What Should Oversight of Clinical Decision Support Systems Look Like?
AMA J Ethics
; 20(9): E857-863, 2018 09 01.
Article
in En
| MEDLINE
| ID: mdl-30242817
ABSTRACT
A learning health system provides opportunities to leverage data generated in the course of standard clinical care to improve clinical practice. One such opportunity includes a clinical decision support structure that would allow clinicians to query electronic health records (EHRs) such that responses from the EHRs could inform treatment recommendations. We argue that though using a clinical decision support system does not necessarily constitute a research activity subject to the Common Rule, it requires more ethical and regulatory oversight than activities of clinical practice are generally subjected to. In particular, we argue that the development and use of clinical decision support systems should be governed by a framework that (1) articulates appropriate conditions for their use, (2) includes processes for monitoring data quality and developing and validating algorithms, and (3) sufficiently protects patients' data.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Data Collection
/
Decision Support Systems, Clinical
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Delivery of Health Care
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Electronic Health Records
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Clinical Decision-Making
Type of study:
Guideline
/
Prognostic_studies
Aspects:
Determinantes_sociais_saude
/
Ethics
Limits:
Humans
Language:
En
Journal:
AMA J Ethics
Year:
2018
Document type:
Article
Publication country:
EEUU
/
ESTADOS UNIDOS
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ESTADOS UNIDOS DA AMERICA
/
EUA
/
UNITED STATES
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UNITED STATES OF AMERICA
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US
/
USA