社区药房的临床决策支持系统:范围审查
Jukrin Moon1,2, Jason S Chladek1,2, Paije Wilson3
1Social and Administrative Sciences Division, School of Pharmacy, University of Wisconsin-Madison, Madison, WI, United States.
Journal of the American Medical Informatics Association : JAMIA
|October 24, 2023
概括
社区药房的临床决策支持系统 (CDSS) 的研究是有限的. 这次范围审查强调了需要进行更严格的研究,以改善CDSS的使用和优化患者护理.
科学领域:
- 医疗信息学 医疗信息学
- 药房实践 在药房实践中
- 临床决策支持 临床决策支持
背景情况:
- 临床决策支持系统 (CDSS) 在社区药房已经使用了40多年.
- 尽管广泛使用,但与其他医疗保健机构相比,在社区药房评估和改进CDSS的研究很少.
研究的目的:
- 进行范围审查,总结社区药房中关于CDSS的现有研究.
- 发现差距,并呼吁在该领域进行更严格的研究.
主要方法:
- 在六个数据库中使用与社区药房和CDSS相关的关键词进行了系统的搜索.
- 两个独立的审查员选了获取的研究的标题,摘要和全文.
- 根据其研究和临床重点,选择的研究进行了综合.
主要成果:
- 包括的21项研究集中在CDSS警报感知/响应 (7),CDSS警报影响 (7) 和药物相互作用 (DDI) 警报 (8) 上.
- 确定的主要挑战包括高预警量,低于最佳的CDSS性能和缺乏社会技术考虑.
- 研究还强调了CDSS对于抗生素,糖尿病,阿片类药物和疫苗接种等特定临床领域的重要性.
结论:
- 在社区药房中对CDSS的研究尽管使用了数十年,但仍然有限和分散.
- 需要采取全面的方法来确定需要改进的领域,并优化CDSS的利用,以获得更好的患者结果.
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