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Publication Detail
Piloting a computerized clinical decision support system in the rapid access chest pain clinic
  • Publication Type:
    Journal article
  • Publication Sub Type:
    Article
  • Authors:
    Denaxas S, Johnson R, Ruffles K, Tagney J, Feder G
  • Publication date:
    11/2011
  • Pagination:
    541, 546
  • Volume:
    6
  • Issue:
    11
Abstract
Making a diagnosis in patients with stable chest pain can be challenging. Rapid access chest pain clinics (RACPCs) assist diagnosis, providing timely assessment for patients with new onset suspected angina. However there is evidence that some patients assessed at the chest pain clinic may be labelled incorrectly as having non-cardiac chest pain. Recent NICE publications include guidance on diagnosis and investigation choice for patients suspected of having stable angina. The Optimising the Management of Angina (OMA) study aims to improve the outcome of patients attending chest pain clinics with a complex intervention that includes a computerized clinical decision support system (CDSS) based on the NICE guidance. This article describes the pathway used by the NICE guidance and how it has been used to inform a decision support tool, and our experience of piloting the tool in RACPCs.
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