Utrecht University, The Netherlands.
Erasmus University Rotterdam, The Netherlands.
Health Informatics J. 2020 Mar;26(1):613-627. doi: 10.1177/1460458219841167. Epub 2019 Apr 24.
Effort has been made to study the effect of medication-related clinical decision support systems in the inpatient setting; however, there is not much known about the usability of these systems. The goal of this study is to systematically review studies that focused on the usability aspects such as effectiveness, efficiency, and satisfaction of these systems. We systematically searched relevant articles in Scopus, Embase, and PubMed from 1 January 2000 to 1 January 2016, and found 22 articles. Based on Van Welie's usability model, we categorized usability aspects in terms of usage indicators and means. Our results showed that evidence was mainly found for effectiveness and efficiency. They showed positive results in the usage indicators errors and safety and performance speed. The means warnings and adaptability also had mostly positive results. To date, the effects satisfaction of clinical decision support system remains understudied. Aspects such as memorability, learnability, and consistency require more attention.
已经努力研究了与药物相关的临床决策支持系统在住院环境中的效果，但对于这些系统的可用性知之甚少。本研究的目的是系统地回顾研究这些系统的可用性方面，如有效性、效率和满意度。我们系统地在 Scopus、Embase 和 PubMed 中搜索了 2000 年 1 月 1 日至 2016 年 1 月 1 日的相关文章，共找到了 22 篇文章。基于范威利的可用性模型，我们根据使用指标和方法对可用性方面进行了分类。我们的结果表明，主要有证据表明有效性和效率。在使用指标错误和安全以及性能速度方面，结果为阳性。警告和适应性等方法也大多有积极的结果。到目前为止，临床决策支持系统的满意度影响仍研究不足。诸如可记性、可学习性和一致性等方面需要更多的关注。
