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Clinical decision support system (CDSS)-effects on care quality.
University of Borås, School of Health Science. (Prehospital akutsjukvård)
2014 (English)In: International Journal of Health Care Quality Assurance, ISSN 0952-6862, E-ISSN 1758-6542, Vol. 27, no 8, p. 707-718Article in journal (Refereed) Published
Sustainable development
The content falls within the scope of Sustainable Development
Abstract [en]

PURPOSE: Despite their efficacy, some recommended therapies are underused. The purpose of this paper is to describe clinical decision support system (CDSS) development and its impact on clinical guideline adherence. DESIGN/METHODOLOGY/APPROACH: A new CDSS was developed and introduced in a cardiac intensive care unit (CICU) in 2003, which provided physicians with patient-tailored reminders and permitted data export from electronic patient records into a national quality registry. To evaluate CDSS effects in the CICU, process indicators were compared to a control group using registry data. All CICUs were in the same region and only patients with acute coronary syndrome were included. FINDINGS: CDSS introduction was associated with increases in guideline adherence, which ranged from 16 to 35 per cent, depending on the therapy. Statistically significant associations between guideline adherence and CDSS use remained over the five-year period after its introduction. During the same period, no relapses occurred in the intervention CICU. PRACTICAL IMPLICATIONS: Guideline adherence and healthcare quality can be enhanced using CDSS. This study suggests that practitioners should turn to CDSS to improve healthcare quality. ORIGINALITY/VALUE: This paper describes and evaluates an intervention that successfully increased guideline adherence, which improved healthcare quality when the intervention CICU was compared to the control group.

Place, publisher, year, edition, pages
Emerald Group Publishing Limited , 2014. Vol. 27, no 8, p. 707-718
Keyword [en]
Kardiologi
National Category
Cardiac and Cardiovascular Systems
Research subject
Integrated Caring Science
Identifiers
URN: urn:nbn:se:hb:diva-2000DOI: 10.1108/IJHCQA-01-2014-0010PubMedID: 25417376Local ID: 2320/14552OAI: oai:DiVA.org:hb-2000DiVA, id: diva2:870081
Available from: 2015-11-13 Created: 2015-11-13 Last updated: 2018-01-18Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
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