Analysis of current clinical decision support system: the perspective of a clinician

Clinical decision support system (CDSS) is a medical artificial intelligence system based on medical knowledge and clinical data, its development now is embarrassed. There is no strong evidence to prove that CDSS is of great help to clinic, and this situation has not improved in recent 10 years According to the research, about 50% of CDSS encountered failure in clinic manifested as unexplained decision-making process, low system application rate, poor user acceptance and negative impact on clinical work flow. How to improve this dilemma has become an important issue in CDSS research. Because CDSS is constructed with medical knowledge & clinical data, and is used by clinicians, the perspective of clinicians on CDSS also plays a role in its construction and utility. In this paper, current CDSS is inspected in its technique, used knowledge, reasoning method, data management and clinical cognition with the perspective of a clinician. It is proposed that CDSS should provide useful information to meet the requirement of medical science and to follow reasoning pattern of clinicians which endows its clinical role and eligibility in healthy care service.