Using Arden Syntax Medical Logic Modules to reduce overutilization of laboratory tests for detection of bacterial infections—Success or failure?

作者：

Highlights：

• We investigated CDSS effects on ICU laboratory orders using an ON–OFF–ON–OFF design.

• The CDSS was based on a rule set encoded in Arden Syntax.

• We observed a strong, but short-lived reduction of overutilization by 18%.

• A lasting effect will require improved CPOE integration of the CDSS.

摘要

•We investigated CDSS effects on ICU laboratory orders using an ON–OFF–ON–OFF design.•The CDSS was based on a rule set encoded in Arden Syntax.•We observed a strong, but short-lived reduction of overutilization by 18%.•A lasting effect will require improved CPOE integration of the CDSS.

论文关键词：Clinical decision support system,Procalcitonin,Overutilization,Underutilization,Arden Syntax

论文评审过程：Received 14 January 2015, Revised 12 September 2015, Accepted 12 September 2015, Available online 25 September 2015, Version of Record 17 December 2018.

论文官网地址：https://doi.org/10.1016/j.artmed.2015.09.005