[Effects on adherence to clinical guidelines by active 'on screen' computer-based clinical decision support systems]

Hallin B , Holm T, Seeman Lodding H, Torgerson J, Jivegard L, Holmberg Y, Samuelsson O, Svanberg T
Record ID 32011001689
Swedish
Authors' objectives:

Do computer-based active (on screen) clinical decision support systems (CDSS) improve adherence to clinical guidelines?

Authors' recommendations: Use of CDSS leads to some improvement in adherence to clinical guidelines for the studied outcomes:drug prescription, vaccination, and ordering of laboratory samples/tests. Patient-related outcomes have not been studied in this report. There is a vast variation in the magnitude of the reported improvement, ranging from no effect to a large improvement. Due to the vast variation, CDSS need to be evaluated separately. Regarding prescription or non-prescription of drugs, where deviations from the guidelines may cause serious consequences for the patients, there is moderate quality of evidence for a small to large improvement in adherence to clinical guidelines. Current knowledge about how CDSS design, delivery, studied health problem, and outcomes influence the efficiency of CDSS, is insufficient. Cost-effectiveness is unknown.
Details
Project Status: Completed
Year Published: 2011
English language abstract: An English language summary is available
Publication Type: Not Assigned
MeSH Terms
  • Decision Making, Computer-Assisted
  • Decision Support Systems, Clinical
  • Online Systems
  • Practice Guidelines as Topic
  • Reminder Systems
Contact
Organisation Name: The Regional Health Technology Assessment Centre
Contact Address: The Regional Health Technology Assessment Centre, Region Vastra Gotaland, HTA-centrum, Roda Straket 8, Sahlgrenska Universitetssjukhuset, 413 45 GOTHENBORG, Sweden
Contact Name: hta-centrum@vgregion.se
Contact Email: hta-centrum@vgregion.se
Copyright: The Regional Health Technology Assessment Centre (HTA-centrum), Region Vastra Gotaland
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.