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October 21, 1998

Clinical Decision Support Systems to Improve Clinical Practice and Quality of Care

Author Affiliations

From the Department of Clinical Epidemiology, LDS Hospital and Intermountain Health Care, Salt Lake City, Utah.

JAMA. 1998;280(15):1360-1361. doi:10.1001/jama.280.15.1360

Glowing predictions about the all-encompassing and beneficial role of computers in medicine have appeared with increasing frequency in the scientific literature since the 1970s. However, this optimistic vision has not yet been realized almost 25 years later. A prescient commentary 15 years ago predicted the numerous obstacles that have prevented these rosy scenarios from coming true in clinical practice.1 Several factors continue to echo the challenges faced in this area, including lack of investment; lack of leadership from practicing physicians, medical schools, and professional societies; and continuing control of information services in most health care organizations by chief information officers and other administrators.

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