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Decision support for Scotland's health and social care: learning from an outcomes-focused approach

Ann Wales
2020 BMJ Health & Care Informatics  
It discusses how this outcomes-led approach positions decision support as catalyst for a learning health and care system that continuously refreshes the healthcare knowledge base through new insights generated  ...  This short report shares learning from the research and development phase of the national decision support programme in NHS Scotland.  ...  The commitment within the decision support programme to continuous evaluation and improvement enables capture of real-world outcomes data generated by decision support tools.  ... 
doi:10.1136/bmjhci-2019-100124 pmid:32723853 fatcat:kgoquoyx3nhphaizcg46pawerq

Enriching Quality of Maternal Health Care through Machine

Bolanle F., Oladejo Olajide
2020 International Journal of Computer Applications  
The system is designed using Unified Modeling Language (UML) tools and a multi-class Support Vector Machine (SVM) was developed for the Decision Support System for Maternity Health Care (DSSMC).  ...  These data can provide a wide scope of insights into patient cases for prevention and cure on health issues.  ...  ACKNOWLEDGMENTS The authors would like to appreciate Ms Kafila Ogundare for her immense contributions towards the success of this study.  ... 
doi:10.5120/ijca2020919821 fatcat:pmqfk6f5pvenjnbcpukvvb2qye

Healthcare intelligence risk detection systems

2014 British Dental Journal  
Results & Conclusion: Modeling the Intelligence Support System is necessary for designing Real-Time Risk Detection Information Systems in clinical measures.  ...  Today, in healthcare field that is changing rapidly, decision-makers encounter with ever-increasing inquiries on clinical and administrative information to realize customers' legal and clinical requirements  ...  We would also like to thank the reviewers for their insightful comments.  ... 
doi:10.1038/sj.bdj.2014.14 fatcat:eilfmdd52ragngx4wq3buajtwq

Healthcare intelligence risk detection systems

Reza Safdari, Jebraeil Farzi, Marjan Ghazisaeidi, Mahboobeh Mirzaee, Azadeh Goodini
2013 Open Journal of Preventive Medicine  
Results & Conclusion: Modeling the Intelligence Support System is necessary for designing Real-Time Risk Detection Information Systems in clinical measures.  ...  Today, in healthcare field that is changing rapidly, decision-makers encounter with ever-increasing inquiries on clinical and administrative information to realize customers' legal and clinical requirements  ...  We would also like to thank the reviewers for their insightful comments.  ... 
doi:10.4236/ojpm.2013.38062 fatcat:2g6jlchel5cyfhfx3rjl6swelm

Enhancing clinical judgement and decision-making skills of prelicensure nursing students

Megan Kirkpatrick, J. David Patterson, Patricia Prince
2022 Journal of Nursing Education and Practice  
Part A of the activity requires students to choose the most appropriate staffing assignment for the unit's staff on an inpatient pediatric unit and provide a rationale for that decision.  ...  This article describes an authentic learning activity intended to enhance prelicensure nursing students' clinical judgment and decision-making skills.  ...  [4] Muntean [5] reviewed the literature to explore the complexities of novice nurse decision-making and found that decision-making takes more effort and is more deliberate for novice nurses than for  ... 
doi:10.5430/jnep.v12n6p45 fatcat:icfobw27i5hxdmqltjsi6uwk3u

The use of cognitive task analysis in clinical and health services research — a systematic review

Lizzie Swaby, Peiyao Shu, Daniel Hind, Katie Sutherland
2022 Pilot and Feasibility Studies  
Methods We conducted a methodological review to describe the use of CTA methods in understanding expert clinical decision-making.  ...  The most common aims were to understand expert decision-making in particular clinical scenarios, using expert decision-making in the development of training programmes, understanding whether decision support  ...  Cognitive task analysis is an umbrella term for tools and techniques used in describing the knowledge and strategies that are used in making judgements about situations and goals and making decisions.  ... 
doi:10.1186/s40814-022-01002-6 pmid:35260195 pmcid:PMC8903544 fatcat:kcp4hjumkrharialg5kseu55ym

Use of Real-World Evidence in US Payer Coverage Decision-Making for Next-Generation Sequencing–Based Tests: Challenges, Opportunities, and Potential Solutions

Patricia A. Deverka, Michael P. Douglas, Kathryn A. Phillips
2020 Value in Health  
We performed a scoping literature review of existing RWE evidentiary frameworks for evaluating new technologies and identified barriers to clinical integration and evidence gaps for NGS.  ...  Given the potential of real-world evidence (RWE) to inform understanding of the risk-benefit profile of next-generation sequencing (NGS)-based testing, we undertook a study to describe the current landscape  ...  Acknowledgments We gratefully acknowledge comments and input on earlier drafts from the Global Economics and Evaluation of Clinical Sequencing Working Group (GEECS).  ... 
doi:10.1016/j.jval.2020.02.001 pmid:32389218 pmcid:PMC7219085 fatcat:2hgihapcvvbt7aixbxjox3u6bu

A 2014 Medical Informatics Perspective on Clinical Decision Support Systems: Do We Hit The Ceiling of Effectiveness?

