Can computerised decision support systems deliver improved quality in primary care?

BMJ

Volumn 319, Issue 7220, 1999, Pages 1281-

  Delaney, Brendan C ^a   Fitzmaurice, David A ^a   Riaz, Amjid ^a   Hobbs, F D Richard ^a  

^a UNIVERSITY OF BIRMINGHAM   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

EID: 85007744429     PISSN: 09598138     EISSN: 14685833     Source Type: Journal    
DOI: 10.1136/bmj.319.7220.1281     Document Type: Article

References (29)

1. Hunt D, Haynes RB, Hanna S, Smith K. Effects of computer-based clinical decision support systems on physician performance and patient outcomes. JAMA 1998; 280: 1339-1346.
2. Wyatt J, Spiegelhalter D. Evaluating medical expert systems: what to test and how? Medical Informatics 1990; 15: 205-217.
3. Scally G, Donaldson LJ. Clinical governance and the drive for quality improvement in the new NHS in England. BMJ 1998; 317: 61-65.
4. NHS Executive. Information for health. Leeds: NHS Executive, 1998.
5. Hobbs FDR, Delaney BC, Carson A, Kenkre JE. A prospective controlled trial of computerised decision support for lipid management in primary care. Fam Pract 1996; 13: 133-137.
6. Buchanan BG, Smith RG. Fundamentals of expert systems. Annual Review Computer Science 1988; 3: 23-58.
7. Shortliffe E. Medical expert systems knowledge tools for physicians. West J Med 1986; 145: 830-839.
8. Haux R. Knowledge based decision support for diagnosis and therapy: on the multiple usability of patient data. Meth Inf Med 1989; 28: 69-77.
9. Joint British recommendations on prevention of coronary heart disease in clinical practice. British Cardiac Society, British Hyperlipidaemia Association, British Hypertension Society, endorsed by the British Diabetic Association. Heart 1998; 80 (suppl 2): 1-29S.
10. Fitzmaurice DA, Hobbs FDR, Delaney BC, Wilson S, McManus R. Review of computerised decision support systems for oral anticoagulation management. Br J Haematol 1998; 102: 907-909.
11. Johnston ME, Langton KB, Haynes RB, Mathieu A. Effects of computer-based clinical decision support systems on clinician performance and patient outcome. Ann Intern Med 1994; 120: 135-142.
12. Sullivan F, Mitchell E. Has general practitioner computing made a difference to patient care? A systematic review of published reports. BMJ 1995; 311: 848-852.
13. Lundsgaarde H. Evaluating medical expert systems. Soc Sci Med 1987; 24: 805-819.
14. Dowie J. The research-practice gap and the role of decision analysis in closing it. Health Care Analysis 1996; 4: 1-14.
15. Ryan M, Corbett NG, Clark IR, Peters M. Clinical decision support: devolution of expertise accross the GP hospital interface. Health Care Computing 1991; 1: 332-338.
16. Fox J. Formal and knowledge based methods in decision technology. Acta Psychol 1984; 56: 301-303.
17. NHS Executive. PRODIGY phase one. Leeds: NHS Executive, 1998.
18. NHS Executive. PRODIGY phase two. Leeds: NHS Executive, 1998.
19. Buchan I, Hanka R, Pencheon D, Bundred P. Introduction of the computer assisted prescribing scheme Prodigy was premature. BMJ 1996; 313: 1083.
20. Ross P, Dutton AM. Computer analysis of symptom complexes in patients having upper GI examinations. Dig Dis 1972; 17: 248-254.
21. Thornton JG, Lilford RJ, Johnson N. Decision analysis in medicine. BMJ 1992; 304: 1099-1103.
22. Davies R. Simulation model for planning services with coronary heart disease. Eur J Operational Res 1994; 72: 323-332.
23. Royal College of General Practitioners. The education of patients and public by general practitioners in the seventies. Report of the education study group. London: Royal College of General Practitioners, 1976.
24. Pendleton DA, Schofield T, Tate P, Havelock P. The consultation, an approach to learning and teaching. Oxford: Oxford University Press, 1984.
25. Tuckett D, Boulton M, Olson C, Williams A. Meetings between experts. An approach to sharing ideas in medical consultations. London: Tavistock, 1985.
26. Von Winterfeldt D, Edwards W. Decision analysis and behavioural research. Cambridge: Cambridge University Press, 1989.
27. Naglie G, Detsky AS. Treatment of chronic non-valvular atrial fibrillation in the elderly. A decision analysis. Med Decision Making 1992; 12: 239-249.
28. Heathfield H, Pitty D, Hanka R. Evaluating information technology in health care: barriers and challenges. BMJ 1998; 316: 1959-1961.
29. Randolph A, Haynes RB, Wyatt JC, Cook DJ, Guyatt GH. Users' guides to the medical literature XVIII. How to use an article evaluating the clinical impact of a computer-based clinical decision support system. JAMA 1999; 282: 67-74.