Design and implementation of Digital Health Model

A distributed clinical decision support system architecture

Hi

knowledge representation in clinical decision support system

www.fields.utoronto.ca/programs/scientific/11-12/inverseprob/IPSW/kong2008clinical.pdf

Interactive critiquing as a form of decision support: An empirical evaluation. Guerlain, S.A. et al. Human Factors Vol 41(1), 72-89.

clinical decision support systems for non communicable diseases

Hi Chemage,

Clinical decision support systems domain is full of areas that need further research, such as:

1. Best methods of developing and implementing CDSS

2. Evaluation of CDSS (design, usability and impact)

3. Investigating cost-effectiveness of CDSS

4. Improving utilisation of CDSS

5. Overcoming alerts fatigue of CDSS

6. Knowledge management of CDSS, including updating the content

7. CDSS and hospital policies and procedures

All the best.

Hi Chemage!

Some more to the right questions from Mohamed Khalifa:

https://youtu.be/wB9hRIm75ow ---- When we have a lot of CDS around: What will happen with the doctor's clinical reasoning and cognitive processes after years of following the proposals of CDS - will they develop enough intuitive power they need being confronted with the individual patient and his preferences and the medical situation the patient s in? What if the CDS is not available?

Hi Chemage,

Here are a few additional thoughts:

1. Efficient versus Effective CDSS

2. Operational CDSS, how to gain

a. Effective participation by all parties

b. How to finance the operational CDSS over time (Multiple year

3. How to fund the development and implementation of a CDSS over multiple years.

4. What level of participation is required by senior management, operational management, administrative management, physicians, nurses, clinical staff, patients, IT staff, etc. to achieve an optimum level of Operational CDSS success.

5. What comprehensive processes should be undertaken to gain absolute buy-in by all CDSS contributors, users, and developers.

6. The systemic integration of CDSS people practices, operational processes, and various technologies to achieve tangible and measurable operational success.

One of the CDSS is called "Clinical Pathways" , New designing for this system based on new model, which I developed it , but still not published ..

Thanks