[Clinical decision support: Is the number of medication errors reduced?].
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.
Rabøl
Louise Isager
LI
H:S Hvidovre Hospital, Dansk Selskab for Patientsikkerhed, København.
Anhøj
Jacob
J
Pedersen
Anette
A
Pedersen
Beth Lilja
BL
Hellebek
Annemarie H
AH
D016303:Clinical Pharmacy Information Systems; D020000:Decision Support Systems, Clinical; D003718:Denmark; D004360:Drug Therapy, Computer-Assisted; D006751:Hospital Information Systems; D006801:Humans; D016347:Medical Records Systems, Computerized; D008508:Medication Errors / Q000517:prevention & control*; D016032:Randomized Controlled Trials as Topic; D018511:Systems Integration; D014584:User-Computer Interface