计算机化警报对处方和患者结果的影响:系统性审查
Brian G Bell1, Adam Khimji2,3, Basharat Hussain3
1NIHR Greater Manchester Patient Safety Research Collaboration, University of Nottingham, Nottingham, United Kingdom.
Applied clinical informatics
|May 26, 2025
概括
计算机化警报显著改善了临床医生的处方实践,并显示出对患者结果的好处. 这些系统,包括药物过敏和剂量范围警报,是医疗保健中宝贵的工具.
科学领域:
- 医疗信息学 医疗信息学
- 临床决策支持 临床决策支持
- 药物监督 药物监督 药物监督
背景情况:
- 关于计算机化警报对处方和患者结果的影响的研究越来越多.
- 需要综合这些系统有效性的证据.
研究的目的:
- 检查计算机化警报对临床医生的处方和患者结果的影响.
- 识别与改善处方相关的特定警报类型.
主要方法:
- 自2009年以来,对Medline,Embase和PsychINFO数据库进行系统的文献搜索.
- 从69项研究中提取数据,重点关注处方时的警报.
- 对随机对照试验 (RCT) 和非RCT的分析.
主要成果:
- 84.1%的研究报告了计算机提醒对处方的有益影响.
- 药物过敏,剂量范围和配方药警告显示了处方改善的高率.
- 70%报告患者结果的研究表明有有益的效果.
结论:
- 计算机化警报通常对处方产生积极影响.
- 在各种警报类型和研究设计中观察到好处.
- 支持这些系统的持续开发和实施.
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