Framework di architettura di servizi per la sanita'

       HSSP DSS

In the most advanced countries of the world, in recent years, it has become evident that the quality of health care does not reach optimal levels in terms of effectiveness and appropriateness. In the United States, for example, a recent national review, it was discovered that adult patients receive only half of the care that should be their recommended and has been estimated that many Americans die each year due to preventable medical errors. Often, in fact, the amount of data and information that health professionals need to "work out" exceeds their cognitive ability, despite the support of guidelines and protocols, and although they are able to take complex decisions and evaluate, in qualitative terms, benefits and risks of the various options.


One of the most promising strategies to address these issues and with which, therefore, improve the quality of care, is the use of clinical decision support systems (CDSS)


A CDSS, receiving input clinical and health data, is able to provide specific recommendations and feedback to the patient resulting from guidelines and clinical knowledge of excellence.


The aim of the HSSP DecisionSupport Service (HSSP DSS), implemented under the project, is to define a standard access interface, and application management decision support, regardless of the data format, inference mechanisms and implementation technologies such applications, applying HSSP standard that are recognized on the world stage

In detail, submitting patient data to an application "knowledgebased", in a standard format and through the specific DSS service interface, you can get appropriate diagnostic information and therapeutic prescriptions. As is known, the realization of a CDSS is a difficult, long and costly process since it is translated clinical and health knowledge, that can be complex, into an "executable" language. Therefore, the implementation of a HSSP service certainly can not solve the complexity of a clinical decision support system (CDSS), but it certainly will allow a more widespread usability of its use.

Without the use of appropriate standards, each user should be in charge of the implementation of specific interfaces before to use the knowledge provided by the individual or by different and complementary CDSS, and, with the adoption of a standardized service, the same interface can be safely used to access and search the different forms of knowledge, or interfacing new platforms for decision support considered better performing, with no additional implementation costs.