What question did this study set out to answer?

To assess the effects of computerised clinical decision support systems (CDSS) compared with usual care on nursing and allied health professional performance and patient outcomes.

December 1, 2021BMJ OpenOpen Access

Effects of computerised clinical decision support systems (CDSS) on nursing and allied health professional performance and patient outcomes: a systematic review of experimental and observational studies

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Authors

TMTeumzghi F MebrahtuBradford Royal Infirmary SSSarah SkyrmeManchester Academic Health Science Centre RRRebecca RandellUniversity of Bradford

Discussion

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Implication

Systematic review demonstrates selective performance and outcome benefits in nurses and allied health professionals, highlighting the need for higher-quality trials.

Key Points

To assess the effects of computerised clinical decision support systems (CDSS) compared with usual care on nursing and allied health professional performance and patient outcomes.
Searched multiple electronic bibliographic databases and grey literature sources from inception to February 2021 without language restrictions.
Identified and reviewed 35 comparative studies (28 randomized trials, 3 controlled before-and-after studies, 3 interrupted-time-series, and 1 non-randomized trial) encompassing ~1,318 health professionals and ~67,595 patients.
CDSS positively impacted 38% of evaluated outcome measures, with care processes improving in 47% of metrics (including adherence to hand disinfection guidance, insulin dosing, and timely blood sampling).
Patient care outcomes improved across 40.7% of indicators, including reductions in falls and pressure ulcers, enhanced glycaemic control, and more appropriate triaging, although overall study quality was generally low.

Cite This Study

Mebrahtu et al. (2021) studied this question.

synapsesocial.com/papers/6a6f5a0778a11c550e090bd2 https://doi.org/10.1136/bmjopen-2021-053886

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Implication

Systematic review demonstrates selective performance and outcome benefits in nurses and allied health professionals, highlighting the need for higher-quality trials.

Effects of computerised clinical decision support systems (CDSS) on nursing and allied health professional performance and patient outcomes: a systematic review of experimental and observational studies

Discussion

Member takes

Implication

Key Points

Cite This Study

Effects of computerised clinical decision support systems (CDSS) on nursing and allied health professional performance and patient outcomes: a systematic review of experimental and observational studies

Discussion

Member takes

Implication

Key Points

Cite This Study

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