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- W2188889694 abstract "Institute for Clinical Pharmacy and Pharmacotherapy, Heinrich-Heine-University of Dusseldorf, Germany. Abstract Context: The use of computerized physician order entry (CPOE) and clinical decision support (CDS) systems has increased significantly in care. The increasing use of technologies in health care usually leads to guidelines and standards due to harmonization processes. The precursors of those processes are systematic reviews of the present information. Objective: We reviewed the literature for descriptions of features that are actually recommended for CPOE/CDS systems in hospital settings worldwide. Methods: A systematic review of the MEDLINE and EMBASE databases was conducted without restrictions on publication date, language, or study type. Inclusion criteria comprised: recommendations for CPOE +/- CDS features important to pharmacological therapy in a general hospital setting, published within the last 10 years. We identified, standardized and classified the recommendations according to their grade. Results: Forty-two recommended features were identified in 5 included articles and classified into 3 categories (16 minimum, 19 when possible and 7 could be requirements). The 16 minimum requirements for CPOE/CDS systems comprised basic dosing information as well as basic anthropometric information. In addition, we were able to define 6 pediatric exclusive features - e.g., off-label treatment protocols. The identified recommendations were primarily published by the American Academy of Pediatrics (AAP) and in the USA. Summary Objective and Methods: We reviewed the literature for descriptions of features which are actually recommended for computerized physician order entry (CPOE) / clinical decision support (CDS) systems in hospital settings worldwide. To accomplish our objective, we conducted a systematic review in MEDLINE and EMBASE databases without restrictions on publication date, language, or study type. Titles, abstracts, and full text articles were included if they reported about recommended computerized physician order entry +/- clinical decision support features important to pharmacological therapy in a general hospital setting and were published within the last 10 years. We identified, standardized and classified the recommendations according to their grade. Results: We identified forty-two recommended features within the included articles and classified them into three categories (minimum, when possible and could be requirements). The identified minimum requirements for CPOE/CDS systems comprised basic dosing information as well as basic anthropometric information. In addition, we were able to define six `pediatric exclusivefeatures - e.g., off-label treatment protocols. The identified recommendations were primarily published by the American Academy of Pediatrics and in the USA. Conclusions: This systematic review summarized the present published recommended features for CPOE/CDS systems. We were able to provide a standardized and graded set of features which provide information to optimize current CPOE/ CDS systems. In addition we see room for improvement in scientific research regarding recommendations for CPOE/CDS systems in countries outside the USA." @default.
- W2188889694 created "2016-06-24" @default.
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- W2188889694 date "2015-03-15" @default.
- W2188889694 modified "2023-09-24" @default.
- W2188889694 title "Recommendations for Inpatient Pediatric CPOE/CDS Systems - A Systematic Review" @default.
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- W2188889694 doi "https://doi.org/10.24947/2380-5552/1/1/103" @default.
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