Pediatrics and Medical Informatics Publications

Computer-based decision-support joyrides facilitate diagnosis and the circumspection of patient roles after a diagnosis has been established. Diagnostic decision-support tools, such as Meditel, Quick medical examination Reference, DXplain, Iliad, and PEM-DXP are potentially useful " adept strategys." Other forethought-support tools, such as systems that use clinical praxis guidelines to create reminders and alerts, also have been developed and evaluated. We do the chase: 1) provide an overview of diagnostic and management decision-support systems; (2) explore the background of and motive behind these systems; (3) survey the uses of decision-support engine room in office-based and inpatient paediatric expends; and (4) discuss the virtues and problems associated with some of these tools, and current controversies and future goals for computer-based decision support.

upright Text COPYRIGHT American Medical Association 1995

Editor's abide by: This is another article in our series on health check informatics and computers. We hope you find it and other such articles useful.

Medical informatics is best defined as "a field of honor of study concerned with the broad range of issues in the management and use of biomedical information, including medical computing and the study of the record of medical information itself."[1] Decision support encompasses various projects and research. Most, only if not

hours after entree (10 patients), the MEDITEL-PED printout included

with this field over the ensuing decades. For example, in 1961, Warner

congenital bosom diseases. The data in the matrix were derived from 1035

Many examples exist of technology that, if not used when appropriate, may put the physician at risk. For software that generates alerts when drug interactions might exist, two attorneys[73] have compose that "the technology is available, accurate, and relatively inexpensive; its use is noninvasive and then harmless to the patient; while the potential harm to the patient if such computerized checks and balances are not performed can be ` heavy(p) and devastating.

"' Fear of legal liability therefore seems inappropriate; liability could be associated with not using a computer-based decision-support tool if that tool is the most appropriate resource to benefit the patient.

IEEE Computer baseball club Press; 1988:126-130. [28.] Simon JE. Computerized diagnostic referencing in pediatric emergency medicine. Pediatr Clin northwest Am. 1992;39:1165-1174. [29.] Institute of Medicine. Guidelines for clinical Practice. From Development to Use. Washington, DC: guinea pig Academy Press; 1992. [30.] Eddy DM. Clinical decision do: from theory th practice. Practice policies: what are they? JAMA. 1990;263:877-878, 880. [31.] Zander K. Nursing eccentric person management: resolving the DRG paradox. Nurs Clin North Am. 1988; 23:503-519. [32.] Eddy DM. Clinical decision making: from theory to practice. Resolving conflicts in practice policies. JAMA. 1990;264:389-391. [33.] Eddy DM. Clinical decision making: from theory to practice. calculating a practice policy. Standards, guidelines, and options. JAMA. 1990;263:

Table 2. Examples of Computer-Based Resources

The term reminder system is used to describe systems with varied designs and objectives.[58] Reminder systems provide feedback via garner and telephone calls and generate concurrent reports and educational material for p
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