SynthesisJournal of the American Medical Informatics Association : JAMIA
Evaluation of outpatient computerized physician medication order entry systems: a systematic review.
Synthesis in Journal of the American Medical Informatics Association : JAMIA. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 74 papers, 15 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
74 citing papers in PubMed, 15 syntheses or guidelines pooled it, 200 citations in OpenAlex.
- How intervention studies measure the effectiveness of medication safety-related clinical decision support systems in primary and long-term care: a systematic review.BMC medical informatics and decision making · 2024Pooled it
- Effect of Electronic Prescribing Compared to Paper-Based (Handwritten) Prescribing on Primary Medication Adherence in an Outpatient Setting: A Systematic Review.Applied clinical informatics · 2021Pooled it
- Effect of Electronic Prescribing Strategies on Medication Error and Harm in Hospital: a Systematic Review and Meta-analysis.Journal of general internal medicine · 2019Pooled it
- A systematic review of the effects of implementing clinical pathways supported by health information technologies.Journal of the American Medical Informatics Association : JAMIA · 2019Pooled it
- Precision diagnosis: a view of the clinical decision support systems (CDSS) landscape through the lens of critical care.Journal of clinical monitoring and computing · 2017Pooled it
- Information Technology-Based Interventions to Improve Drug-Drug Interaction Outcomes: A Systematic Review on Features and Effects.Journal of medical systems · 2017Pooled it
- Effects of health information technology on patient outcomes: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2016Pooled it
- Risks to patient safety associated with implementation of electronic applications for medication management in ambulatory care--a systematic review.BMC medical informatics and decision making · 2013Pooled it
- The impact of computerized provider order entry systems on medical-imaging services: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2011Pooled it
- The impact of eHealth on the quality and safety of health care: a systematic overview.PLoS medicine · 2011Pooled it
- Tight glycemic control and computerized decision-support systems: a systematic review.Intensive care medicine · 2009Pooled it
- Do computerised clinical decision support systems for prescribing change practice? A systematic review of the literature (1990-2007).BMC health services research · 2009Pooled it
- Barriers and facilitators to implementing electronic prescription: a systematic review of user groups' perceptions.Journal of the American Medical Informatics Association : JAMIAPooled it
- Computerized clinical decision support for prescribing: provision does not guarantee uptake.Journal of the American Medical Informatics Association : JAMIAPooled it
- The effect of electronic prescribing on medication errors and adverse drug events: a systematic review.Journal of the American Medical Informatics Association : JAMIAPooled it
- Interruptive Electronic Alerts for Choosing Wisely Recommendations: A Cluster Randomized Controlled Trial.Journal of the American Medical Informatics Association : JAMIA · 2022Trial
- An electronic health record-based intervention to increase follow-up office visits and decrease rehospitalization in older adults.Journal of the American Geriatrics Society · 2014Trial
- How to improve drug dosing for patients with renal impairment in primary care - a cluster-randomized controlled trial.BMC family practice · 2012Trial
- A mnemonic for pharmacy students to use in pharmacotherapy assessment.American journal of pharmaceutical education · 2012Trial
- Transitioning between electronic health records: effects on ambulatory prescribing safety.Journal of general internal medicine · 2011Trial
14 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This paper provides a systematic literature review of CPOE evaluation studies in the outpatient setting on: safety; cost and efficiency; adherence to guideline; alerts; time; and satisfaction, usage, and usability. Thirty articles with original data (randomized clinical trial, non-randomized clinical trial, or observational study designs) met the inclusion criteria. Only four studies assessed the effect of CPOE on safety. The effect was not significant on the number of adverse drug events. Only one study showed a significant reduction of the number of medication errors. Three studies showed significant reductions in medication costs; five other studies could not support this. Most studies on adherence to guidelines showed a significant positive effect. The relatively small number of evaluation studies published to date do not provide adequate evidence that CPOE systems enhance safety and reduce cost in the outpatient settings. There is however evidence for (a) increasing adherence to guidelines, (b) increasing total prescribing time, and (c) high frequency of ignored alerts.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.