What can be done to increase the use of diagnostic decision support systems?

Diagnosis

Volumn 1, Issue 1, 2014, Pages 119-123

  Berner, Eta S ^a,b  

^a University of Alabama   (United States)

^b Department of Medical Education in the School of Medicine and the Department of Health Services Administration in the School of Health Professions at the University of Alabama at Birmingham   (United States)

Author keywords

Diagnostic decision support systems; Diagnostic errors; Feedback

Indexed keywords

COGNITION; DECISION SUPPORT SYSTEM; DIAGNOSTIC DECISION SUPPORT SYSTEM; DIAGNOSTIC ERROR; FEEDBACK SYSTEM; HUMAN; PERCEPTION; PHYSICIAN; PRIORITY JOURNAL; REVIEW; SUGGESTION;

EID: 85015986649     PISSN: 21948011     EISSN: 2194802X     Source Type: Journal    
DOI: 10.1515/dx-2013-0014     Document Type: Review

References (27)

1. Blumenthal D, Tavenner M. The "meaningful use" regulation for electronic health records. N Engl J Med 2010;363:501-4.
2. Yu F, Houston TK, Ray MN, Garner DQ, Berner ES. Patterns of use of handheld clinical decision support tools in the clinical setting. Med Decis Making 2007;27:744-53.
3. Rosenbloom ST, Geissbuhler AJ, Dupont WD, Giuse DA, Talbert DA, Tierney WM, et al. Effect of CPOE user interface design on user-initiated access to educational and patient information during clinical care. J Am Med Inform Assn 2005;12:458-73.
4. Grant RW, Campbell EG, Gruen RL, Ferris TG, Blumenthal D. Prevalence of basic information technology use by U.S. physicians. J Gen Intern Med 2006;21:1150-5.
5. GargAX, Adhikari NK, McDonald H, Rosas-Arellano MP, Devereaux PJ, Beyene J, et al. Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: a systematic review. J Am Med Assoc 2005;293:1223-38.
6. Berner ES. Mind wandering and medical errors. Med Educ 2011;45:1068-9.
7. Berner ES. Diagnostic decision support systems: why aren't they used more and what can we do about it? AMIA Annual Symposium proceedings/AMIA Symposium AMIA Symposium. 2006:1167-8.
8. Berner ES. Diagnostic decision support systems: how to determine the gold standard? J Am Med Inform Assn 2003;10:608-10.
9. Berner ES, Graber ML. Overconfidence as a cause of diagnostic error in medicine. Am J Med 2008;121(5 Suppl): S2-23.
10. Berner ES, Moss J. Informatics challenges for the impending patient information explosion. J Am Med Inform Assn 2005;12:614-7.
11. Meyer AN, Payne VL, Meeks DW, Rao R, Singh H. Physicians' diagnostic accuracy, confidence, and resource requests: a vignette Study. JAMA Intern Med 2013. PubMed PMID: 23979070. Epub 2013/08/28. Eng.
12. ElyJW, Kaldjian LC, D'Alessandro DM. Diagnostic errors in primary care: lessons learned. J Am Board Family Med: JABFM 2012;25:87-97.
13. Podbregar M, Voga G, Krivec B, Skale R, Pareznik R, Gabrscek L. Should we confirm our clinical diagnostic certainty by autopsies? Intens Care Med 2001;27:1750-5.
14. Friedman CP, Gatti GG, Franz TM, Murphy GC, Wolf FM, Heckerling PS, et al. Do physicians know when their diagnoses are correct? Implications for decision support and error reduction. J Gen Intern Med 2005;20:334-9.
15. Kahneman D, Slovic P, Tversky A. Judgment under uncertainty: heuristics and biases. New York: Cambridge University Press, 1982.
16. Croskerry P. The importance of cognitive errors in diagnosis and strategies to minimize them. Acad Med 2003;78:775-80.
17. Voytovich AE, Rippey RM, Suffredini A. Premature conclusions in diagnostic reasoning. J Med Educ 1985;60:302-7.
18. Eva KW, Norman GR. Heuristics and biases - a biased perspective on clinical reasoning. Med Educ 2005;39:870-2.
19. Wears RL, Nemeth CP. Replacing hindsight with insight: toward better understanding of diagnostic failures. Ann Emerg Med 2007;49:206-9.
20. Committee on Identifying and Preventing Medication Errors. Preventing medication errors: quality chasm series. Aspden P, Wolcott J, Bootman JL, Cronenwett LR, editors. Washington, DC: The National Academies Press, 2007.
21. Schiff GD. Minimizing diagnostic error: the importance of follow-up and feedback. Am J Med 2008;121(5 Suppl):S38-42.
22. van der Sijs H, Baboe I, Phansalkar S. Human factors considerations for contraindication alerts. Stud Health Technol Inform 2013;192:132-6.
23. Tang P. Summary of April 21, 2011 HIT Policy Committee Hearing on Electronic Health Record Usabilty 2011. Available from: http://www.healthit.gov/sites/default/files/pdf/hitpc-acwg-usability-letter-06-08-2011.pdf. Accessed October 24, 2013.
24. Sirajuddin AM, Osheroff JA, Sittig DF, Chuo J, Velasco F, Collins DA. Implementation pearls from a new guidebook on improving medication use and outcomes with clinical decision support. Effective CDS is essential for addressing healthcare performance improvement imperatives. J Healthc Inform Manag 2009 Fall;23:38-45.
25. Schiff GD, Bates DW. Can electronic clinical documentation help prevent diagnostic errors? N Engl J Med 2010;362:1066-9.
26. Willig JH, Krawitz M, Panjamapirom A, Ray MN, Nevin CR, English TM, et al. Closing the feedback loop: an interactive voice response system to provide follow-up and feedback in primary care settings. J Med Syst 2013;37:9905.
27. Lobach DF. The road to effective clinical decision support: are we there yet? BMJ (Clinical research ed). 2013;346:f1616.