Chapter 8
Clinical Decision Support
We made too many wrong mistakes.
Yogi Berra
In this chapter, we define Clinical Decision Support (CDS), explain why it is needed, and examine best practices to develop and implement CDS. General CDS characteristics are discussed, and then we focus on the medications domain.
The issues of false positive versus false negative, “alert fatigue,” and the high percentage of alert override by clinicians are presented, followed by several tentative solutions to these problems, such as tiering the alerts by severity, ...
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