ReviewYearbook of medical informatics2016
Clinical Decision Support: a 25 Year Retrospective and a 25 Year Vision.
Review in Yearbook of medical informatics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 132 papers, 8 of them syntheses that pooled 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.
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.
Who cites it
132 citing papers in PubMed, 8 syntheses or guidelines pooled it.
- Optimizing Clinical Decision Support System Functionality by Leveraging Specific Human-Computer Interaction Elements: Insights From a Systematic Review.JMIR human factors · 2025Pooled it
- Clinical Decision Support and Natural Language Processing in Medicine: Systematic Literature Review.Journal of medical Internet research · 2024Pooled it
- Inclusion of Clinicians in the Development and Evaluation of Clinical Artificial Intelligence Tools: A Systematic Literature Review.Frontiers in psychology · 2022Pooled it
- Decision-support tools via mobile devices to improve quality of care in primary healthcare settings.The Cochrane database of systematic reviews · 2021Pooled it
- Artificial Intelligence Technologies in Neurosurgery: a Systematic Literature Review Using Topic Modeling. Part II: Research Objectives and Perspectives.Sovremennye tekhnologii v meditsine · 2021Pooled it
- Using clinical reasoning ontologies to make smarter clinical decision support systems: a systematic review and data synthesis.Journal of the American Medical Informatics Association : JAMIA · 2020Pooled it
- Evidence-based Clinical Decision Support Systems for the prediction and detection of three disease states in critical care: A systematic literature review.F1000Research · 2019Pooled it
- A systematic review of trials evaluating success factors of interventions with computerised clinical decision support.Implementation science : IS · 2018Pooled it
- Can clinical decision support systems be an asset in medical education? An experimental approach.BMC medical education · 2023Trial
- OrderRex clinical user testing: a randomized trial of recommender system decision support on simulated cases.Journal of the American Medical Informatics Association : JAMIA · 2020Trial
- Clinical Decision Support for Recognizing and Managing Hypertensive Blood Pressure in Youth: No Significant Impact on Medical Costs.Academic pediatrics · 2020Trial
- Design and implementation of a clinical decision support tool for primary palliative Care for Emergency Medicine (PRIM-ER).BMC medical informatics and decision making · 2020Trial
- Factors affecting nurses' acceptance of a digital triage platform in primary health care in Sweden: an extended UTAUT analysis.Scandinavian journal of primary health care · 2026Article
- A Human-Governed Clinical Informatics Framework for Safe AI-Assisted Mental Health Counseling: Secondary Framework Development and Requirement Mapping Study.JMIR formative research · 2026Article
- Strategies to support implementation of infectious disease decision support systems: a scoping review.BMC medical informatics and decision making · 2026Article
- Engaging Hospital Staff to Identify Levers for Adoption of Clinical Decision Support: Protocol for a Single-Site Case Study Using System Dynamics Group Model Building.JMIR research protocols · 2026Article
- Review
- Clinical Decision Support to Increase Naloxone Co-prescribing from the Inpatient Setting.Journal of general internal medicine · 2026Observational
- Promise and Caution: Mapping Opportunities for AI Decision Support in Emergency Medical Services.Proceedings. IEEE International Conference on Healthcare Informatics · 2026Article
- Article
72 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe objective of this review is to summarize the state of the art of clinical decision support (CDS) circa 1990, review progress in the 25 year interval from that time, and provide a vision of what CDS might look like 25 years hence, or circa 2040.
methodInformal review of the medical literature with iterative review and discussion among the authors to arrive at six axes (data, knowledge, inference, architecture and technology, implementation and integration, and users) to frame the review and discussion of selected barriers and facilitators to the effective use of CDS.
resultIn each of the six axes, significant progress has been made. Key advances in structuring and encoding standardized data with an increased availability of data, development of knowledge bases for CDS, and improvement of capabilities to share knowledge artifacts, explosion of methods analyzing and inferring from clinical data, evolution of information technologies and architectures to facilitate the broad application of CDS, improvement of methods to implement CDS and integrate CDS into the clinical workflow, and increasing sophistication of the end-user, all have played a role in improving the effective use of CDS in healthcare delivery.
conclusionCDS has evolved dramatically over the past 25 years and will likely evolve just as dramatically or more so over the next 25 years. Increasingly, the clinical encounter between a clinician and a patient will be supported by a wide variety of cognitive aides to support diagnosis, treatment, care-coordination, surveillance and prevention, and health maintenance or wellness.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.