INFORMATION CHANGE THE WORLD

International Journal of Information Technology and Computer Science(IJITCS)

ISSN: 2074-9007 (Print), ISSN: 2074-9015 (Online)

Published By: MECS Press

IJITCS Vol.8, No.8, Aug. 2016

The Implementation of Clinical Decision Support System: A Case Study in Saudi Arabia

Full Text (PDF, 366KB), PP.23-30


Views:100   Downloads:8

Author(s)

Sahar S. Alqahtani, Sabah Alshahri, Ahood I. Almaleh, Farrukh Nadeem

Index Terms

CDSS in Saudi Arabia;the effectiveness of CDSS;challenges in CDSS;CDSS implementation

Abstract

In recent years, the healthcare sector has shown inclination towards restructuring of healthcare systems to harmonize with technological innovations and adopting decision support system in routine clinical practices. The objective of this paper is to summarize challenges of Clinical Decision Support System (CDSS) and focus on the effectiveness of CDSS to improve clinical practice. This paper also describes the experience of CDSS in healthcare sector in Saudi Arabia and addresses the requirements for implementing successful CDSS with a real example. This study concludes that healthcare sector is in dire need to increase quality of patients' care and improve clinical practices by adopting CDSS.

Cite This Paper

Sahar S. Alqahtani, Sabah Alshahri, Ahood I. Almaleh, Farrukh Nadeem,"The Implementation of Clinical Decision Support System: A Case Study in Saudi Arabia", International Journal of Information Technology and Computer Science(IJITCS), Vol.8, No.8, pp.23-30, 2016. DOI: 10.5815/ijitcs.2016.08.03

Reference

[1]H. Shin and M. Markey, 'A machine learning perspective on the development of clinical decision support systems utilizing mass spectra of blood samples', Journal of Biomedical Informatics, 39(2):227-248, 2006.

[2]R. Thomson, 'Clinical Decision Support Systems', Openclinical.org, 2015. Available: http://www.openclinical.org/dss.html. [Accessed: 07- Dec- 2015].

[3]K. Wagholikar, V. Sundararajan and A. Deshpande, 'Modeling Paradigms for Medical Diagnostic Decision Support: A Survey and Future Directions', J Med Sys, 36(5):3029-3049, 2011.

[4]Health awareness. Available: http://www.moh.gov.sa/en /HealthAwareness/Pages/UpToDate.aspx. [Accessed: 09- Dec- 2015].

[5]Uptodate. Available: http://www.uptodate.com/contents/search. [Accessed: 09- Dec- 2015].

[6]D. Sittig, A. Wright, J. Osheroff, B.  Middleton, J. Teich, J. Ash, E. Campbell and D.  Bates, 'Grand challenges in clinical decision support', Journal of Biomedical Informatics, 41(2):387-92, 2008.

[7]M. Jaspers, M. Smeulers, H. Vermeulen and L. Peute, 'Effects of clinical decision-support systems on practitioner performance and patient outcomes: a synthesis of high-quality systematic review findings', Journal of the American Medical Informatics Association, 18(3):327-334, 2011.

[8]J. F. Sucher, F. A. Moore, S. R. Todd, R. M. Sailors, and B. A. McKinley, ‘Computerized clinical decision support: a technology to implement and validate evidence based guidelines’, The Journal of Trauma, 64(2), 520-537, 2008.

[9]B. Mollon, J. J. Chong, A. M. Holbrook, M. Sung, L. Thabane, and G. Foster, ‘Features predicting the success of computerized decision support for prescribing: a systematic review of randomized controlled trials’, BMC Medical Informatics and Decision Making, 9(11), 2009.

[10]J. A. Lyman, W. F. Cohn, M. Bloomrosen, and D. E. Detmer, ‘Clinical decision support: progress and opportunities’, Journal of the American Medical Informatics Association, 17(5), 487-492, 2010. 

[11]S. Alwakeel and D. Barakah, 'Impact of CPOE on Physicians and Dentists’ Work Performance at King Saud Medical Complex Hospital: A Case Study', http://hdl.handle.net/123456789/15106, 2009.

[12]M. Khalifa, 'Clinical Decision Support: Strategies for Success', Procedia Computer Science, 37, 422-427, 2014.

[13]M. Khalifa and O. Alswailem, 'Clinical Decision Support Knowledge Management: Strategies for Success', Studies in Health Technology and Informatics, 213:67-70, 2015.

[14]M. Omaish, S. Abidi and S. Abidi, 'Ontology-based computerization of Acute Coronary Syndrome clinical guideline for decision support in the emergency department', Studies in Health Technology and Informatics, 180:437-41, 2015.

[15]K. Kawamoto, 'Improving clinical practice using clinical decision support systems: a systematic review of trials to identify features critical to success', BMJ, 330(7494):765-770, 2005.

[16]M. Jaspers, M. Smeulers, H. Vermeulen and L. Peute, 'Effects of clinical decision-support systems on practitioner performance and patient outcomes: a synthesis of high-quality systematic review findings', Journal of the American Medical Informatics Association, 18(3):327-334, 2011.

[17]P. Casimir, 'Role of Clinical Decision Support Systems in Improving Clinical Practice', MOJ Clinical & Medical Case Reports, 2(6), 2015.

[18]D. F. Doolan, D. W. Bates, and B. C. James, ‘The use of computers for clinical care: a case series of advanced U.S. sites’, J Am Med Inform Assoc. 10:94-107, 2003.

[19]D. F. Doolan, and D. W. Bates, ‘Computerized physician order entry systems in hospitals: mandates and incentives’, Health Aff. 21:180-188, 2002.

[20]N. Kucher, S. Koo, R. Quiroz, et al., ‘Electronic alerts to prevent venous thromboembolism among hospitalized patients’, N Engl J Med, 352:969–977, 2005.

