Evidence map›Paper›PMID 25099829›Full record

ArticleClinical medicine (London, England)2014

Decision time for clinical decision support systems.

Dympna O'Sullivan, Paolo Fraccaro, Ewart Carson, Peter Weller

Abstract read
In one paragraph

Article in Clinical medicine (London, England), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  19. Test Case Selection in Pre-Deployment Testing of Complex Clinical Decision Support Systems.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2016
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Dympna O'SullivanCentre for Health Informatics, City University London, UK Dympna.O'Sullivan.1@city.ac.uk.
Paolo FraccaroCentre for Health Informatics, City University London, UK.
Ewart CarsonCentre for Health Informatics, City University London, UK.
Peter WellerCentre for Health Informatics, City University London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clinical decision support systems are interactive software systems designed to help clinicians with decision-making tasks, such as determining a diagnosis or recommending a treatment for a patient. Clinical decision support systems are a widely researched topic in the computer science community, but their inner workings are less well understood by, and known to, clinicians. This article provides a brief explanation of clinical decision support systems and some examples of real-world systems. It also describes some of the challenges to implementing these systems in clinical environments and posits some reasons for the limited adoption of decision-support systems in practice. It aims to engage clinicians in the development of decision support systems that can meaningfully help with their decision-making tasks and to open a discussion about the future of automated clinical decision support as a part of healthcare delivery.

Indexed as

Decision Support Systems, ClinicalDecision MakingClinical decision support systemsdecision-makingdiagnosis

Identifiers

PMID25099829
PMCPMC4952821

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.