集成于CPOE系统中的计算机化临床决策支持系统的成功决定因素：一项系统综述
Determinants of success for computerized clinical decision support systems integrated in CPOE systems: a systematic review.
作者信息
Niès Julie, Colombet Isabelle, Degoulet Patrice, Durieux Pierre
机构信息
René Descartes University, Paris V - INSERM U729, 75006 Paris, France.
出版信息
AMIA Annu Symp Proc. 2006;2006:594-8.
Abstract
We carried out a systematic review of published trials to identify the methodological characteristics of studies and technical characteristics of computerized clinical decision support systems (CCDSSs) associated with efficacy for the main outcome of the study. Four characteristics of the content of decision support and the way in which the user is provided with assistance seem to be associated with the success of CCDSSs: a) System-initiated interventions, b) Assistance without user control over output, c) Systems in which data are automatically retrieved from the electronic medical record and d) Systems providing corollary actions in CPOE. Major differences in outcome reporting between studies could be reduced by the use of dedicated tools to standardize methodological reporting.
摘要
我们对已发表的试验进行了系统评价，以确定与研究主要结局疗效相关的研究方法学特征和计算机化临床决策支持系统（CCDSSs）的技术特征。决策支持内容的四个特征以及向用户提供协助的方式似乎与CCDSSs的成功相关：a）系统发起的干预措施；b）用户无法控制输出的协助；c）从电子病历中自动检索数据的系统；d）在计算机化医嘱录入（CPOE）中提供配套行动的系统。使用专门工具规范方法学报告，可减少研究间结局报告的重大差异。
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