Review Paper: What Evidence Supports the Use of Computerized Alerts and Prompts to Improve Clinicians' Prescribing Behavior?
Review Paper: What Evidence Supports the Use of Computerized Alerts and Prompts to Improve Clinicians' Prescribing Behavior?
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评论论文：哪些证据支持使用计算机警报和提示来改善临床医生的处方行为？
DOI：
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发表时间：
2009
期刊：
影响因子：
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通讯作者：
A. Avery
中科院分区：
文献类型：
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作者：
A. Schedlbauer;Vibhore Prasad;C. Mulvaney;S. Phansalkar;W. Stanton;D. Bates;A. Avery
警报和提示代表了在电子处方中解决处方不足的有前途的决策支持类型。进行了一项系统性综述，以评估截至2007年5月搜索EMBASE、CINHAL、MEDLINE和PsychInfo的计算机化药物警报和提示的有效性。选择评估电子警报和提示对临床医生处方行为影响的研究，并按决策支持类型进行分类。大多数警报和提示（27个中的23个）显示出改善处方行为和/或降低错误率的益处。影响似乎因决策支持的类型而异。其中一些警报（n = 5）报告对临床和卫生服务管理结果产生了积极影响。对于许多类别的提醒，研究的数量非常少，从门诊环境中获得的数据很少。没有一项研究评估了可能使警报和提示更有效的功能。2009年1月更新的检索运行的详细信息包含在本综述的补充章节中。
Alerts and prompts represent promising types of decision support in electronic prescribing to tackle inadequacies in prescribing. A systematic review was conducted to evaluate the efficacy of computerized drug alerts and prompts searching EMBASE, CINHAL, MEDLINE, and PsychINFO up to May 2007. Studies assessing the impact of electronic alerts and prompts on clinicians' prescribing behavior were selected and categorized by decision support type. Most alerts and prompts (23 out of 27) demonstrated benefit in improving prescribing behavior and/or reducing error rates. The impact appeared to vary based on the type of decision support. Some of these alerts (n = 5) reported a positive impact on clinical and health service management outcomes. For many categories of reminders, the number of studies was very small and few data were available from the outpatient setting. None of the studies evaluated features that might make alerts and prompts more effective. Details of an updated search run in Jan 2009 are included in the supplement section of this review.
DOI：
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发表时间：
2006
期刊：
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影响因子：
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作者：
Kensaku Kawamoto;C. Houlihan;A. Balas;D. Lobach
通讯作者：
Kensaku Kawamoto;C. Houlihan;A. Balas;D. Lobach