Performance Evaluation of Clinical Decision Support Systems (CDSS): Developing a Business Intelligence (BI) Dashboard

This document describes the development of a Business Intelligence (BI) dashboard for tracking the drug-drug interaction (DDI) alerts implemented as Clinical Decision Support Systems (CDSS) in Electronic Health Records (EHR). CDSS are known for their potential to reduce medical error. The use of requirements in the development of BI dashboards is crucial to obtain successful software. In this work, the requirements were analysed using a score methodology, considering the relevance of the indicators and visualization methods. CDSS effectiveness and acceptance have been questioned, so it is fundamental to monitor their behaviour and performance. The dashboard was designed in order to satisfy the needed indicators. Using BI as a tool for monitoring the CDSS performance made it possible to operationalize the EHR content repository, maximizing the understanding in relation to the override and, by inference, to optimize the CDSS system by opening new lines of work.