Explore the latest in clinical decision support, including recent advances in EHR, mobile, and patient-oriented point-of-care decision tools.
This Viewpoint discusses the potential capabilities and challenges of decision support systems that are designed to be used interactively by clinicians.
This Special Communication explores potential biases in machine learning–based clinical decision support tools that use electronic health record (EHR) data and possible solutions to those biases.
This cluster randomized clinical trial compares clinical decision support with vs without practice facilitation to improve treatment of chronic kidney disease in primary care as measured by annualized loss of estimated glomerular filtration rate.
This quality improvement study compares opioid prescribing rates in a single health system before and after a multipart intervention intended to decrease overprescribing.
This Viewpoint describes decision-support tools for surgeons and patients and recommends a strategy for shared decision making between surgeons and patients.
This diagnostic study of hospitalized veterans uses the UK National Institute for Health and Clinical Excellence (NICE) framework and delirium clinical practice guidelines to compare the performance of prediction rules for prevalent delirium among older adults at hospital admission.
This Viewpoint describes 4 major barriers to useful risk prediction that may not be easily overcome by new methods in machine learning and, in some instances, may be more difficult to overcome in the era of big data.
This Viewpoint discusses management reasoning, ways in which it differs from diagnostic reasoning, and areas that require further research.
This Viewpoint discusses how newer technologies such as machine learning and the compilation of “big data” can be used for research and clinical applications.
This phase 3 randomized clinical trial compares neurocognitive and endocrine functional outcomes and survival at 5 years in young patients with residual and/or progressive benign or low-grade brain tumors treated with stereotactic conformal radiotherapy or conventional radiotherapy techniques.
This Viewpoint discusses physician and patient factors that affect clinical decision making and may lead to diagnostic errors during the treatment of patients.
This Clinical Evidence Synopsis summarizes a Cochrane review of clinical trials evaluating patient decision aids designed to help patients understand their treatment options.
This Viewpoint discusses the potential ramifications from using machine learning–based decision support systems when making diagnosis and treatment decisions in clinical practice.
This randomized clinical trial assesses the feasibility and effectiveness of a computerized clinical decision support system to identify pediatric patients at high risk for type 2 diabetes for screening for and diagnosis of prediabetes and type 2 diabetes.
This study examines postoperative mortality and complications by comparing the surgical outcomes of a cohort of surgical patients treated before and after implementation of the Frailty Screening Initiative.
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