AHRQ study shows clinical decision support systems are effective but research is needed to promote widespread use

An AHRQ-funded article found that clinical decision support systems (CDSSs) are effective in improving health care process measures across diverse settings, and that limited evidence is available about the impact on clinical and economic outcome measures.

This article expands on an evidence report from AHRQ, titled Enabling Health Care Decisionmaking through Health Information Technology (Health IT), which discusses features key to successful implementation of CDSSs.

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Ethics and HIT

Challenges...
http://jamia.bmj.com/site/icons/amiajnl8946.pdf
  • patient safety should trump all other values; corporate concerns about liability and intellectual property ownership may be valid but should not over-ride all other considerations;
  • transparency and a commitment to patient safety should govern vendor contracts;
  • institutions are duty-bound to provide ethics education to purchasers and users, and should commit publicly to standards of corporate conduct; and
  • vendors, system purchasers, and users should encourage and assist in each others’ efforts to adopt best practices.

e-Behaviorial Health


Benefit from new technologies... enable people to have remote access to CBT

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