Back to Search
Start Over
The Effects of Clinical Decision Support Systems on Medication Safety: An Overview
- Source :
- PLoS ONE, Vol 11, Iss 12, p e0167683 (2016), PLoS ONE
- Publication Year :
- 2016
- Publisher :
- Public Library of Science (PLoS), 2016.
-
Abstract
- Background The clinical decision support system(CDSS) has potential to improving medication safety. However, the effects of the intervention were conflicting and uncertain. Meanwhile, the reporting and methodological quality of this field were unknown. Objective The aim of this overview is to evaluate the effects of CDSS on medication safety and to examine the methodological and reporting quality. Methods PubMed, Embase and Cochrane Library were searched to August 2015. Systematic reviews (SRs) investigating the effects of CDSS on medication safety were included. Outcomes were determined in advance and assessed separately for process of care and patient outcomes. The methodological quality was assessed by Assessment of Multiple Systematic Reviews (AMSTAR) and the reporting quality was examined by Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Results Twenty systematic reviews, consisting of 237 unique randomized controlled trials(RCTs) and 176 non-RCTs were included. Evidence that CDSS significantly impacted process of care was found in 108 out of 143 unique studies of the 16 SRs examining this effect (75%). Only 18 out of 90 unique studies of the 13 SRs reported significantly evidence that CDSS positively impacted patient outcomes (20%). Ratings for the overall scores of AMSTAR resulted in a mean score of 8.3 with a range of scores from 7.5 to 10.5. The reporting quality was varied. Some contents were particularly strong. However, some contents were poor. Conclusions CDSS reduces medication error by obviously improving process of care and inconsistently improving patient outcomes. Larger samples and longer-term studies are required to ensure more reliable evidence base on the effects of CDSS on patient outcomes. The methodological and reporting quality were varied and some realms need to be improved.
- Subjects :
- Decision support system
Medical Doctors
Health Care Providers
Nurses
lcsh:Medicine
Cochrane Library
law.invention
Medication error
0302 clinical medicine
Mathematical and Statistical Techniques
Randomized controlled trial
law
Medicine and Health Sciences
Medicine
Medication Errors
Drug Interactions
030212 general & internal medicine
lcsh:Science
media_common
Multidisciplinary
Pharmaceutics
Research Assessment
Professions
Systematic review
Physical Sciences
Patient Safety
Statistics (Mathematics)
Research Article
medicine.medical_specialty
Drug Research and Development
Drug Administration
Drug Adherence
Systematic Reviews
media_common.quotation_subject
MEDLINE
Research and Analysis Methods
Clinical decision support system
03 medical and health sciences
Drug Safety
Drug Therapy
Physicians
Humans
Quality (business)
Statistical Methods
Intensive care medicine
Pharmacology
business.industry
lcsh:R
Decision Support Systems, Clinical
Health Care
People and Places
Population Groupings
lcsh:Q
business
Medication Systems
030217 neurology & neurosurgery
Mathematics
Meta-Analysis
Subjects
Details
- Language :
- English
- ISSN :
- 19326203
- Volume :
- 11
- Issue :
- 12
- Database :
- OpenAIRE
- Journal :
- PLoS ONE
- Accession number :
- edsair.doi.dedup.....52da9985e46e8fc42d6eb1b8f7cd9156