J. Bouaud, J.-B. Lamy
2014 IMIA Yearbook of Medical Informatics  
Results: The full review process highlighted three papers, illustrating current trends in the domain of clinical decision support.  ...  Objective: To summarize recent research and propose a selection of best papers published in 2013 in the field of computer-based decision support in health care.  ...  Acknowledgement We would like to thank Martina Hutter for her support and the reviewers for their participation in the selection process of the Decision Support section of the IMIA Yearbook.  ... 
doi:10.15265/iy-2014-0036 pmid:25123737 pmcid:PMC4287088 fatcat:mdl5ad4cyze6fib2t56cvab25a

Knowledge management implementation and the tools utilized in healthcare for evidence-based decision making: a systematic review

Leila Shahmoradi, Reza Safadari, Worku Jimma
2017 Ethiopian Journal of Health Sciences  
The aim of this systematic review is to investigate knowledge management implementation and knowledge management tools used in healthcare for informed decision making.  ...  Some of the opportunities that can transform healthcare are advances in health information and communication technology, clinical decision support systems, electronic health record systems, communities  ...  The authors are also indebted to the Department of Health Information Management, School of Allied Medical Sciences, Tehran University of Medical Sciences for allowing this review work.  ... 
doi:10.4314/ejhs.v27i5.13 fatcat:i4tefczperhq3hmqtd2aahb7q4

Impact of Big Data on Innovation, Competitive Advantage, Productivity, and Decision Making: Literature Review

Nadeem U. Shahid, Nasir J. Sheikh
2021 Open Journal of Business and Management  
A new model is suggested identifying big data and the correlation between innovation, competitive advantage, productivity, and decision support.  ...  This paper's objective is to review how big data drive and impact innovation, competitive advantage, productivity, and decision support.  ...  Conflicts of Interest The authors declare no conflicts of interest regarding the publication of this paper.  ... 
doi:10.4236/ojbm.2021.92032 fatcat:p5hfith3j5dcbnshppssrxrl5a

Diagnosis support systems for rare diseases: a scoping review

Carole Faviez, Xiaoyi Chen, Nicolas Garcelon, Antoine Neuraz, Bertrand Knebelmann, Rémi Salomon, Stanislas Lyonnet, Sophie Saunier, Anita Burgun
2020 Orphanet Journal of Rare Diseases  
Our objective is to perform a review of all initiatives aiming to support the diagnosis of rare diseases. A scoping review was conducted based on methods proposed by Arksey and O'Malley.  ...  Delayed diagnosis is frequent due to lack of knowledge of most clinicians and a small number of expert centers.  ...  Acknowledgments The authors acknowledge the ANR for the funding and would like to thank the C'IL-LICO members for their advice for the analysis and interpretation of the results.  ... 
doi:10.1186/s13023-020-01374-z pmid:32299466 pmcid:PMC7164220 fatcat:irqxt4ps45frlp7s6lnzr2g46y

Stakeholder Perspectives on Navigating Evidentiary and Decision Uncertainty in Precision Oncology

Samantha Pollard, Jessica Dunne, Sarah Costa, Dean A. Regier
2022 Journal of Personalized Medicine  
We show that clinicians and decision makers vary in their tolerance for evolving knowledge, suggesting a need to establish evidentiary standards supporting precision oncology reimbursement decisions.  ...  Clinicians applied a broader definition of patient benefit, focusing on the ability to assist patients making informed clinical decisions. (4) Conclusions: Sustainable precision oncology must balance demand  ...  In this sense, both clinicians and decision makers viewed precision oncology as a tool to support clinical decision making, yet clinicians placed greater value on the generation of information, regardless  ... 
doi:10.3390/jpm12010022 pmid:35055337 pmcid:PMC8778253 fatcat:rr3w233ckfcspj2zugdicna7xa

RWE Framework: An Interactive Visual Tool to Support a Real-World Evidence Study Design

Andrew D. Xia, Caroline P. Schaefer, Agota Szende, Elke Jahn, Matthew J. Hirst
2019 Drugs - Real World Outcomes  
The searches confirmed an unmet need for a concise tool to support a broad range of RWE study designs: only two sources with decision/visual aids were identified.  ...  It addresses a broad range of real-world study types and research objectives and was found to enhance RWE decision-making by multidisciplinary teams. Further validation is warranted.  ...  The authors also thank the employees of Mundipharma who participated in the workshops that pilot tested the RWE Framework.  ... 
doi:10.1007/s40801-019-00167-6 pmid:31741199 pmcid:PMC6879703 fatcat:lnyhygtjfng3bigpxilsspnt7q

Business analytics-enabled decision-making effectiveness through knowledge absorptive capacity in health care

Yichuan Wang, Terry Anthony Byrd
2017 Journal of Knowledge Management  
The mediating role of absorptive capacity not only provides a mechanism by which BA can contribute to decision making practices, but also offers a new solution to the puzzle of the IT productivity paradox  ...  and data interpretation tools) in healthcare units, indirectly influence decision making effectiveness through the mediating role of knowledge absorptive capacity.  ...  We are effective in transforming existing information into new knowledge. 4. We are effective in utilizing knowledge into new services. Decision making Effectiveness 1.  ... 
doi:10.1108/jkm-08-2015-0301 fatcat:fwdlu37l3jhzzaiigdwqygh2ym

Creating and sharing clinical decision support content with Web 2.0: Issues and examples

Adam Wright, David W. Bates, Blackford Middleton, Tonya Hongsermeier, Vipul Kashyap, Sean M. Thomas, Dean F. Sittig
2009 Journal of Biomedical Informatics  
However, developing a comprehensive package of decision support interventions is costly and difficult. If used well, Web 2.0 methods may make it easier and less costly to develop decision support.  ...  Clinical decision support is a powerful tool for improving healthcare quality and patient safety.  ...  We are grateful to Venkatesh Janakiraman of Epic Systems for his help in developing the usage statistics presented for the Epic Community Library as well as to Aiman Alarawabeh who created much of the  ... 
doi:10.1016/j.jbi.2008.09.003 pmid:18935982 fatcat:cwr56cix7bhcdksxt4ul56g3b4
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