Rabøl Louise Isager, Anhøj Jacob, Pedersen Anette, Pedersen Beth Lilja, Hellebek Annemarie H
H:S Hvidovre Hospital, Dansk Selskab for Patientsikkerhed, København.
Ugeskr Laeger. 2006 Nov 27;168(48):4179-84.
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.
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。