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DOI: 10.1055/s-0038-1638530
Decision Support, Knowledge Representation and Management: A Balancing Act between Clinical Use and Implementation of Sophisticated Reasoning Techniques?
Findings from the Section on Decision Support, Knowledge Representation and ManagementCorrespondence to
Publication History
Publication Date:
05 March 2018 (online)
Summary
Objectives
To position the papers selected for the IMIA Yearbook 2007 in the context of current research in decision support, knowledge representation and management.
Method
Synopsis of the articles selected for the IMIA Yearbook 2007.
Results
In the Yearbook 2007 the best paper selection of the section Decision support, Knowledge management in Representation’ shows, that the evaluation of the influence of decision support on medical behavior and outcome is as important as research on new reasoning technologies and methods.
Conclusions
The best paper selection process shows on the one hand that there is still a deep gap between rather small decision support solutions successfully evaluated in clinical environments and more complex decision support systems using sophisticated reasoning techniques, but lack of clinical use. On the other hand the implementation of decision support systems today benefits from research done in the last decades.
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Keywords
Medical informatics - International Medical Informatics Association - yearbook - knowledge management - knowledge representation - decision support - ontologies - temporal data mining - information retrieval
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References
- 1 Rigby M. Evaluation – The Cinderella Science of ICT in Health. In: Haux R, Kulikowski C. editors. IMIAYearbook of Medical Informatics 2006. Methods Inf Med. 2006. 45 Suppl 1: 114-20.
- 2 Coiera E, Westbrook J, Wyatt J. The safety and quality of decision support systems. Methods Inf Med 2006; 45 Suppl 1: 20-5.
- 3 Koppel R, Metlay JP, Cohen A, Abaluck B, Localio AR, Kimmel SE. et al. Role of computerized physician order entry systems in facilitating medication errors. JAMA 2005; Mar 9; 293 (10) 1197-203.
- 4 Han YY, Carcillo JA, Venkataraman ST, Clark RS, Watson RS, Nguyen TC. et al. Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system. Pediatrics 2005; Dec; 116 (06) 1506-12 Erratum in: Pediatrics. 2006 Feb;117(2):594.
- 5 Ammenwerth E, Talmon J, Ash JS, Bates DW, Beuscart-Zephir MC, Duhamel A. et al. Impact of CPOE on mortality rates—contradictory findings, important messages. Methods Inf Med 2006; 45 (06) 586-93.
- 6 Peleg M, Tu S. Decision Support, Knowledge Representation and Management in Medicine. In: Haux R, Kulikowski C. editors. IMIA Yearbook of Medical Informatics 2006. Methods Inf Med. 2006. 45 Suppl 1: 72-80.
- 7 Haux R, Kulikowski C. editors. IMIA Yearbook of Medical Informatics 2006. Methods Inf Med 2006; 45 Suppl 1: 124-35.
- 8 Bott OJ, Ammenwerth E, Brigl B, Knaup P, Lang E, Pilgram R. et al. The challenge of ubiquitous computing in health care: technology, concepts and solutions. Findings from the IMIA Yearbook of Medical Informatics 2005. Methods Inf Med 2005; 44: 473-9.
- 9 McGregor JC, Weekes E, Forrest GN, Standiford HC, Perencevich EN, Furuno JP. et al. Impact of a computerized Clinical Decision Support System on Reducing Inappropriate Antimicrobial Use: A Randomized Controlled Trial. J Am Med Inform Assoc 2006; 13: 378-84.
- 10 Maviglia SM, Yoon CS, Bates DW, Kuperman G. KnowledgeLink: impact of context-sensitive information retrieval on clinicians’ information needs. J Am Med Inform Assoc 2006; 13: 67-73.
- 11 Rubin DL, Dameron O, Bashir Y. et al. Using ontologies linked with geometric models to reason about penetrating injuries. Artif Intell Med 2006; 37: 167-76.
- 12 Bellazzi R, Larizza C, Magni P, Bellazzi R. Temporal data mining for the quality assessment of hemodialysis services. Artif Intell Med 2005; 34: 25-39.
- 13 Brigl B. Decision Support, Knowledge Representation and Management: A broad methodological spectrum. In: Haux R, Kulikowski C. editors. IMIA Yearbook of Medical Informatics 2006. Methods Inf Med 2006; 45 Suppl 1: 81-3.
