A web-based intensive care clinical decision support system: From design to evaluation. (March 2013)

• Record Type: Journal Article
• Authors: Ozel, Deniz; Bilge, Ugur; Zayim, Nese; Cengiz, Melike
• Is Part Of: Informatics for health & social care. Volume 38:Number 2(2013)
• Page Start: 79
• Page End: 92
• Publication Date: 2013-03
• Subjects: Medicine -- Information services -- Periodicals; Medical informatics -- Periodicals; Medicine -- Data processing -- Periodicals; 025.0661
• DOI: 10.3109/17538157.2012.710687
• Languages: English
• ISSNs: 1753-8157

Abstract

<abstract> <title> <x xml:space="preserve">Abstract</x> </title> <p>The aim of this study is to develop and evaluate a web-based clinical decision support system (CDSS) containing clinical guidelines and protocols that will support intensive care unit (ICU) providers in making decisions more effectively and quickly. First, a survey was carried out with 38 physicians in order to determine their preferences, needs and concerns regarding decision support tools. After the survey, guidelines were prepared by a group of specialists in ICU, and a medical informatician converted the guidelines into algorithm forms. Ten CDSS were developed using the algorithms, and placed onto the <italic>Intensive Care Decision Support Website</italic> (<italic>ICDSW</italic>). In order to evaluation of the website, 15 physicians were asked to answer 10 questions in 10 different scenarios first using a paper-based approach, then with ICDSW. When the answers were analyzed, it was found that the answers given by using ICDSW were significantly better than the paper-based approach (<italic>p</italic> &lt; 0.001). However, there was no significant difference in terms of the time needed to answer the questions (<italic>p</italic> = 0.138). The usability score of the website was 85.6 ± 8.89. The study demonstrated the successful implementation of an <italic>ICDSW</italic> within intensive care units.</p> </abstract>