HP Labs Technical Reports

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Designing for Decision Support in a Clinical Monitoring Environment

Coiera, Enrico



Abstract: The conceptualization of user needs that drives much of the technological development in decision support for patient monitoring is inadequate or flawed. In an attempt to develop a clearer picture of such user needs, preliminary results of a clinical study into the behavior of clinicians performing real-time monitoring are discussed. The study in- formally suggests that a critical assessment needs to be made of the type of decision support that should be provided in monitoring situations. More generally, the study results are used to argue that such clinical studies are generally lacking in the design of all clinical decision support systems.

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