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[临床决策支持:用药错误的数量是否减少?]

[Clinical decision support: Is the number of medication errors reduced?].

作者信息

Rabøl Louise Isager, Anhøj Jacob, Pedersen Anette, Pedersen Beth Lilja, Hellebek Annemarie H

机构信息

H:S Hvidovre Hospital, Dansk Selskab for Patientsikkerhed, København.

出版信息

Ugeskr Laeger. 2006 Nov 27;168(48):4179-84.

Abstract

22 papers on clinical decision support (CDS) for computer physician order entry (CPOE) and the ability to reduce medication errors were reviewed. Among the 22 original clinical trials, 21 demonstrated a reduced number of medication errors after the implementation of CDS. The effect was strongest for 2nd and 3rd generation of the CDS-systems. CPOE with CDS is time consuming and may generate new medication errors in itself. All the trials had poor designs. A Danish data source for CDS has not yet been established.

摘要

对22篇关于计算机医生医嘱录入(CPOE)的临床决策支持(CDS)以及减少用药错误能力的论文进行了综述。在这22项原始临床试验中,21项表明实施CDS后用药错误数量减少。对于第二代和第三代CDS系统,效果最为显著。带有CDS的CPOE耗时且本身可能会产生新的用药错误。所有试验的设计都很差。丹麦尚未建立CDS的数据源。

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