Clinical decision-making, knowledge support systems, and theory’

Intelligent Therapy Assistant (ITA) for cognitive rehabilitation in patients with acquired brain injury

This paper presents the design, development and first evaluation of an algorithm, named Intelligent Therapy Assistant (ITA), which automatically selects, configures and schedules rehabilitation tasks for patie...

Authors: Javier Solana, César Cáceres, Alberto García-Molina, Paloma Chausa, Eloy Opisso, Teresa Roig-Rovira, Ernestina Menasalvas, José M Tormos-Muñoz and Enrique J Gómez

Measuring agreement between decision support reminders: the cloud vs. the local expert

A cloud-based clinical decision support system (CDSS) was implemented to remotely provide evidence-based guideline reminders in support of preventative health. Following implementation, we measured the agreeme...

Authors: Brian Edward Dixon, Linas Simonaitis, Susan M Perkins, Adam Wright and Blackford Middleton

Manual and automated methods for identifying potentially preventable readmissions: a comparison in a large healthcare system

Identification of potentially preventable readmissions is typically accomplished through manual review or automated classification. Little is known about the concordance of these methods.

Authors: Ana H Jackson, Emily Fireman, Paul Feigenbaum, Estee Neuwirth, Patricia Kipnis and Jim Bellows

Designing privacy-friendly digital whiteboards for mediation of clinical progress

In hospitals, digital versions of dry-erase whiteboards are increasingly becoming more common. One of the purposes with such whiteboards is to support coordination of care by augmenting visibility and availabi...

Authors: Erlend Andreas Gjære and Børge Lillebo

Congruence between patients’ preferred and perceived participation in medical decision-making: a review of the literature

Patients are increasingly expected and asked to be involved in health care decisions. In this decision-making process, preferences for participation are important. In this systematic review we aim to provide a...

Authors: Linda Brom, Wendy Hopmans, H Roeline W Pasman, Danielle RM Timmermans, Guy AM Widdershoven and Bregje D Onwuteaka-Philipsen

Temporal representation of care trajectories of cancer patients using data from a regional information system: an application in breast cancer

Ensuring that all cancer patients have access to the appropriate treatment within an appropriate time is a strategic priority in many countries. There is in particular a need to describe and analyse cancer car...

Authors: Gautier Defossez, Alexandre Rollet, Olivier Dameron and Pierre Ingrand

Clinical decision support improves quality of telephone triage documentation - an analysis of triage documentation before and after computerized clinical decision support

Clinical decision support (CDS) has been shown to be effective in improving medical safety and quality but there is little information on how telephone triage benefits from CDS. The aim of our study was to com...

Authors: Frederick North, Debra D Richards, Kimberly A Bremseth, Mary R Lee, Debra L Cox, Prathibha Varkey and Robert J Stroebel

Development and pilot testing of a decision aid for drivers with dementia

An increasing number of older adults drive automobiles. Given that the prevalence of dementia is rising, it is necessary to address the issue of driving retirement. The purpose of this study is to evaluate how...

Authors: John Carmody, Jan Potter, Kate Lewis, Sanjay Bhargava, Victoria Traynor and Don Iverson

The effect of a decision aid intervention on decision making about coronary heart disease risk reduction: secondary analyses of a randomized trial

Decision aids offer promise as a practical solution to improve patient decision making about coronary heart disease (CHD) prevention medications and help patients choose medications to which they are likely to...

Authors: Stacey L Sheridan, Lindy B Draeger, Michael P Pignone, Barbara Rimer, Shrikant I Bangdiwala, Jianwen Cai, Ziya Gizlice, Thomas C Keyserling and Ross J Simpson Jr

Refining a brief decision aid in stable CAD: cognitive interviews

We describe the results of cognitive interviews to refine the “Making Choices©” Decision Aid (DA) for shared decision-making (SDM) about stress testing in patients with stable coronary artery disease (CAD).

Authors: Karen Kelly-Blake, Stacie Clark, Katherine Dontje, Adesuwa Olomu, Rebecca C Henry, David R Rovner, Marilyn L Rothert and Margaret Holmes-Rovner

A systematic review of interactive multimedia interventions to promote children’s communication with health professionals: implications for communicating with overweight children

Interactive multimedia is an emerging technology that is being used to facilitate interactions between patients and health professionals. The purpose of this review was to identify and evaluate the impact of m...

Authors: Carol Raaff, Cris Glazebrook and Heather Wharrad

Development of a personalized decision aid for breast cancer risk reduction and management

Breast cancer risk reduction has the potential to decrease the incidence of the disease, yet remains underused. We report on the development a web-based tool that provides automated risk assessment and persona...

Authors: Elissa M Ozanne, Rebecca Howe, Zehra Omer and Laura J Esserman

A decision support system to determine optimal ventilator settings

Choosing the correct ventilator settings for the treatment of patients with respiratory tract disease is quite an important issue. Since the task of specifying the parameters of ventilation equipment is entire...

Authors: Fatma Patlar Akbulut, Erkan Akkur, Aydin Akan and B Siddik Yarman

Determination of French influenza outbreaks periods between 1985 and 2011 through a web-based Delphi method

Assessing the accuracy of influenza epidemic periods determined by statistical models is important to improve the performance of algorithms used in real-time syndromic surveillance systems. This is a difficult...

Authors: Marion Debin, Cécile Souty, Clément Turbelin, Thierry Blanchon, Pierre-Yves Boëlle, Thomas Hanslik, Gilles Hejblum, Yann Le Strat, Flavien Quintus and Alessandra Falchi

Prevention praised, cure preferred: results of between-subjects experimental studies comparing (monetary) appreciation for preventive and curative interventions

'An ounce of prevention is worth a pound of cure’ is a common saying, and indeed, most health economic studies conclude that people are more willing to pay for preventive measures than for treatment activities...

Authors: Ree M Meertens, Vivian MJ Van de Gaar, Maitta Spronken and Nanne K de Vries

Systematic review of clinical decision support interventions with potential for inpatient cost reduction

Healthcare costs are increasing rapidly and at an unsustainable rate in many countries, and inpatient hospitalizations are a significant driver of these costs. Clinical decision support (CDS) represents a prom...

Authors: Christopher L Fillmore, Bruce E Bray and Kensaku Kawamoto

Usability testing of ANSWER: a web-based methotrexate decision aid for patients with rheumatoid arthritis

Decision aids are evidence-based tools designed to inform people of the potential benefit and harm of treatment options, clarify their preferences and provide a shared decision-making structure for discussion ...

Authors: Linda C Li, Paul M Adam, Anne F Townsend, Diane Lacaille, Charlene Yousefi, Dawn Stacey, Diane Gromala, Chris D Shaw, Peter Tugwell and Catherine L Backman

Erratum to: On the alert: future priorities for alerts in clinical decision support for computerized physician order entry identified from a European workshop

Authors: Jamie J Coleman, Heleen van der Sijs, Walter E Haefeli, Sarah P Slight, Sarah E McDowell, Hanna M Seidling, Birgit Eiermann, Jos Aarts, Elske Ammenwerth, Ann Slee and Robin E Ferner