Effects of computer-based clinical decision support systems on clinician performance and patient outcome. A critical appraisal of research.
Objective: To review the evidence from controlled trials of the effects of computer-based clinical decision support systems (CDSSs) on clinician performance and patient outcomes.Data Sources: The literature in the MEDLARS, EMBASE, SCISEARCH, and INSPEC databases was searched from 1974 to the present...
| Publicado en: | Annals of Internal Medicine Vol. 120; no. 2; pp. 135 - 143 |
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| Autores principales: | , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
American College of Physicians
1/15/94
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=6986983&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 6986983 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00034819 AIM jtl: Annals of Internal Medicine issn: 00034819 maglogo: N pubinfo: dt: 1/15/94 vid: 120 iid: 2 pid: 1652 pub: American College of Physicians place: Philadelphia, Pennsylvania artinfo: ui: 6986983 6986983 NLM8256973 6986983 10.7326/0003-4819-120-2-199401150-00007 NLM8256973 6986983 ppf: 135 ppct: 8 formats: tig: atl: Effects of computer-based clinical decision support systems on clinician performance and patient outcome. A critical appraisal of research. aug: au: Johnston, Mary E. Langton, Karl B. Haynes, R. Brian Mathieu, Alix Johnston, M E Langton, K B Haynes, R B Mathieu, A affil: McMaster University, Hamilton, Ontario, Canada sug: subj: Clinical Competence Standards Decision Making, Computer Assisted Outcome Assessment Standards Human Quality Assurance Drug Therapy, Computer Assisted Diagnosis, Computer Assisted Reminder Systems Meta Analysis Validation Studies Comparative Studies Evaluation Research Multicenter Studies Scales ab: Objective: To review the evidence from controlled trials of the effects of computer-based clinical decision support systems (CDSSs) on clinician performance and patient outcomes.Data Sources: The literature in the MEDLARS, EMBASE, SCISEARCH, and INSPEC databases was searched from 1974 to the present. Conference proceedings and reference lists of relevant articles were reviewed. Evaluators of CDSSs were asked to identify additional studies.Study Selection: 793 citations were examined, and 28 controlled trials that met predefined criteria were reviewed in detail.Data Extraction: Study quality was assessed, and data on setting, clinicians and patients, method of allocation, computer system, and outcomes were abstracted and verified using a structured form. Separate summaries were prepared for physician and patient outcomes. Within each of these categories, studies were classified further according to the primary purpose of the CDSS: drug dose determination, diagnosis, or quality assurance.Results: Three of 4 studies of computer-assisted dosing, 1 of 5 studies of computer-aided diagnosis, 4 of 6 studies of preventive care reminder systems, and 7 of 9 studies of computer-aided quality assurance for active medical care that assessed clinician performance showed improvements in clinician performance using a CDSS. Three of 10 studies that assessed patient outcomes reported significant improvements.Conclusions: Strong evidence suggests that some CDSSs can improve physician performance. Additional well-designed studies are needed to assess their effects and cost-effectiveness, especially on patient outcomes. pubtype: Academic Journal doctype: meta analysis research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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