9. Decision support systems

Wyatt J , Spiegelhalter D. Field trials of medical decision-aids: potential problems and solutions. In: Clayton P , ed. Proceedings of 15th Symposium on Computer Applications in Medical Care, Washington DC, 1991. New York: McGraw Hill, 1991: 3–7.

Poller L , Shiach CR , MacCullum PK. Multicentre randomised study of computerised anticoagulant dosage. European Concerted Action on Anticoagulation. Lancet 1998; 352: 1505–9.

Safran C , Rind DM , Davis RB. Guidelines for management of HIV infection with computer-based patient's record. Lancet 1995; 346: 341–6.

Munro J , Nicholl J , O'Cathain A , Knowles E. Impact of NHS Direct on demand for immediate care: observational study. BMJ 2000; 321: 150–3.

Willems JL , Abreu-Lima C , Arnaud P. The diagnostic performance of computer programs for the interpretation of electrocardiograms. N Engl J Med 1991; 325: 1767–73.

Wyatt J , Denison D. ILTARS: an expert system to interpret the results of pulmonary function tests [Abstract]. Thorax 1989; 44: 327.

Tierney WM , Miller ME , Overhage JM , McDonald CJ. Physician order writing on microcomputer workstations. JAMA 1993; 269: 379–83.

Hibble A , Kanka D , Pencheon D , Pooles F. Guidelines in general practice: the new tower of Babel? BMJ 1998; 317: 862–3.

Van Wijk MAM. BloodLink: computer based decision support for blood test ordering. Assessment of the effect on physicians’ test ordering behaviour. PhD thesis. Rotterdam: Erasmus University, 2000.

Green LW , Eriksen MP , Schor EL. Preventive practices by physicians: behavioural determinants and potential interventions. Am J Prev Med 1988; 4(suppl 4): 101–7.

Friedman CP , Elstein AS , Wolf FM. Enhancements of clinicians’ diagnostic reasoning by computer based consultation. JAMA 1999; 282: 1851–6.

Miller R , Pople H , Myers J. INTERNIST-1: an experimental computer-based diagnostic consultant for general internal medicine. N Engl J Med 1982; 307: 468–76.

Heathfield HA , Wyatt J. Philosophies for the design and development of clinical decision-support systems. Meth Inform Med 1993; 32: 1–8.

Hunt DL , Haynes RB , Hanna SE , Smith K. Effects of computer-based clinical decision support systems on physician performance and patient outcomes: a systematic review. JAMA 1998; 280: 1339–46.

Davis DA , Thomson MA , Oxman AD , Haynes RB. A systematic review of the effect of continuing medical education strategies. JAMA 1995; 274: 700–5.

Bates DW , Leape LL , Cullen DJ. Effect of computerised physician order entry and a team intervention on prevention of serious medication errors. JAMA 1998; 280: 1311–16.

Wyatt JC. Use of medical knowledge systems: lessons from computerised ECG interpreters. In: Barahona P , Christensen J , eds. Knowledge & Decisions in Health Telematics. Amsterdam: IOS Press, 1994: 73–80.

Antman EM , Lau J , Kupelnick B , Mosteller F , Chalmers TC. A comparison of results of meta-analyses of randomized control trials and recommendations of clinical experts. JAMA 1992; 268: 240–8.

Holbrooke A , Langton K , Haynes RB , Mathieu A , Cowan S. PREOP: development of an evidence-based expert system to assist with preoperative assessments. In: Clayton P , ed. Proceedings of 15th Symposium on Computer Applications in Medical Care, Washington DC, 1991. New York: McGraw Hill, 1991: 669–73.

Hingorani AD , Vallance P. A simple computer program for guiding management of cardiovascular risk factors and prescribing. BMJ 1999; 318: 101–5.

Bates DW. Using information technology to reduce rates of medication errors in hospitals. BMJ 2000; 32: 788–91.

Delaney BC , Fitzmaurice DA , Riaz A , Hobbs FDR. Can computerised decision support systems deliver improved quality in primary care? BMJ 1999; 319: 1281–3.

Keen J , Wyatt J. Back to basics on NHS networking. BMJ 2000; 321: 875–8.

Fox J , Das S. Safe and Sound: Artificial Intelligence in Hazardous Applications. London: AAAI/MIT Press, 2000.

Randolph AD , Haynes RB , Wyatt JC , Cook DJ , Guyatt GH. Users’ guides to the medical literature: XVIII. How to use an article evaluating the clinical impact of a computer-based clinical decision support system. JAMA 1999; 282: 67–74.

Wyatt J. Computer-based knowledge systems. Lancet 1991; 338: 1431–6.

Wyatt JC , Altman DG. Prognostic models: clinically useful, or quickly forgotten? BMJ 1995; 311: 1539–41.

Fraser HSF , Kohane IS , Long WJ. Using the technology of the world wide web to manage clinical information. BMJ 1997; 314: 1600–3.

Karlsson D , Ekdahl C , Wigertz O , Shahsavar N , Gill H , Forsum U. Extended telemedical consultation using Arden syntax based decision support, hypertext and WWW technique. Methods Information Med 1997; 36: 108–14.

Brahams D , Wyatt J. Decision-aids and the law. Lancet 1989; ii; 632–4.

Wyatt J. Nervous about artificial neural networks? Lancet 1995; 346: 1175–7.