ArticlePharmacy practice
Impact on process results of clinical decision support systems (CDSSs) applied to medication use: overview of systematic reviews.
Article in Pharmacy practice. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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The trial behind it
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effectiveness of decision support tools on reducing antibiotic use for respiratory tract infections: a systematic review and meta-analysis.Frontiers in pharmacology · 2023Pooled it
- Effect of Artificial Intelligence Helpfulness and Uncertainty on Cognitive Interactions with Pharmacists: Randomized Controlled Trial.Journal of medical Internet research · 2025Trial
- Effectiveness of Guideline-Based Clinical Decision Support Systems: Protocol for a Systematic Review.JMIR research protocols · 2026Article
- Enhancing Continuous Medication Safety Through e-Prescription and Clinical Decision Support Systems in Outpatient Practices and Pharmacies: Protocol for a Multiperspective Study (eRIKA Study).JMIR research protocols · 2026Article
- Perspectives from Sri Lankan physicians on current approaches to diagnosing and managing lower respiratory tract infections.BMC research notes · 2026Article
- A quality improvement study of the implementation and initial results of a pragmatic clinical decision support system in the community pharmacy setting.International journal of clinical pharmacy · 2024Observational
- Feasibility study of a clinical decision support system for polymedicated patients in primary care.Healthcare technology letters · 2023Review
- The Reasons for Physicians and Pharmacists' Acceptance of Clinical Support Systems in Saudi Arabia.International journal of environmental research and public health · 2023Article
- Article
- Real-time medical phase recognition using long-term video understanding and progress gate method.Medical image analysis · 2021Article
- Evaluation Framework for Successful Artificial Intelligence-Enabled Clinical Decision Support Systems: Mixed Methods Study.Journal of medical Internet research · 2021Article
- Medication risk management and health equity in New Zealand general practice: a retrospective cross-sectional study.International journal for equity in health · 2021Article
- A Conceptual Framework to Study the Implementation of Clinical Decision Support Systems (BEAR): Literature Review and Concept Mapping.Journal of medical Internet research · 2020Review
- Use of an Electronic Clinical Decision Support System in Primary Care to Assess Inappropriate Polypharmacy in Young Seniors With Multimorbidity: Observational, Descriptive, Cross-sectional Study.JMIR medical informatics · 2020Article
- Merits, features, and desiderata to be considered when developing electronic health records with embedded clinical decision support systems in Palestinian hospitals: a consensus study.BMC medical informatics and decision making · 2019Article
- Developing and applying synergistic multilevel implementation strategies to promote reach of an evidence-based parenting intervention in primary care.Implementation research and practiceArticle
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe purpose of this overview (systematic review of systematic reviews) is to evaluate the impact of clinical decision support systems (CDSS) applied to medication use in the care process.
methodsA search for systematic reviews that address CDSS was performed on Medline following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and Cochrane recommendations. Terms related to CDSS and systematic reviews were used in combination with Boolean operators and search field tags to build the electronic search strategy. There was no limitation of date or language for inclusion. We included revisions that investigated, as a main or secondary objective, changes in process outcomes. The Revised Assessment of Multiple Systematic Reviews (R-AMSTAR) score was used to evaluate the quality of the studies.
resultsThe search retrieved 954 articles. Five articles were added through manual search, totaling an initial sample of 959 articles. After screening and reading in full, 44 systematic reviews met the inclusion criteria. In the medication-use processes where CDSS was used, the most common stages were prescribing (n=38 (86.36%) and administering (n=12 (27.27%)). Most of the systematic reviews demonstrated improvement in the health care process (30/44 - 68.2%). The main positive results were related to improvement of the quality of prescription by the physicians (14/30 - 46.6%) and reduction of errors in prescribing (5/30 - 16.6%). However, the quality of the studies was poor, according to the score used.
conclusionCDSSs represent a promising technology to optimize the medication-use process, especially related to improvement in the quality of prescriptions and reduction of prescribing errors, although higher quality studies are needed to establish the predictors of success in these systems.
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