- 14 Cimino JJ, Zhu X. The Practical Impact of Ontologies on Biomedical Informatics. In: Haux R, Kulikowski C. (eds). IMIA Yearbook of Medical Informatics 2006. Methods Inf Med 2006; 45 Suppl 1: 124-35.
- 15 Peleg M, Tu S, Bury J, Ciccarese P, Fox J, Greenes RA, Hall R, Johnson PD, Jones N, Kumar A, Miksch S, Quaglini S, Seyfang A, Shortliffe EH, Stefanelli M. Comparing computer-interpretable guideline models: a case-study approach. J Am Med Inform Assoc 2003; 10 (01) 52-68.
Correspondence to
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References
- 1 Rigby M. Evaluation – The Cinderella Science of ICT in Health. In: Haux R, Kulikowski C. editors. IMIAYearbook of Medical Informatics 2006. Methods Inf Med. 2006. 45 Suppl 1: 114-20.
- 2 Coiera E, Westbrook J, Wyatt J. The safety and quality of decision support systems. Methods Inf Med 2006; 45 Suppl 1: 20-5.
- 3 Koppel R, Metlay JP, Cohen A, Abaluck B, Localio AR, Kimmel SE. et al. Role of computerized physician order entry systems in facilitating medication errors. JAMA 2005; Mar 9; 293 (10) 1197-203.
- 4 Han YY, Carcillo JA, Venkataraman ST, Clark RS, Watson RS, Nguyen TC. et al. Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system. Pediatrics 2005; Dec; 116 (06) 1506-12 Erratum in: Pediatrics. 2006 Feb;117(2):594.
- 5 Ammenwerth E, Talmon J, Ash JS, Bates DW, Beuscart-Zephir MC, Duhamel A. et al. Impact of CPOE on mortality rates—contradictory findings, important messages. Methods Inf Med 2006; 45 (06) 586-93.
- 6 Peleg M, Tu S. Decision Support, Knowledge Representation and Management in Medicine. In: Haux R, Kulikowski C. editors. IMIA Yearbook of Medical Informatics 2006. Methods Inf Med. 2006. 45 Suppl 1: 72-80.
- 7 Haux R, Kulikowski C. editors. IMIA Yearbook of Medical Informatics 2006. Methods Inf Med 2006; 45 Suppl 1: 124-35.
- 8 Bott OJ, Ammenwerth E, Brigl B, Knaup P, Lang E, Pilgram R. et al. The challenge of ubiquitous computing in health care: technology, concepts and solutions. Findings from the IMIA Yearbook of Medical Informatics 2005. Methods Inf Med 2005; 44: 473-9.
- 9 McGregor JC, Weekes E, Forrest GN, Standiford HC, Perencevich EN, Furuno JP. et al. Impact of a computerized Clinical Decision Support System on Reducing Inappropriate Antimicrobial Use: A Randomized Controlled Trial. J Am Med Inform Assoc 2006; 13: 378-84.
- 10 Maviglia SM, Yoon CS, Bates DW, Kuperman G. KnowledgeLink: impact of context-sensitive information retrieval on clinicians’ information needs. J Am Med Inform Assoc 2006; 13: 67-73.
- 11 Rubin DL, Dameron O, Bashir Y. et al. Using ontologies linked with geometric models to reason about penetrating injuries. Artif Intell Med 2006; 37: 167-76.
- 12 Bellazzi R, Larizza C, Magni P, Bellazzi R. Temporal data mining for the quality assessment of hemodialysis services. Artif Intell Med 2005; 34: 25-39.
- 13 Brigl B. Decision Support, Knowledge Representation and Management: A broad methodological spectrum. In: Haux R, Kulikowski C. editors. IMIA Yearbook of Medical Informatics 2006. Methods Inf Med 2006; 45 Suppl 1: 81-3.
- 14 Cimino JJ, Zhu X. The Practical Impact of Ontologies on Biomedical Informatics. In: Haux R, Kulikowski C. (eds). IMIA Yearbook of Medical Informatics 2006. Methods Inf Med 2006; 45 Suppl 1: 124-35.
- 15 Peleg M, Tu S, Bury J, Ciccarese P, Fox J, Greenes RA, Hall R, Johnson PD, Jones N, Kumar A, Miksch S, Quaglini S, Seyfang A, Shortliffe EH, Stefanelli M. Comparing computer-interpretable guideline models: a case-study approach. J Am Med Inform Assoc 2003; 10 (01) 52-68.