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Clinical decision support for colon and rectal surgery: an overview
Allison B McCoy1, Genevieve B Melton2, Adam Wright3
1School of Biomedical Informatics, The University of Texas Health Science Center at Houston (UTHealth), Houston, Texas ; UT-Memorial Hermann Center for Healthcare Quality and Safety, Houston, Texas.
Clinical decision support (CDS) improves healthcare, but its use in colon and rectal surgery (CRS) needs more study. Research suggests order sets and templates are most beneficial for CDS in CRS.
Area of Science:
- Health Informatics
- Surgical Technology
- Clinical Decision Support Systems
Background:
- Clinical decision support (CDS) enhances healthcare processes, patient safety, and cost-efficiency.
- Existing CDS evidence predominantly stems from internal medicine, with limited focus on colon and rectal surgery (CRS).
- CRS presents unique requirements for CDS implementation and evaluation.
Purpose of the Study:
- To define CDS within the context of CRS.
- To review existing evidence for CDS effectiveness in healthcare.
- To outline CDS implementation strategies and applications specific to CRS.
Main Methods:
- Systematic literature review of informatics and medical journals.
- Inclusion of expert opinion to supplement published data.
- Analysis of CDS functionalities relevant to CRS.
Main Results:
- Order sets, documentation templates, and order facilitation aids are commonly described CDS tools in CRS literature.
- These specific CDS functionalities show potential for significant benefit in CRS settings.
- A gap exists in the literature regarding the evaluation of diverse CDS systems in CRS.
Conclusions:
- CDS offers significant potential benefits for colon and rectal surgery.
- Further research is crucial to identify and rigorously evaluate additional CDS applications in CRS.
- Tailoring CDS to the specific needs of CRS is essential for optimal outcomes.
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