Evidence map›Paper›PMID 31731589›Full record

ArticleDiagnostics (Basel, Switzerland)2019

Unexpected Increase in Benzodiazepine Prescriptions Related to the Introduction of an Electronic Prescribing Tool: Evidence from Multicenter Hospital Data.

Rosaria Del Giorno, Carmen Schneiders, Kevyn Stefanelli, Alessandro Ceschi, Sandor Gyoerik-Lora, Irene Aletto, Luca Gabutti

Open access · goldAbstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 25% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Rosaria Del GiornoDepartment of Internal Medicine, Regional Hospital of Bellinzona and Valli, 6500 Bellinzona, Switzerland.ORCID 0000-0001-5206-8865
Carmen SchneidersDepartment of Internal Medicine, Regional Hospital of Bellinzona and Valli, 6500 Bellinzona, Switzerland.
Kevyn StefanelliDepartment of Social Sciences and Economics, Sapienza University of Rome, 00186 Rome, Italy.
Alessandro CeschiDivision of Clinical Pharmacology and Toxicology, Institute of Pharmacological Sciences of Southern Switzerland, Ente Ospedaliero Cantonale, 6900 Lugano, Switzerland.ORCID 0000-0002-4308-0405
Sandor Gyoerik-LoraDepartment of Internal Medicine, Regional Hospital of Bellinzona and Valli, 6500 Bellinzona, Switzerland.
Irene AlettoDepartment of Internal Medicine, Regional Hospital of Bellinzona and Valli, 6500 Bellinzona, Switzerland.
Luca GabuttiDepartment of Internal Medicine, Regional Hospital of Bellinzona and Valli, 6500 Bellinzona, Switzerland.ORCID 0000-0002-1929-6759
Ospedale Regionale di Bellinzona e Valli · CHEnte Ospedaliero Cantonale · CHSapienza University of Rome · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Electronic Prescribing tools (e-prescribing) have shown several benefits in terms of prescribing process adequacy and health care quality in hospital settings. We hypothesize however, that an undesired effect of digitalisation, due to the easier and faster prescribing process allowing patients to skip face-to-face conversations with patients and nurses, is that it could facilitate the prescription of medications at high risk of overuse or abuse, such as benzodiazepines (BZDs). We conducted a panel data study to investigate, the impact of the introduction of an e-prescribing system on new BZD prescriptions in hospitalised patients in a network of five teaching hospitals. During the observation period 1 July 2014-30 April 2019, 43,320 admissions were analysed. A fixed-effects model was adopted to estimate the effect of e-prescribing on new BZD prescriptions. E-prescribing implementation was associated with a significant increase of new BZD prescriptions: absolute +1.5%, and relative +43% (

Indexed as

Benzodiazepineselectronic prescribing toolhospitalincreaseprescriptionsunexpected

Identifiers

PMID31731589
PMCPMC6963612
OpenAlexW2983435745

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.