Nageeti Tahani, Al-Harbi Raghad, Al-Malki Khalid, Natto Omnia, Binhamdan Abdulla, Aldosari Hanan, Aldosari Bakheet, Alshammari Fares, Alanazi Abdullah
College of Public Health and Health Informatics, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.
Stud Health Technol Inform. 2019 Jul 4;262:138-141. doi: 10.3233/SHTI190036.
Antimicrobial computerized decision support systems (CDSS) have been developed to improve decision-making at the point of prescribing. Uptake of CDSS for antibiotic prescribing remains low, and evidence to suggest that CDSS provides a clear benefit for antimicrobial outcomes is scarce. We reviewed existing evidence on the impact of CDSS on antimicrobial prescribing. Based on the results of our literature search, we discuss the use of CDSS for antimicrobial management in hospitals and antibiotic prescribing practices in ambulatory primary care settings. We identify some of the issues surrounding selecting and defining appropriate outcome measures for assessing the impact of CDSS on antimicrobial prescribing in the hospital setting. In the primary care setting, we observed that CDSS has a modest impact in changing antibiotic prescribing practice, which could be related to the underutilization of antimicrobial CDSS.
抗菌计算机化决策支持系统（CDSS）已被开发出来，以改善处方开具时的决策。CDSS在抗生素处方中的应用率仍然很低，而且几乎没有证据表明CDSS能为抗菌治疗结果带来明显益处。我们回顾了关于CDSS对抗菌药物处方影响的现有证据。基于文献检索结果，我们讨论了CDSS在医院抗菌管理中的应用以及门诊初级保健环境中的抗生素处方实践。我们确定了在评估CDSS对医院环境中抗菌药物处方影响时，围绕选择和定义适当结果指标的一些问题。在初级保健环境中，我们观察到CDSS在改变抗生素处方实践方面有适度影响，这可能与抗菌CDSS利用不足有关。
