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Review

Strengths and weaknesses of computerized clinical decision support systems: insights from a digital control center (C3 COVID-19) for early and personalized treatment for COVID-19

Publicated to:Revista Espanola De Quimioterapia. 38 (1): 1- - 2025-02-01 38(1), DOI: 10.37201/req/088.2024

Authors: Aiello, Tommaso Francesco; Teijon-Lumbreras, Christian; Gallardo-Pizarro, Antonio; Monzo-Gallo, Patricia; Martinez-Urrea, Ana; Cuervo, Guillermo; Del Rio, Ana; Hernandez-Meneses, Marta; Morata, Laura; Mensa, Josep; Soriano, Alex; Garcia-Vidal, Carolina

Affiliations

Abstract

Clinical Decision Support Systems (CDSS) are computer-based tools that leverage the analysis of large volumes of health data to assist healthcare professionals in making clinical decisions, whether preventive, diagnostic, or therapeutic. This review examines the impact of CDSS on clinical practice, highlighting both their potential benefits and their limitations and challenges. We detail the experience of clinical medical professionals in the development of a virtual control center for COVID-19 patients (C3 COVID-19) in Spain during the SARSCoV-2 pandemic. This tool enabled real-time monitoring of clinical data for hospitalized COVID-19 patients, optimizing personalized and informed medical decision-making. CDSS can offer significant advantages, such as improving the quality of inpatient care, promoting evidence-based clinical and therapeutic decision-making, facilitating treatment personalization, and enhancing healthcare system efficiency and productivity. However, the implementation of CDSS presents challenges, including the need for physicians to become familiar with the systems and software, and the necessity for ongoing updates and technical support of the systems.

Keywords

ArchitectureArtificial intelligenceClinical decision support systemsConsultationCovid-19Covid1Decision support systems, clinicalElectronic health recordsHumansPandemicsPrecision medicineSars-cov-2SelectioSpainTelemedicine

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Revista Espanola De Quimioterapia, and although the journal is classified in the quartile Q3 (Agencia WoS (JCR)), its regional focus and specialization in Microbiology, give it significant recognition in a specific niche of scientific knowledge at an international level.

Independientemente del impacto esperado determinado por el canal de difusión, es importante destacar el impacto real observado de la propia aportación.

Según las diferentes agencias de indexación, el número de citas acumuladas por esta publicación hasta la fecha 2025-06-07:

  • Scopus: 1

Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-06-07:

  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 24 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

    It is essential to present evidence supporting full alignment with institutional principles and guidelines on Open Science and the Conservation and Dissemination of Intellectual Heritage. A clear example of this is:

    • The work has been submitted to a journal whose editorial policy allows open Open Access publication.
    • Additionally, the work has been submitted to a journal classified as Diamond in relation to this type of editorial policy.

    Leadership analysis of institutional authors

    There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: First Author (Aiello, Tommaso Francesco) and Last Author (Garcia Vidal, Carolina).

    the author responsible for correspondence tasks has been Garcia Vidal, Carolina.