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Table 4 Studies reporting at least one positive outcome and ≥ 50% significant outcomes in favour of CDSS

From: Do computerised clinical decision support systems for prescribing change practice? A systematic review of the literature (1990-2007)

 

Before Drug Selection (n = 26) n/N (%)

After Drug Selection (n = 12) n/N (%)

Monitoring

(n = 23) n/N (%)

 

At least one positive outcome

≥ 50% statistically significant outcomes

At least one positive outcome

≥ 50% statistically significant outcomes

At least one positive outcome

≥ 50% statistically significant outcomes

Overall

24/26 (92)

12/26 (46)

12/12 (100)

7/12 (58)

18/23 (78)

8/23 (35)

Initiation of CDSS

      

System

19/20 (95)

12/20 (60)

12/12 (100)

7/12 (58)

9/11 (82)

6/11 (55)

User

2/3 (67)

0/3 (0)

NA

NA

9/11 (82)

2/11 (18)

Mixed/Unclear

3/3 (100)

0/3 (0)

NA

NA

0/1 (0)

0/1 (0)

Clinical Setting

      

Institutional

5/5 (100)

3/5 (60)

5/5 (100)

4/5 (80)

6/7(86)

3/7 (43)

Ambulatory Care

18/20 (90)

8/20 (40)

7/7 (100)

3/7 (43)

10/14 (71)

4/14 (29)

Both

1/1 (100)

1/1 (100)

NA

NA

2/2 (100)

1/2 (50)

Mode of Delivery

      

Multi-faceted

13/15 (87)

5/15 (33)

NA

NA

5/7 (71)

2/7 (29)

CDSS only

11/11(100)

7/11 (64)

12/12 (100)

7/12 (58)

13/16 (81)

6/16 (38)

Clinical Area

      

Cardiovascular

13/16 (81)

4/16 (25)

1/1 (100)

0/1 (0)

2/3 (67)

1/3 (33)

Antibiotics

2/2 (100)

1/2 (50)

6/6 (100)

4/6 (67)

1/1 (100)

0/1 (0)

Vaccinations

8/9 (89)

5/9 (56)

NA

NA

NA

NA

Respiratory

1/2 (50)

0/2 (0)

3/3 (100)

1/3 (33)

2/5 (40)

1/5 (20)

Anticoagulants

3/3 (100)

2/3 (67)

NA

NA

9/9 (100)

2/9 (22)

Elderly

NA

NA

4/4 (100)

2/4 (50)

0/1 (0)

0/1 (0)

Osteoporosis

2/2 (100)

1/2 (50)

NA

NA

NA

NA

Other

3/4 (75)a

3/4 (75)a

2/2 (100)b

2/2 (100)b

5/6 (83)c

4/6 (67)c

  1. a Other clinical areas include: salicylates or paracetamol in patients with history of GI bleed; erythropoietin low Hb; HIV medications; various medications
  2. b Other clinical areas include: various medications interacting with warfarin; various conditions in children (e.g. croup, otitis media)
  3. c Other clinical areas include: hormone treatment for infertility; etretinate for psoriasis; HIV medications; various conditions (e.g. epilepsy, gout, diabetes).