[21]E. Berner and T. La Lande, 'Overview of Clinical Decision Support Systems, in Eta S. Berner EdD, FACMI, FHIMSS (eds) ‘Clinical Decision Support Systems’ Springer New York, 3-22, 2007.

[22]E. S. Berner, R. S. Maisiak, S. T. Phelan, J. I. Kennedy, G. R. Heudebert and K. R. Young, ‘Use of a diagnostic decision support system by internal medicine residents’, Unpublished study, 2002.

[23]K. Kawamoto, C. A. Houlihan, E. A. Bala and D. F. Lobach, ‘Improving clinical practice using clinical decision support systems: a systematic review of trials to identify features critical to success’, BMJ 330:765, 2005.

[24]L. Jiang, B. Xu, C. Xie and H. Cai, 'A framework of emergency clinical decision support system based on MDA and resource model', International Conference on Computer Supported Cooperative Work in Design, 2014. 

[25]P. Esmaeilzadeh, M. Sambasivan, N. Kumar and H. Nezakati, 'Adoption of clinical decision support systems in a developing country: Antecedents and outcomes of physician's threat to perceived professional autonomy', International Journal of Medical Informatics, 84(8):548-560, 2015.

[26]E. Sanchez, C. Toro, A. Artetxe, M. Graña, C. Sanin, E. Szczerbicki, E. Carrasco and F. Guijarro, 'Bridging challenges of clinical decision support systems with a semantic approach. A case study on breast cancer', Pattern Recognition Letters, 34(14):1758-1768, 2013.

[27]E. Berner, 'Ethical and legal issues in the use of health information technology to improve patient safety', HEC Forum, 20(3):243-258, 2008.

[28]K. W. Goodman, 'Ethical and legal issues in decision support', in Eta S. Berner EdD, FACMI, FHIMSS (eds) ‘Clinical Decision Support Systems’ Springer New York, 126-139, 2007.

[29]Electronichealthreporter.com, '7 Things to consider when choosing clinical decision support software - Electronic Health Reporter', Available: http://electronichealthreporter.com/7-choosing-clinical-decision-software/ [Accessed: 06- Dec- 2015].

[30]C. Klein, 'Changing before our eyes: an evolution of clinical decision support in healthcare', Ntst.com, Available: http://www.ntst.com/wp/NetsmartWhitepaper Content/13 [Accessed: 08- Dec- 2015].

[31]E. Berner, 'Informatics challenges for the impending patient information explosion', Journal of the American Medical Informatics Association, 12(6):614-617, 2005.

[32]A. Nasser, H.Zaied, M. Elmogy and S. Abd Elkader, 'Electronic health records: applications, techniques and challenges', International Journal of Computer Applications, 119(14):38-49, 2015.

[33]N. Menachemi and Collum, 'Benefits and drawbacks of electronic health record systems', RMHP, 47, 2011.

[34]Wikipedia, 'Clinical decision support system', Available: https://en.wikipedia.org/wiki/Clinical_decision_support_system [Accessed: 08- Dec- 2015].

[35]K. T. Win, W. Susilo, and Y. Mu, ‘Personal health record systems and their security protection’, Journal of medical systems, 30(4):309-315, 2006.

[36]E. S. Berner, R. S. Maisiak, G. R. Heudebert, K. R. Young, ‘Clinician performance and prominence of diagnoses displayed by a clinical diagnostic decision support system’, Proc AMIA Fall Symp., 76-80, 2003.

[37]R. N. Schiffman, C. Brandt, Y. Liaw, et al. ‘A design model for computer-based guideline implementation based on information management services’, J Am Med Inform Assoc. 6:99-103, 1999.

[38]J. M. Teich, J. A. Osheroff, E. A. Pifer, D. F. Sittig, R. A. Jenders, ‘The CDS Expert Review Panel. Clinical decision support in electronic prescribing: recommendations and an action plan’, J Am Med Inform Assoc. 12:365-76, 2005.

[39]R. N. Charette, ‘EHRs: electronic health records or exceptional hidden risks?’, Commun. ACM, 49(6):120, 2006.

[40]E. S. Berner, 'Ethical and legal issues in the use of health information technology to improve patient safety'. HEC Forum 20.3: 243-258, 2008.

[41]K. W. Goodman, 'Ethical and legal issues in decision support', in Eta S. Berner EdD, FACMI, FHIMSS (eds) ‘Clinical Decision Support Systems’ Springer New York, 126-139, 2007.

[42]L. Forrow, S. A. Wartman and D. W. Brock, ‘Science, ethics, and the making of clinical decisions’, JAMA 259:3161–3167, 1988.

[43]K. W. Goodman, ‘Outcomes, futility, and health policy research, In: Goodman KW, ed. Ethics, computing and medicine: informatics and the transformation of healthcare. Cambridge and New York: Cambridge University Press, 116–138, 1997.

[44]R. A. Miller and K. W. Goodman, ‘Ethical challenges in the use of decision-support software in clinical practice. In: Goodman KW, ed. Ethics, computing and medicine:  

informatics and the transformation of healthcare. Cambridge and New York: Cambridge University Press; 1997:102–115.

[45]N. P. Terry, ‘When the machine that goes ‘ping’ causes harm: default torts rules and technologically-mediated healthcare injuries. St. LouisUniversity Law Journal, 46:37, 2002.

[46]J. M. Sorace, J. J. Berman, G. E. Carnahan and G. W. Moore, ‘PRELOG: precedence logic inference software for blood donor deferral’, Proc Annu Symp Comput Appl Med Care, 976–977, 1991.

[47]S. Subramanian, 'Creating Knowledge-Based Clinical Decision Support System Using Cloud Computing Architecture', ProQuest, 2013.