Philosophies for the design and development of clinical decision-support systems

Methods Inf Med. 1993 Feb;32(1):1-8; discussion 9-17.


Little significance is attached by medical informatics workers to the many practical issues which affect the development of clinical decision-support systems. We examine the current state of research in clinical decision-support, the characteristics and motivations of developers, and the perceptions of intended end-users. Factors which adversely affect the success of systems are highlighted and pointers to good practice discussed. We then propose a coherent approach to system development, consisting of requirements analysis, software design, implementation, testing, evaluation and maintenance.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Computer Systems*
  • Decision Making, Computer-Assisted*
  • Humans
  • Medical Informatics / trends
  • Software / standards