Evidence-based guidelines and decision support services: a discussion and evaluation in triple assessment of suspected breast cancer

Widespread health service goals to improve consistency and safety in patient care have prompted considerable investment in the development of evidence-based clinical guidelines. Computerised decision support (CDS) systems have been proposed as a means to implement guidelines in practice. This paper...

Full description

Saved in:
Bibliographic Details
Published in:British journal of cancer 2006-12, Vol.95 (11), p.1490-1496
Main Authors: Patkar, V, Hurt, C, Steele, R, Love, S, Purushotham, A, Williams, M, Thomson, R, Fox, J
Format: Article
Language:English
Subjects:
Algorithms
Biological and medical sciences
Biomedical and Life Sciences
Biomedicine
Breast cancer
Breast Neoplasms - diagnosis
Cancer Research
Chemotherapy
Clinical medicine
Clinical practice guidelines
Clinical Study
Compliance
Cross-Over Studies
Decision Making, Computer-Assisted
Drug Resistance
Epidemiology
Evidence-Based Medicine - methods
Evidence-based practice
Female
Gynecology. Andrology. Obstetrics
Health care
Health services
Humans
Mammary gland diseases
Mammography
Medical errors
Medical research
Medical sciences
Molecular Medicine
Oncology
Patients
Practice Guidelines as Topic
Systematic review
Tumors
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Widespread health service goals to improve consistency and safety in patient care have prompted considerable investment in the development of evidence-based clinical guidelines. Computerised decision support (CDS) systems have been proposed as a means to implement guidelines in practice. This paper discusses the general concept in oncology and presents an evaluation of a CDS system to support triple assessment (TA) in breast cancer care. Balanced-block crossover experiment and questionnaire study. One stop clinic for symptomatic breast patients. Twenty-four practising breast clinicians from United Kingdom National Health Service hospitals. A web-based CDS system. Clinicians made significantly more deviations from guideline recommendations without decision support (60 out of 120 errors without CDS; 16 out of 120 errors with CDS, P
ISSN:0007-0920
1532-1827
DOI:10.1038/sj.bjc.6603470