Perioperative medicine & outcomes
Knowledge-based, computerized, patient clinical decision support system for perioperative pain, nausea and constipation management: a clinical feasibility study
Authors' conclusion
The knowledge-based, patient CDSS we developed was feasible at providing recommendations for the treatment of pain, PONV and constipation in a perioperative clinical setting.
Study context
- Population
- Perioperative patients, Strasbourg University Hospital30 (81%) used the device
- Participants
- 37 patients
- Exposure
- Clinical Decision Support Systems (CDSS) recommendation vs study personnel recommendation using the same care algorithm (control)
- CDSSn = 30
- Outcome
- Agreement between CDSS recommendation and study personnel recommendation (control)
Methodological detailssingle arm, single center, feasibility
- Single arm
- Single center
- Feasibility
Main finding
As reported in the abstract
Agreement between CDSS (computer driven) and clinician-driven care recommendations
Agreement in 51 out 54 uses of the device
94.2%
95% CI 85.9–98.4%
Probability that agreement exceeds the 90% clinically relevant agreement threshold
86.6%
Observational data: associations, not effects.
Original publication
Knowledge-based, computerized, patient clinical decision support system for perioperative pain, nausea and constipation management: a clinical feasibility study. J Clin Monit Comput. Published 12 April 2024. doi:10. 1007/ s10877-024-01148-z
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