Data-Driven Clinical Decision Support Systems Theory and Research

Data-Driven Clinical Decision Support Systems Theory and Research

Cherie Noteboom, David Zeng, Kruttika Sutrave, Andrew Behrens, Rajesh Godasu, Akhilesh Chauhan
Copyright: © 2023 |Pages: 18
DOI: 10.4018/978-1-7998-9220-5.ch081
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Abstract

Computerized clinical decision support systems (CDSS) have evolved rapidly and are causing a radical transformation in healthcare. These systems are integrating artificial intelligence-enabled mechanisms to improve the quality of care, health of populations, and reduce the costs of healthcare. Some of these mechanisms include descriptive, predictive, and prescriptive analytics to assist with clinical decision making. However, there are significant barriers to CDSS adoption, implementation, and acceptance among physicians and clinicians who utilize the systems to provide high-quality patient care. The authors used systematic literature review guidelines to the research questions: “To what extent is data-driven decision making applied in CDSS?” “What prevalent theories are used in data-driven CDSS research?” and “What major system attributes contribute to the theoretical frameworks?”
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Introduction

Digitization, which has had a significant influence on the healthcare industry, is motivated by the prospect of optimizing performance, reducing costs, and improving the quality of patient care and healthcare (Lee et al., 2017). This digital process has transformed how patients and physicians engage with medical services. Although healthcare has been slow to accept technology, it is now embracing digital transformation. The use of information technology (IT) in the healthcare industry has transformed interactions between physicians and patients, giving way to the implementation and usage of clinical decision support systems (CDSS).

CDSS are examples of the transformative healthcare evolution because they analyze data and assist physicians in making timely patient-related decisions (Agency for Healthcare Research and Quality, 2013)1. Healthcare professionals also utilize these systems to enhance treatment by increasing patient safety, eliminating needless testing, and reducing costs. For example, medical errors can decrease through enhanced healthcare, safety, and efficiency. Clinicians use these systems in the preparation of diagnoses and subsequent evaluations and outcomes (Osheroff et al., 2012). Although CDSS have the potential to improve healthcare delivery, it has been a challenge to fully realize their potential (Linder et al., 2006).

Clinical decision making uses descriptive, predictive, and prescriptive analytics. Descriptive analytics analyzes and presents past data regarding patients and treatment (Gensinger, Jr., 2014). This type of analytic utilizes visualization, alerts, and reports to describe patient activities (Gensinger, Jr., 2014). Predictive analytics uses historical data to make predictions by performing an analysis with rule-based or artificial intelligence (AI) techniques like machine learning and deep learning (Bartley, 2017; Gensinger, Jr., 2014). Medical professionals can identify trends and patterns in treatment plans or uncover chronic diseases in patients based on age, location, and ethnicity. Prescriptive analytics recommends actions that can produce the best outcome. This allows healthcare professionals to develop optimal clinical pathways for patient care (Bartley, 2017; Gensinger, Jr., 2014)

A recent Stanford study on the future of AI’s impact on society suggests that AI-enabled systems will change the future by replacing tasks rather than eliminating jobs (Grosz & Stone, 2018). In fact, AI technologies and data analytics are transforming the way organizations operate. Tech giants like Google, Microsoft, and Amazon are investing heavily in data collection (Newman, 2020). Organizations are focusing on feeding large datasets into data analytic models to produce predictive and prescriptive information to obtain meaningful projections. This application in the healthcare field facilitates in the reduction of operating costs, improves treatment outcomes, increases access to patients and clinician resources, and optimizes healthcare provider satisfaction (Bartley, 2017). Using predictive and prescriptive analytics in healthcare can improve forecasting, real-time insights, and automated decision making (Bartley, 2017). In turn, physicians and clinicians will experience enhancements in their daily tasks.

Key Terms in this Chapter

Descriptive Analytics: Descriptive analytics is used to analyze information in order to answer questions, to organize historical information in order to present it visually.

Predictive Analytics: Data, statistical models, and ML techniques are used in predictive analytics to predict the likelihood of future outcomes based on past data.

Clinical Decision Support Systems: Clinical decision support systems (CDSS) are software systems that analyze information from electronic health records (EHRs) and provide recommendations and alerts to help healthcare professionals follow evidence-based clinical standards during treatment.

Prescriptive Analytics: Prescriptive analytics is a method of analyzing data and making recommendations on how to improve existing processes to meet a variety of predicted outcomes.

IS Theory: A theory is a statement of relations among concepts within a set of boundary assumptions and constraints. IS theories enable users to identify factors that inñuence intention toward a particular behavior.

AI-Enabled: Involves feeding datasets into machines to help them achieve near human level intelligence by learning problem-solving, perceiving, and thinking skills.

Healthcare-Adapted Theory: Healthcare-adapted theories evolved from IS theories that utilize healthcare-specific framework.

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