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báo cáo khoa học: " Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: Methods of a decision-makerresearcher partnership systematic review"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: Methods of a decision-makerresearcher partnership systematic review | Haynes et al. Implementation Science 2010 5 12 http www.implementationscience.eom content 5 1 12 Implementation Science IMPLEMENTATION SCIENCE STUDY PROTOCOL Open Access Effects of computerized clinical decision support systems on practitioner performance and patient outcomes Methods of a decision-makerresearcher partnership systematic review R Brian Haynes Nancy L Wilczynski the Computerized Clinical Decision Support System CCDSS Systematic Review Team Abstract Background Computerized clinical decision support systems are information technology-based systems designed to improve clinical decision-making. As with any healthcare intervention with claims to improve process of care or patient outcomes decision support systems should be rigorously evaluated before widespread dissemination into clinical practice. Engaging healthcare providers and managers in the review process may facilitate knowledge translation and uptake. The objective of this research was to form a partnership of healthcare providers managers and researchers to review randomized controlled trials assessing the effects of computerized decision support for six clinical application areas primary preventive care therapeutic drug monitoring and dosing drug prescribing chronic disease management diagnostic test ordering and interpretation and acute care management and to identify study characteristics that predict benefit. Methods The review was undertaken by the Health Information Research Unit McMaster University in partnership with Hamilton Health Sciences the Hamilton Niagara Haldimand and Brant Local Health Integration Network and pertinent healthcare service teams. Following agreement on information needs and interests with decision-makers our earlier systematic review was updated by searching Medline EMBASE EBM Review databases and Inspec and reviewing reference lists through 6 January 2010. Data extraction items were expanded according to input from decision-makers. Authors of primary studies were