ReviewTherapeutic advances in drug safety2018
Using EMR-enabled computerized decision support systems to reduce prescribing of potentially inappropriate medications: a narrative review.
Review in Therapeutic advances in drug safety, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers.
What it found
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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.
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Who cites it
50 citing papers in PubMed.
- Effectiveness of Patient-Directed Education to Sustain Deprescribing: A Pragmatic Trial.Drugs & aging · 2025Trial
- Linking clinical documentation deficiencies to insurance reimbursement losses: a data quality perspective.BMC health services research · 2026Article
- Updating the potentially inappropriate medication (PIM)-China criteria for 2024: a Delphi consensus study for improved medication safety in older adults.International journal of clinical pharmacy · 2026Article
- Potentially inappropriate medicines for older people: consensus-based lists.Australian prescriber · 2025Review
- Evaluating the Wasfaty E-Prescribing Platform Against Best Practices for Computerized Provider Order Entry.Healthcare (Basel, Switzerland) · 2025Article
- Identifying Deprescribing Opportunities With Large Language Models in Older Adults: Retrospective Cohort Study.JMIR aging · 2025Article
- The impact of electronic medical records on clinical documentation: A case study.Journal of education and health promotion · 2025Article
- Clinical decision support systems' effect in reducing medication errors and adverse drug events: an expanded review from Making Healthcare Safer IV.BMJ digital health & AI · 2025Review
- Article
- Adaptive questionnaires for facilitating patient data entry in clinical decision support systems: methods and application to STOPP/START v2.BMC medical informatics and decision making · 2024Article
- A model for identifying potentially inappropriate medication used in older people with dementia: a machine learning study.International journal of clinical pharmacy · 2024Article
- Strategies to guide the successful implementation of deprescribing in community practice: Lessons learned from the front line.Canadian pharmacists journal : CPJ = Revue des pharmaciens du Canada : RPC · 2024Article
- Article
- One Hundred Explicit Definitions of Potentially Inappropriate Prescriptions of Antibiotics in Hospitalized Older Patients: The Results of an Expert Consensus Study.Antibiotics (Basel, Switzerland) · 2024Article
- Development and implementation of medication-related clinical rules for obstetrics, gynaecology, and paediatric outpatients.European journal of hospital pharmacy : science and practice · 2024Article
- Optimizing pharmacotherapy and deprescribing strategies in older adults living with multimorbidity and polypharmacy: EuGMS SIG on pharmacology position paper.European geriatric medicine · 2023Article
- Article
- Digitalisation of the drug prescribing process in Swiss hospitals - results of a survey.European journal of hospital pharmacy : science and practice · 2023Article
- Challenges and opportunities in creating a deprescribing program in the emergency department: A qualitative study.Journal of the American Geriatrics Society · 2023Article
- Shared Interoperable Clinical Decision Support Service for Drug-Allergy Interaction Checks: Implementation Study.JMIR medical informatics · 2022Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Prescribing of potentially inappropriate medications (PIMs) that pose more risk than benefit in older patients is a common occurrence across all healthcare settings. Reducing such prescribing has been challenging despite multiple interventions, including educational campaigns, audits and feedback, geriatrician assessment and formulary restrictions. With the increasing uptake of electronic medical records (EMRs) across hospitals, clinics and residential aged care facilities (RACFs), integrated with computerized physician order entry (CPOE) and e-prescribing, opportunities exist for incorporating clinical decision support systems (CDSS) into EMR at the point of care. This narrative review assessed the process and outcomes of using EMR-enabled CDSS to reduce the prescribing of PIMs. We searched PubMed for relevant articles published up to January 2018 and focused on those that described EMR-enabled CDSS that assisted prescribers to make changes at the time of ordering PIMs in adults. Computerized systems offering only medication reconciliation, dose checks, monitoring for medication errors, or basic formulary information were not included. In addition to outcome measures of medication-related processes and adverse drug events, qualitative data relating to factors that influence effectiveness of EMR-enabled CDSS were also gathered from selected studies. We analysed 20 studies comprising 10 randomized trials and 10 observational studies performed in hospitals (
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