Advances in Clinical Decision Support Systems: Contributions from the 2022 Literature.

Yearbook of medical informatics Pub Date : 2023-08-01 Epub Date: 2023-12-26 DOI:10.1055/s-0043-1768751

Christoph U Lehmann, Vignesh Subbian

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Abstract

Objective: To summarize significant research contributions published in 2022 in the field of clinical decision support (CDS) systems and select the best papers for the Decision Support section of the International Medical Informatics Association (IMIA) Yearbook 2023.

Methods: A renewed search query for identifying CDS scholarship was developed using Medical Subject Headings (MeSH) terms and related keywords. The query was executed in PubMed in January 2023. The search results were reviewed in three stages by two reviewers: title-based triaging, followed by abstract screening, and then full text review. The resulting articles were sent for external review to identity best paper candidates.

Results: A total of 1,939 articles related to CDS were retrieved. Of these, 11 articles were selected as candidates for best papers. The general themes of the final three best papers are (1) reducing documentation burden through in-line guidance for clinical notes, (2) clinician engagement for continuous improvement of CDS, and (3) mitigating healthcare-related carbon emissions using scalable and accessible CDS, respectively.

Conclusion: The field of clinical decision support remains highly active and dynamic, with innovative contributions to a range of clinical domains from primary to acute care. Interoperability issues, documentation burden, clinician acceptance, and the need for effective integration into existing healthcare workflows are among the prominent challenges and areas of interest faced by CDS implementation efforts.

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临床决策支持系统的进展：来自 2022 年文献的贡献。

目的：总结2022年发表的临床决策支持（CDS）系统领域的重要研究成果，并为国际医学信息学协会（IMIA）《2023年年鉴》的决策支持部分挑选最佳论文：方法：使用医学主题词表（MeSH）术语和相关关键词，开发了一个新的搜索查询，以确定 CDS 学术成果。该查询于 2023 年 1 月在 PubMed 上执行。搜索结果由两名审稿人分三个阶段进行审阅：标题分流、摘要筛选和全文审阅。由此产生的文章将送交外部评审，以确定最佳论文候选者：结果：共检索到 1,939 篇与 CDS 相关的文章。结果：共检索到 1,939 篇与 CDS 相关的文章，其中 11 篇被选为最佳论文候选文章。最后三篇最佳论文的主题分别是：（1）通过对临床笔记的在线指导减轻记录负担；（2）临床医生参与持续改进 CDS；（3）利用可扩展和可访问的 CDS 减少医疗保健相关的碳排放：结论：临床决策支持领域仍然非常活跃和充满活力，在从初级保健到急症护理的一系列临床领域都做出了创新性贡献。互操作性问题、文档负担、临床医生的接受程度以及有效整合到现有医疗保健工作流程中的需求，都是临床决策支持实施工作面临的突出挑战和关注领域。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Yearbook of medical informatics Medicine-Medicine (all)

CiteScore

4.10

自引率

0.00%

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期刊介绍： Published by the International Medical Informatics Association, this annual publication includes the best papers in medical informatics from around the world.