Evidence map›Paper›PMID 42261355›Full record

ArticleJAMIA open2026

Verification of the value of optimization of the medication-related clinical decision support system in China, a hospital-based study.

Shan Ran, Dongshi Gu, Jing Xie, Kang Jiang, Nannan Yao, Zhonghong Fang, Tetsuya Asakawa, Ning Zhang, Huan Fang

Abstract read
In one paragraph

Article in JAMIA open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

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.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Shan RanDepartment of Clinical Pharmacy, Jinshan Hospital of Fudan University, Shanghai, 201508, China.
Dongshi GuDepartment of Clinical Pharmacy, Jinshan Hospital of Fudan University, Shanghai, 201508, China.
Jing XieDepartment of Clinical Pharmacy, Jinshan Zhongren Geriatric Nursing Hospital, Shanghai, 201501, China.
Kang JiangDepartment of Clinical Pharmacy, Jinshan Hospital of Fudan University, Shanghai, 201508, China.
Nannan YaoDepartment of Clinical Pharmacy, Jinshan Hospital of Fudan University, Shanghai, 201508, China.
Zhonghong FangDepartment of Clinical Pharmacy, Jinshan Hospital of Fudan University, Shanghai, 201508, China.
Tetsuya AsakawaInstitute of Neurology, National Clinical Research Center for Infectious Diseases, Shenzhen Third People's Hospital, Shenzhen, Guangdong Province 518112, China.ORCID https://orcid.org/0000-0002-2300-3509
Ning ZhangDepartment of Clinical Pharmacy, Jinshan Hospital of Fudan University, Shanghai, 201508, China.
Huan FangDepartment of Clinical Pharmacy, Jinshan Hospital of Fudan University, Shanghai, 201508, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study evaluated the optimization of a medication-related clinical decision support system (MRCDSS) in a 1000-bed general hospital in China by analyzing clinician responses. Methods: The indices "Alert generation rate," "Pharmacist review appropriateness rate," "Prescription appropriateness," and "Override rates" were assessed for senior and junior clinicians before (March-May 2021) and after optimization (March-May 2023). Results: Significant reductions in "Alert generation" and "Total override rates," and significant increases in "Pharmacist review appropriateness rate" and "Prescription appropriateness rate" were observed across all clinician levels. MRCDSS optimization improved prescription appropriateness more efficiently in junior clinicians, whereas senior clinicians had a greater impact on MRCDSS decision making. Discussion: The findings confirm the value of continuous MRCDSS optimization in enhancing prescription quality, reducing alert generation and override rates, and improving the consensus between clinicians and pharmacists. Conclusion: We confirmed the importance of constant optimization in the application of the MRCDSS in clinical settings.

Indexed as

alert appropriatenessalertsmedication-related clinical decision support system (MRCDSS)overrideprescription quality

Identifiers

PMID42261355
PMCPMC13242944

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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.