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Literature DB >> 18693791

Some unintended consequences of clinical decision support systems.

Joan S Ash¹, Dean F Sittig, Emily M Campbell, Kenneth P Guappone, Richard H Dykstra.

Abstract

Clinical decision support systems (CDS) coupled with computerized physician/provider order entry (CPOE) can improve the quality of patient care and the efficiency of hospital operations. However, they can also produce unintended consequences. Using qualitative methods, a multidisciplinary team gathered and analyzed data about the unintended consequences of CPOE, identifying nine types, and found that CDS-generated unintended consequences appeared among all types. Further analysis of 47 CDS examples uncovered three themes related to CDS content: elimination or shifting of human roles; difficulty in keeping content current; and inappropriate content. Three additional themes related to CDS presentation were found: rigidity of the system; alert fatigue; and potential for errors. Management of CDS must include careful selection and maintenance of content and prudent decision making about human computer interaction opportunities.

Entities: Disease Species

Mesh：

Year: 2007 PMID： 18693791 PMCID： PMC2813668

Source DB: PubMed Journal: AMIA Annu Symp Proc ISSN： 1559-4076

14 in total

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Authors: Joan S Ash; Marc Berg; Enrico Coiera
Journal: J Am Med Inform Assoc Date: 2003-11-21 Impact factor: 4.497

Review 2. Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: a systematic review.

Authors: Amit X Garg; Neill K J Adhikari; Heather McDonald; M Patricia Rosas-Arellano; P J Devereaux; Joseph Beyene; Justina Sam; R Brian Haynes
Journal: JAMA Date: 2005-03-09 Impact factor: 56.272

3. Improving acceptance of computerized prescribing alerts in ambulatory care.

Authors: Nidhi R Shah; Andrew C Seger; Diane L Seger; Julie M Fiskio; Gilad J Kuperman; Barry Blumenfeld; Elaine G Recklet; David W Bates; Tejal K Gandhi
Journal: J Am Med Inform Assoc Date: 2005-10-12 Impact factor: 4.497

4. High rates of adverse drug events in a highly computerized hospital.

Authors: Jonathan R Nebeker; Jennifer M Hoffman; Charlene R Weir; Charles L Bennett; John F Hurdle
Journal: Arch Intern Med Date: 2005-05-23

5. Using commercial knowledge bases for clinical decision support: opportunities, hurdles, and recommendations.

Authors: Gilad J Kuperman; Richard M Reichley; Thomas C Bailey
Journal: J Am Med Inform Assoc Date: 2006-04-18 Impact factor: 4.497

Review 6. Systematic review: impact of health information technology on quality, efficiency, and costs of medical care.

Authors: Basit Chaudhry; Jerome Wang; Shinyi Wu; Margaret Maglione; Walter Mojica; Elizabeth Roth; Sally C Morton; Paul G Shekelle
Journal: Ann Intern Med Date: 2006-04-11 Impact factor: 25.391

7. Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system.

Authors: Yong Y Han; Joseph A Carcillo; Shekhar T Venkataraman; Robert S B Clark; R Scott Watson; Trung C Nguyen; Hülya Bayir; Richard A Orr
Journal: Pediatrics Date: 2005-12 Impact factor: 7.124

8. Data quality in the outpatient setting: impact on clinical decision support systems.

Authors: Eta S Berner; Ramkumar K Kasiraman; Feliciano Yu; Midge N Ray; Thomas K Houston
Journal: AMIA Annu Symp Proc Date: 2005

9. Role of computerized physician order entry systems in facilitating medication errors.

Authors: Ross Koppel; Joshua P Metlay; Abigail Cohen; Brian Abaluck; A Russell Localio; Stephen E Kimmel; Brian L Strom
Journal: JAMA Date: 2005-03-09 Impact factor: 56.272

10. Effect of computerized physician order entry and a team intervention on prevention of serious medication errors.

Authors: D W Bates; L L Leape; D J Cullen; N Laird; L A Petersen; J M Teich; E Burdick; M Hickey; S Kleefield; B Shea; M Vander Vliet; D L Seger
Journal: JAMA Date: 1998-10-21 Impact factor: 56.272

110 in total

1. Studying the vendor perspective on clinical decision support.

Authors: Joan S Ash; Dean F Sittig; Carmit K McMullen; James L McCormack; Adam Wright; Arwen Bunce; Joseph Wasserman; Vishnu Mohan; Deborah J Cohen; Michael Shapiro; Blackford Middleton
Journal: AMIA Annu Symp Proc Date: 2011-10-22

2. Impact of electronic health record transition on behavioral health screening in a large pediatric practice.

Authors: Karen Hacker; Robert Penfold; Fang Zhang; Stephen B Soumerai
Journal: Psychiatr Serv Date: 2012-03 Impact factor: 3.084

3. Improving population care with an integrated electronic panel support tool.

Authors: Yi Yvonne Zhou; Robert Unitan; Jian J Wang; Terhilda Garrido; Homer L Chin; Marianne C Turley; Linda Radler
Journal: Popul Health Manag Date: 2010-07-26 Impact factor: 2.459

4. Comparison of two kinds of interface, based on guided navigation or usability principles, for improving the adoption of computerized decision support systems: application to the prescription of antibiotics.

Authors: Rosy Tsopra; Jean-Philippe Jais; Alain Venot; Catherine Duclos
Journal: J Am Med Inform Assoc Date: 2013-09-05 Impact factor: 4.497

5. Clinical decision support for atypical orders: detection and warning of atypical medication orders submitted to a computerized provider order entry system.

Authors: Allie D Woods; David P Mulherin; Allen J Flynn; James G Stevenson; Christopher R Zimmerman; Bruce W Chaffee
Journal: J Am Med Inform Assoc Date: 2013-11-19 Impact factor: 4.497