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What Should Oversight of Clinical Decision Support Systems Look Like?

Overview of attention for article published in The AMA Journal of Ethic, September 2018
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Title
What Should Oversight of Clinical Decision Support Systems Look Like?
Published in
The AMA Journal of Ethic, September 2018
DOI 10.1001/amajethics.2018.857
Pubmed ID
Authors

Emily L Evans, Danielle Whicher

Abstract

A learning health system provides opportunities to leverage data generated in the course of standard clinical care to improve clinical practice. One such opportunity includes a clinical decision support structure that would allow clinicians to query electronic health records (EHRs) such that responses from the EHRs could inform treatment recommendations. We argue that though using a clinical decision support system does not necessarily constitute a research activity subject to the Common Rule, it requires more ethical and regulatory oversight than activities of clinical practice are generally subjected to. In particular, we argue that the development and use of clinical decision support systems should be governed by a framework that (1) articulates appropriate conditions for their use, (2) includes processes for monitoring data quality and developing and validating algorithms, and (3) sufficiently protects patients' data.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 37 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 37 100%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 6 16%
Student > Master 4 11%
Student > Doctoral Student 3 8%
Other 3 8%
Student > Bachelor 3 8%
Other 4 11%
Unknown 14 38%
Readers by discipline Count As %
Medicine and Dentistry 7 19%
Social Sciences 3 8%
Computer Science 3 8%
Nursing and Health Professions 2 5%
Pharmacology, Toxicology and Pharmaceutical Science 2 5%
Other 5 14%
Unknown 15 41%