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The 7th EAHSC

The 7th EAHSC. Tools and techniques for Clinical Decision Support: A case of Tanzania Author : Augustino Mwogosi Co-authors : Shidende ,N.H and Sukums , F,K Presenter : Augustino Mwogosi Affiliated institution: University of Dodoma(UDOM). Background.

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The 7th EAHSC

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  1. The 7th EAHSC Tools and techniques for Clinical Decision Support: A case of Tanzania Author : AugustinoMwogosi Co-authors : Shidende ,N.H and Sukums ,F,K Presenter : AugustinoMwogosi Affiliated institution: University of Dodoma(UDOM)

  2. Background • In Tanzania the application of Heath Information Systems (HIS) has been mainly used in collecting healthcare data and provide support in decision making. • The systems mainly provide tools to support managers and policy makers leaving behind the health practitioners at a facility level in supporting them in their clinical decision making practices.

  3. Objective • The aim of this study was to investigate tools and techniques used for clinical decision support (CDS) in Tanzania. • The study specifically aimed at the following • Find out tools and techniques used by health practitioners in Tanzania to support clinical decision making • Identify challenges brought about by such tools in(1) above

  4. Materials and methods • The study used a qualitative approach using a case study design. The study was conducted in healthcare facilities in Tanzania. • The target population involved various stakeholders of HIS from the selected healthcare facilities that included health practitioners. • Key informants’ interviews, artefact examination, observation and document reviews were used in collecting data for the study.

  5. Results • The computerised HIS are not fully utilised to support clinical decision making particularly for health practitioners. • Data collected by such systems are not used in improving clinical decision support. • The computerised HIS are not incorporated with CDS tools to support clinical workflow practices. • Health practitioners rely on clinical guidelines, medical knowledge and experience as tools and techniques for CDS in the clinical workflow. • The uses of such tools have shown to bring about several challenges such as few and outdated guidelines, delays and miss diagnosis

  6. Discussion • The health facilities that use HISs in Tanzania do not have full featured and integrated systems to support improvement of clinical decision making practices. • This is in contrast with the developed world where CDS tools are incorporated in the electronic HIS. However, The use of computerized CDS tools has great potential to improve patient outcomes. • With advancement of Information technology, such advanced techniques might be used to mine interesting patterns of healthcare data that are being continuously collected using HISs.

  7. Conclusion and Recommendation • This study showed that the use of data might help in supporting clinical decision making practices. • The study suggests the application of advanced tools and techniques in transforming data into clinical knowledge that might help improve clinical decision support at the facility level.

  8. Acknowledgement • To God the creator of heaven and Earth • To University of Dodoma • To Dr. NimaShidende and Dr. Felix K. Sukums, my Msc supervisors, through their valuable guidance and constructive criticism, as well as their tireless efforts in giving challenging advice throughout my learning.

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