Clinical decision intelligence

The primary IT that the physician will interface with is clinical decision intelligence (introduced particularly in Chapter 8). The powers of definitions are in the eye of the beholder, and in the new emerging medicine, it is particularly problematic that no one has quite the same definition. But all are agreed that there is no point in having clinical data, in any form, if intelligent decisions in the patient s interest (or collective pubic interest) cannot be made from that data. Information-based medicine can only ever be as powerful as the tools to convert that information into knowledge, insight, decision, and action. To put it succinctly, information-based medicine must, by definition, include the capability to convert the information base to medicine, and this already hints that... 

So here is an attempt at a definition. Clinical decision intelligence is the application of IT to help gather, understand, and act on all available data in clinical practice, healthcare management and administration, and medical research, and where appropriate the automatic utilization of data to control certain clinical and research processes. Its aims are to encourage best practices to improve the quality of patient care by enhancing speed and efficiency to reduce safety risks and needless costs in clinical treatment, diagnosis, management, and administration to monitor and log interactions for accountability, culpability, liability and repudiation and to facilitate biomedical research and pharmaceutical development where based on inclusion of clinical and related data. 

To really understand a definition, the extent of what it applies to is important. The scope of clinical decision intelligence comprises the following ... 

Bearing in mind that there are the difficulties to overcome, will computer-based clinical decision intelligence be accepted soon by physicians and hospitals It turns out that difficulties in acceptance are not due to the issues discussed above, of which there is relatively little awareness. Nor should there be consternation where there is awareness, since anything that can be done to make decisions on the basis of all information that can be tapped is a lot better than what was previously been done in the heads of physicians and medical practitioners, as the rising doctrine of evidence-based medicine points out (see Chapter 10). Rather the difficulty is cultural, in lack of trust, and in the pain of transition. 

N. Pombo, P. Araujo, and J. Viana, "Knowledge discovery in clinical decision support systems for pain management A systematic review," Artificid Intelligence in Medicine, vol. 60, no. 1, pp. 1-11,2014. 

Shazia K. and Imran S. B., "Clinical decision support system based virtual telemedicine," Third International Conference on Intelligent Human-Machine Systems and Cybernetics,... 

Computer analysis of patient-related data and clinical decision making (i.e., medical informatics and artificial intelligence)... 

Clinical diagnosis is the high-level activity conducted by clinicians that results in decisions being made that affect the lives of crews and the missions of warfighters. This activity is heavily dependent on training, on the level of awareness of the threat (field intelligence, situation awareness), and on the skills of the clinician. 

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