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Computerized clinical decision support: a technology to implement and validate evidence based guidelines.

Joseph F Sucher1, Frederick A Moore, S Rob Todd

  • 1Department of Surgery, The Methodist Hospital, Houston Texas, USA.

The Journal of Trauma
|February 28, 2008
PubMed
Summary
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Computerized clinical decision support (CCDS) can implement evidence-based guidelines (EBGs) by creating computerized protocols. This technology helps reduce care variability and validate improved quality of care for patients.

Area of Science:

  • Healthcare Informatics
  • Clinical Decision Support Systems
  • Evidence-Based Medicine

Background:

  • A documented crisis exists where patients do not receive appropriate care, highlighting the need for effective implementation of evidence-based guidelines (EBGs).
  • Existing EBGs often lack explicit methods for translating proven therapies to clinical practice at the bedside.
  • Computerized information technology is now integral to healthcare, providing vast amounts of patient data.

Purpose of the Study:

  • To explore the use of Computerized Clinical Decision Support (CCDS) as a powerful method to implement a broad range of EBGs.
  • To present CCDS as a desirable option for the trauma community to leverage information technology.
  • To maintain the essential role of trauma surgeons and intensivists in specifying and implementing optimal patient care.

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Main Methods:

  • Developing computerized protocols for specific care processes derived from EBGs.
  • Utilizing a process of logical protocol development based on standardized clinical decision-making.
  • Implementing CCDS to refine these protocols for complex care settings like intensive care units.

Main Results:

  • CCDS enables the development, implementation, and refinement of computerized protocols based on EBGs.
  • The logical protocol development process is readily computerizable.
  • Proper implementation provides a stable platform for systematic review and study of care processes and interventions.

Conclusions:

  • CCDS offers a method to decrease variability in patient care.
  • CCDS facilitates testing interventions and validating improvements in the quality of care.
  • CCDS empowers clinicians to use information technology to enhance medical care delivery.