Clinical decision support systems in psychiatry in the Information Age
Article first published online: 9 DEC 2004
Volume 12, Issue 4, pages 361–364, December 2004
How to Cite
Kotze, B. and Brdaroska, B. (2004), Clinical decision support systems in psychiatry in the Information Age. Australasian Psychiatry, 12: 361–364. doi: 10.1111/j.1440-1665.2004.02127.x
Area Director of Mental Health Services, South-east Health and Consultant Psychiatrist, Black Dog Institute, Sydney, NSW, Australia.
Project Officer, Black Dog Institute, Sydney, NSW, Australia.
- Issue published online: 9 DEC 2004
- Article first published online: 9 DEC 2004
- clinical decision support systems;
- clinical practice guidelines;
- expert systems;
Objective: Clinical decision support systems (CDSSs) are active knowledge systems that use two or more items of patient data to generate case-specific advice. They were developed to improve health-care quality. There is evidence that they can be a valuable tool in fostering the process of dissemination and uptake of clinical guidelines that, in turn, can improve clinical decision-making and outcomes. The present paper will explore why, despite this potential, CDSSs have not been extensively used in psychiatry.
Conclusions: There is an abundant literature that explores the barriers to the development and implementation of information technology in health. This can be understood as related to clinician, organizational, cultural and technological factors. Certain characteristics of the clinical discipline of psychiatry present an additional barrier, although diagnostic systems appear to have gained a level of acceptance.