title: Medical informatics and pediatrics. Decision-support systems.
abstract: Decision support is an important area of medical informatics research. Computer-based decision-support tools facilitate diagnosis and the management of patients after a diagnosis has been established. Diagnostic decision-support tools, such as Meditel, Quick Medical Reference, DXplain, Iliad, and PEM-DXP are potentially useful "expert systems." Other management-support tools, such as systems that use clinical practice guidelines to create reminders and alerts, also have been developed and evaluated. We do the following: (1) to provide an overview of diagnostic and management decision-support systems; (2) explore the background of and motivation behind these systems; (3) survey the uses of decision-support technology in office-based and inpatient pediatric practices; and (4) discuss the virtues and problems associated with some of these tools, and current controversies and future goals for computer-based decision support.
mesh_terms: D001292:Attitude to Computers; D016208:Databases, Factual; D003658:Decision Making, Computer-Assisted; D003661:Decision Support Techniques; D003936:Diagnosis, Computer-Assisted; D005103:Expert Systems; D006801:Humans; D009042:Motivation; D010372:Pediatrics; D010820:Physicians / Q000523:psychology; D017410:Practice Guidelines as Topic; D017010:Reminder Systems