RONINA CAOILI-TAYUAN edited subsubsection_textbf_Clinical_Decision_Support__1.tex  almost 8 years ago

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Clinical Decision-Support Systems can be categorized by type (simple rule-based alerts versus more complex methods like neural networking and Bayesian statistics), domain (problem-focused versus general diagnostic support), or access (handled computer versus Web-based versus integrated within an electronic medical record) (Longhurst and Hahn, 2004).  Support systems may be helpful for managing illness and the survival of newborns in the first 28 days of life. They may also influence the performance of doctors treating these newborn infants. The review authors searched the medical literature and contacted experts to find studies on CDSS used with newborns. They identified three randomized controlled studies that met the criteria for the review. Two of these three studies were on computer-aided drug prescribing and the other one was on computerized physiological monitoring of newborns. One of the studies on computer-aided prescribing showed that the CDSS used resulted in fewer drug dosage errors. The studies found no other benefits. The studies did not consider long-term outcomes in the newborns, just short-term effects. Also, with rapid changes in computer technology, current CDSS are more advanced than those used in the three studies. The Cochrane review authors conclude that there is not enough data to determine whether or not CDSS are beneficial for newborn care. care (Longhurst, 2003).