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. 2014 Nov 14:2014:315-24.
eCollection 2014.

Health information technology: use it well, or don't! Findings from the use of a decision support system for breast cancer management

Jacques Bouaud  1 , Brigitte Blaszka-Jaulerry  2 , Laurent Zelek  3 , Jean-Philippe Spano  4 , Jean-Pierre Lefranc  5 , Isabelle Cojean-Zelek  6 , Axel Durieux  7 , Christophe Tournigand  8 , Alexandra Rousseau  9 , Brigitte Séroussi  10
Affiliations

Health information technology: use it well, or don't! Findings from the use of a decision support system for breast cancer management

Jacques Bouaud et al. AMIA Annu Symp Proc. .

Abstract

The potential of health information technology is hampered by new types of errors which impact is not totally assessed. OncoDoc2 is a decision support system designed to support treatment decisions of multidisciplinary meetings (MDMs) for breast cancer patients. We evaluated how the way the system was used had an impact on MDM decision compliance with clinical practice guidelines. We distinguished "correct navigations" (N+), "incorrect navigations" (N-), and "missing navigations" (N0), according to the quality of data entry when using OncoDoc2. We collected 557 MDM decisions from three hospitals of Paris area (France) where OncoDoc2 was routinely used. We observed 33.9% N+, 36.8% N-, and 29.3% N0. The compliance rate was significantly different according to the quality of navigations, 94.2%, 80.0%, and 90.2% for N+, N-, and N0 respectively. Surprinsingly, it was better not to use the system (N0) than to use it improperly (N-).

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Figures

Figure 1.
Figure 1.
Screenshot of OncoDoc2: display of the patient profile selected by the navigation with clinical summary and corresponding recommendations.
Figure 2.
Figure 2.
Decision variables involved in data entry errors of N− navigations, with their number of assignments and error rate.
Figure 3.
Figure 3.
Temporal distributions of the proportion of missing navigations (N0) by hospital.
See this image and copyright information in PMC

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