Development of a clinical decision support system for diabetes care: A pilot study
Publication Date
February 24, 2017
Authors
Livvi Li Wei Sim, Kenneth Hon Kim Ban, Tin Wee Tan, Sunil Kumar Sethi, et al
Volume
12
Issue
2
Pages
e0173021
DOI
https://dx.plos.org/10.1371/journal.pone.0173021
Publisher URL
http://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0173021
Scopus
85013945893
Mendeley
http://www.mendeley.com/research/development-clinical-decision-support-system-diabetes-care-pilot-study
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Mendeley | Further Information

{"title"=>"Development of a clinical decision support system for diabetes care: A pilot study", "type"=>"journal", "authors"=>[{"first_name"=>"Livvi Li Wei", "last_name"=>"Sim", "scopus_author_id"=>"57193429969"}, {"first_name"=>"Kenneth Hon Kim", "last_name"=>"Ban", "scopus_author_id"=>"7005364402"}, {"first_name"=>"Tin Wee", "last_name"=>"Tan", "scopus_author_id"=>"7402022211"}, {"first_name"=>"Sunil Kumar", "last_name"=>"Sethi", "scopus_author_id"=>"23478742800"}, {"first_name"=>"Tze Ping", "last_name"=>"Loh", "scopus_author_id"=>"36053032100"}], "year"=>2017, "source"=>"PLoS ONE", "identifiers"=>{"scopus"=>"2-s2.0-85013945893", "pui"=>"614547778", "sgr"=>"85013945893", "isbn"=>"1111111111", "issn"=>"19326203", "pmid"=>"28235017", "doi"=>"10.1371/journal.pone.0173021"}, "id"=>"9c728b98-8efd-3a49-ac1f-46301c324396", "abstract"=>"Management of complex chronic diseases such as diabetes requires the assimilation and interpretation of multiple laboratory test results. Traditional electronic health records tend to display laboratory results in a piecemeal and segregated fashion. This makes the assembly and interpretation of results related to diabetes care challenging. We developed a diabetes-specific clinical decision support system (Diabetes Dashboard) interface for displaying glycemic, lipid and renal function results, in an integrated form with decision support capabilities, based on local clinical practice guidelines. The clinical decision support system included a dashboard feature that graphically summarized all relevant laboratory results and displayed them in a color-coded system that allowed quick interpretation of the metabolic control of the patients. An alert module informs the user of tests that are due for repeat testing. An interactive graph module was also developed for better visual appreciation of the trends of the laboratory results of the patient. In a pilot study involving case scenarios administered via an electronic questionnaire, the Diabetes Dashboard, compared to the existing laboratory reporting interface, significantly improved the identification of abnormal laboratory results, of the long-term trend of the laboratory tests and of tests due for repeat testing. However, the Diabetes Dashboard did not significantly improve the identification of patients requiring treatment adjustment or the amount of time spent on each case scenario. In conclusion, we have developed and shown that the use of the Diabetes Dashboard, which incorporates several decision support features, can improve the management of diabetes. It is anticipated that this dashboard will be most helpful when deployed in an outpatient setting, where physicians can quickly make clinical decisions based on summarized information and be alerted to pertinent areas of care that require additional attention.", "link"=>"http://www.mendeley.com/research/development-clinical-decision-support-system-diabetes-care-pilot-study", "reader_count"=>27, "reader_count_by_academic_status"=>{"Unspecified"=>4, "Student > Doctoral Student"=>3, "Researcher"=>1, "Student > Ph. D. Student"=>4, "Student > Master"=>12, "Student > Bachelor"=>1, "Lecturer"=>1, "Professor"=>1}, "reader_count_by_user_role"=>{"Unspecified"=>4, "Student > Doctoral Student"=>3, "Researcher"=>1, "Student > Ph. D. Student"=>4, "Student > Master"=>12, "Student > Bachelor"=>1, "Lecturer"=>1, "Professor"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>4, "Engineering"=>1, "Nursing and Health Professions"=>1, "Medicine and Dentistry"=>1, "Agricultural and Biological Sciences"=>1, "Business, Management and Accounting"=>5, "Physics and Astronomy"=>1, "Computer Science"=>11, "Social Sciences"=>2}, "reader_count_by_subdiscipline"=>{"Engineering"=>{"Engineering"=>1}, "Medicine and Dentistry"=>{"Medicine and Dentistry"=>1}, "Social Sciences"=>{"Social Sciences"=>2}, "Physics and Astronomy"=>{"Physics and Astronomy"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>1}, "Computer Science"=>{"Computer Science"=>11}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>1}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>5}, "Unspecified"=>{"Unspecified"=>4}}, "group_count"=>2}

Scopus | Further Information

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