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 | CLINICAL DECISION SUPPORT
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The Road Ahead
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Edited By
Robert Greenes, Harvard Medical School, Brigham & Women's Hospital, Boston, Massachusetts, U.S.A.
Description
This book examines the nature of medical knowledge, how it is obtained, and how it can be used for decision support. It provides complete
coverage of computational approaches to clinical decision-making. Chapters discuss data integration into healthcare information systems
and delivery to point of care for providers, as well as facilitation of direct to consumer access. A case study section highlights critical
lessons learned, while another portion of the work examines biostatistical methods including data mining, predictive modelling, and analysis.
This book additionally addresses organizational, technical, and business challenges in order to successfully implement a computer-aided
decision-making support system in healthcare delivery.
Audience
Health care professionals, medical informatics researchers and students, policy makers, IT development managers, and various clinical investigators
Contents
Introduction: Clinical decision support
What it is and why important
A brief history of the field
Types of computer-aided decision making
Case studies
Regenstrief experience
Brigham experience
LDS HELP experience
Lessons learned, summary
Where are we now?
Penetration
Limitations
New motivations and interest
Where does the knowledge come from?
Expert knowledge
Data mining and predictive modeling
Evidence-based
medicine
Problems in developing decision support applications
Representation of the knowledge
Integration with host environments
Managing
the knowledge: authoring and update
Standards efforts
Arden syntax
Guidelines
GELLO
Vocabularies and data models
Process/workflow models
Issues
Top-down vs. bottom-up approaches
Legacy investments
Differences among models and purposes
Institutional KM challenges
Getting
a handle on the problem
Content management and collaborative authoring/editing
Common representation
Common interfaces/transaction services
Tools for knowledge management
A timetable of opportunities
Rules knowledge
General expressions/calculation/logic
Knowledge element
groups
Order sets
Reports and data entry forms
Prospects for dissemination and sharing
Knowledge as a universal commodity not
a proprietary resource
Attempts to establish consortia
What is needed to overcome barriers
| Bibliographic details |
Hardbound, 544 pages, publication date: NOV-2006
ISBN-13: 978-0-12-369377-8
ISBN-10: 0-12-369377-2
Imprint: ACADEMIC PRESS
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| Price and Ordering |
Price:
EUR 75.95 USD 103 GBP 64
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Last update: 3 Oct 2009
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