TY - CHAP M1 - Book, Section TI - Clinical Decision Support A1 - Cucina, Russ A2 - Papadakis, Maxine A. A2 - McPhee, Stephen J. A2 - Rabow, Michael W. A2 - McQuaid, Kenneth R. PY - 2022 T2 - Current Medical Diagnosis & Treatment 2022 AB - In contrast to clinical reference material, such as continuously updated online journals and medical texts, computerized clinical decision support directly assists the clinician in making decisions about a specific patient. Decision support does not need to be sophisticated to have significant impact. For example, simple dose-range checking for medications, drug-drug interaction checking, and drug-allergy checking are conceptually straightforward but can catch a critical source of human error that no amount of training or personal vigilance can entirely eliminate. Slightly more advanced are systems that analyze clinical data (such as calculating a creatinine clearance) and present guidance based on those data. More sophisticated systems look for trends in values, such as the rate of fall of the hematocrit or the rising body weight of an intensive care unit (ICU) patient who is accumulating extracellular fluid, where an absolute number may not be notable, but an alert to the trend may be important and prompt action. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - accessmedicine.mhmedical.com/content.aspx?aid=1184154583 ER -