Clinical Decision Support Systems: Contributions from 2021

Abstract

Objectives: To summarize significant research contributions published in 2021 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. Methods: The authors searched the MEDLINE® database for papers focused on clinical decision support (CDS) systems. From search results, section editors established a list of candidate best papers, which were then peer-reviewed by at least three external reviewers. The IMIA Yearbook editorial committee selected the best papers on the basis of all reviews including the section editors’ evaluation. Results: A total of 337 articles were retrieved from which 13 candidate papers were identified. Finally, from the candidate papers, the top three papers were selected. The first paper introduces an innovative evaluation approach to CDS systems, the second compares six health institutions on how they are measuring CDS alert fatigue and the last one adds new evidence on how CDS can help to reduce unnecessary interventions.

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

“…Following the principles outlined in the paper by Lamy et al [2], the literature review process for the Yearbook's CDS synopsis is expected to be systematic and standardized including specific data sources, search strategies, and selection criteria. First, we reached out to Borbolla and Colicchio (the authors of the CDS synopsis for the 2022 IMIA Yearbook [3]) and discovered that the actual query used for the prior synopsis had been lost. However, salient terms were described in the 2022 CDS synopsis [3].…”

“…First, we reached out to Borbolla and Colicchio (the authors of the CDS synopsis for the 2022 IMIA Yearbook [3]) and discovered that the actual query used for the prior synopsis had been lost. However, salient terms were described in the 2022 CDS synopsis [3]. For Medical Subject Headings (MeSH), the terms "Decision Support Systems, Clinical", "Expert systems" AND "Medical Order Entry Systems" were used.…”

Inclusive Digital Health

“…The authors underscored the need for high-quality analyses of CDS-associated health outcomes, reporting of user-centered design and implementation strategies used in low-resource settings, and methods to disseminate CDSs created to improve health equity. DS co-editors Damian Borbolla and Tiago Colicchio also found a wide variety of research in the field this year as well as continued interest in CDS to help in cases of COVID-19 in the pandemic [17]. This year's best paper selection highlighted innovation in the CDS evaluation process, alert fatigue, and a more traditional approach to measuring the efficacy and efficiency of CDS alerts.…”