Abstract

This study is a follow up on a previous one, it seeks to fill a critical knowledge gap, by providing information on the opinions of experts in a poor setting on the features of a computerized clinical decision support system they consider would aid their practice. Univariant analysis uncovered five systems features, albeit variants of one feature: the requirement to provide unique patient care recommendations. .

References

• Hardy D, Smith, B. , ;. Decision making in clinical practice. J Anaesth l2008;9: :19-21.
• Bhugra D. Decision making in psychiatry: what can we learn? Acta Psychiatr Scan l2008;118: 1-3.
• Whitney S, Holmes-Rovner, M, Brody, H, . . Beyond shared decision making: An expanded typology of medical decisions. Med Decis Making l2008;28:: ;699-705.
• McGlynn E, Asch, SM, Adams, J, Keesey, J, Hicks, J, DeCristofaro, A, . The quality of health care delivered to adults in the United States. N Eng. J Med l2003;;348: 2635-45.
• Kohn L, Corrigan, JM, Donaldson, MS, . To err is human: building a safer health system: Washington, : National Academy Press, 1999.
• Chen L, Evans, T. Anand, S. , Bou,J. I. H. Brown HC, M. Cueto, M. Dare, L Dussault, G. Elzinga, G . Fee, E . Habte, D P. Hanvoravongchai P, Jacobs, M Kurowski, C, Michael SP-AM, N. Sewankambo, G. Solimano, B. Stilwell, A. de Waal, S. Wibulpolprase, S. . Human resources for health overcoming the crisis. . Lancet, l2004;364.
• Prosser H, Walley, T. . New drug uptake: qualitative comparison of high and low prescribing general practitioners' attitudes and approach. Fam Pract l003;2:583-91.
• Schumock G, Walton, SM, Park, HY, . , ;. . Factors that influence preribing decisions. Ann Pharmacother l2004;38: :557-62.
• Kawamoto KH, CA Balas EA, Lobach, DF. Improving clinical practice using clinical decision support systems: a systematic review of trials to identify features critical to success. BMJ online l2005.
• Bennett JW GPCrafim, trials. masrorc, . Med J Aust l2003;;178:: 217-22.
• Kausha lR, Shojania KG, Bates DW. . :. Effects of computerized physician order entry and clinical decision support systems on medication safety: a systematic review. Arch Intern Med Decis Making l2003;;163: 1409-16.
• Balas EA WS, Barb CT, Blumenthal D, Boren SA, Brown GD. . Improving preventive care by prompting physicians. Arch Intern Med l. 2000;160:: ;301-8.
• Shiffman R, Liaw Y, Brandt CA, Corb GJ. . Computer-based guideline implementation systems: a systematic review of functionality and effectiveness. J Am Med Inform Assoc l1999;;6: 104-14.
• Wears R, , Berg, M. , . Computer technology and clinical work ; still waiting for Godot. JAMA l2005;293: 1223-38.
• Kensaku Kawamoto KH, CA E Balas EA, Lobach, DF. Improving clinical practice using clinical decision support systems: a systematic review of trials to identify features critical to success. BMJ online l2005.
• McKinley J, Potter DA, Feldman HA. . , ;:. Non-medical influences on medical decision making. Soc Sci Med l1996;42: 769-76.
• Escher M, Perneger, TV, Chevrolet, JC. . National questionnaire survey on what influences doctors' decisions about admission to intensive care. BMJ l2004;;329: 1-5.
• Hamann J, Adjan S, Leuchat S, Kissling W. Psychiatric decision making in the adoption of a new antipsychotic in Germany. Psychiatric Services l2006;;57: 700-3.
• Modi S, Whetstone LM, Cummings DM. . Influence of patient and physician characteristics on percutaneous endoscopic gastrostomy tube decision-making. . J Pall Med l2007;;10: :359-66.
• Schumock GT WS, Park HY, et al. Factors that, Pharmacother ipdA. l2004 38:: 557-62.
• Sim I, Gorman, P, Grenes RA, Haynes, RB, Kaplan, B, Lehmann, H,. Clinical decision support systems for the practice of evidence-based medicine. J Am Med Informatics Assoc l2001;8: 527-34.