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

Br J Cancer. 2006 Dec 4;95(11):1490-6

Authors: Patkar V, Hurt C, Steele R, Love S, Purushotham A, Williams M, Thomson R, Fox J

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

PMID: 17117181 [PubMed - in process]

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