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Decision-Support Systems

Kevin B. Johnson, MD; Mitchell J. Feldman, MD

Arch Pediatr Adolesc Med. 1995;149(12):1371-1380.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Decision support is an important area of medical informatics research. Computer-based decision-support tools facilitate diagnosis and the management of patients after a diagnosis has been established. Diagnostic decision-support tools, such as Meditel, Quick Medical Reference, DXplain, Iliad, and PEM-DXP are potentially useful "expert systems." Other management-support tools, such as systems that use clinical practice guidelines to create reminders and alerts, also have been developed and evaluated. We do the following: (1) provide an overview of diagnostic and management decision-support systems; (2) explore the background of and motivation behind these systems; (3) survey the uses of decision-support technology in office-based and inpatient pediatric practices; and (4) discuss the virtues and problems associated with some of these tools, and current controversies and future goals for computer-based decision support.

Editor's Note: This is another article in our series on medical informatics and computers. We hope you find it and other such articles useful. . . . [Full Text PDF of this Article]

Author Affiliations
From the Department of Pediatrics, The Johns Hopkins Hospital, Baltimore, Md (Dr Johnson); and the Laboratory of Computer Science, Massachusetts General Hospital, Boston (Dr Feldman).

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