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- Real-time clinical decision support at the point of carePublication . Pereira, Ana Margarida; Jácome, Cristina; Amaral, Rita; Jacinto, Tiago; Fonseca, João A.This chapter starts by introducing the complex process of shared clinical decision-making, the value of incorporating patient-reported outcome measures into clinical decisions and the increasing usefulness of clinical decision support systems to enhance the quality and safety of healthcare. It then gives examples of three tools for clinical decision support at the point of care, which were designed to support health professionals and patients in the assessment, treatment and long-term management of chronic respiratory diseases.