clinical decision support overrides in … High-priority drug-drug interaction clinical decision support overrides in a newly implemented commercial … Clinical decision support alerts can notify clinicians to potential prescribing errors and potentially … March 24, 2021
A machine learning-based clinical decision support system to identify … November 11, 2020
Overriding drug-drug interaction alerts in clinical decision support
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psnet.ahrq.gov/issue/using-sociotechnical-theory-understand-medication-safety-work-primary-care-and-prescribers
November 09, 2022 - sociotechnical theory to understand medication safety work in primary care and prescribers' use of clinical decision … sociotechnical theory to understand medication safety work in primary care and prescribers’ use of clinical decision … Clinical decision support (CDS) systems were developed to support safe medication ordering, alerting … September 21, 2022
Overall performance of a drug-drug interaction clinical decision support … August 21, 2019
Evaluation of harm associated with high dose-range clinical decision
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psnet.ahrq.gov/issue/can-decision-support-combat-incompleteness-and-bias-routine-primary-care-data
July 29, 2020 - Study
Can decision support combat incompleteness and bias in routine primary care … Can decision support combat incompleteness and bias in routine primary care data? … Researchers in the UK developed and tested a clinical decision support system (CDSS) to evaluate changes … Can decision support combat incompleteness and bias in routine primary care data? … July 29, 2020
High-priority drug-drug interaction clinical decision support overrides
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psnet.ahrq.gov/issue/assessing-safety-new-clinical-decision-support-system-national-helpline
February 08, 2023 - Study
Assessing the safety of a new clinical decision support system for a national … Assessing the safety of a new clinical decision support system for a national helpline. … Clinical decision support systems (CDSS) are used in a multitude of healthcare settings to support safe … Assessing the safety of a new clinical decision support system for a national helpline. … September 15, 2021
Use of an electronic decision support tool to reduce polypharmacy
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psnet.ahrq.gov/issue/diagnostic-accuracy-gps-when-using-early-intervention-decision-support-system-high-fidelity
April 03, 2018 - Study
Diagnostic accuracy of GPs when using an early-intervention decision support … Diagnostic accuracy of GPs when using an early-intervention decision support system: a high-fidelity … The tool improved diagnostic accuracy significantly: 68% of visits using decision support reached the … Physician participants rated the usability of the decision support tool favorably overall. … Diagnostic accuracy of GPs when using an early-intervention decision support system: a high-fidelity
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psnet.ahrq.gov/issue/analysis-clinical-decision-support-system-malfunctions-case-series-and-survey
April 29, 2018 - Study
Analysis of clinical decision support system malfunctions: a case series and … Analysis of clinical decision support system malfunctions: a case series and survey. … Nearly all health systems experience decision support malfunctions, and the majority of respondents' … The authors suggest that clinical decision support requires more robust testing and monitoring to reach … Analysis of clinical decision support system malfunctions: a case series and survey.
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psnet.ahrq.gov/issue/validating-decision-tree-serious-infection-diagnostic-accuracy-acutely-ill-children
December 02, 2020 - Study
Validating a decision tree for serious infection: diagnostic accuracy in acutely … Validating a decision tree for serious infection: diagnostic accuracy in acutely ill children in ambulatory … A decision algorithm for primary care physicians accurately identified children at risk of serious illness … Validating a decision tree for serious infection: diagnostic accuracy in acutely ill children in ambulatory … December 2, 2020
The effect of computerised decision support alerts tailored to intensive
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psnet.ahrq.gov/issue/managing-interruptions-improve-diagnostic-decision-making-strategies-and-recommended-research
February 24, 2021 - Commentary
Managing interruptions to improve diagnostic decision-making: strategies … Managing interruptions to improve diagnostic decision-making: strategies and recommended research agenda … Interruptions during diagnostic decision-making and clinical tasks can adversely impact patient … Managing interruptions to improve diagnostic decision-making: strategies and recommended research agenda … February 23, 2022
The role of bias in clinical decision-making of people with serious