TAILIEUCHUNG - báo cáo khoa học: "Computerized clinical decision support systems for primary preventive care: A decision-makerresearcher partnership systematic review of effects on process of care and patient outcomes"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài:Computerized clinical decision support systems for primary preventive care: A decision-makerresearcher partnership systematic review of effects on process of care and patient outcomes | Souza et al. Implementation Science 2011 6 87 http content 6 1 87 Implementation Science IMPLEMENTATION SCIENCE SYSTEMATIC REVIEW Open Access Computerized clinical decision support systems for primary preventive care A decision-makerresearcher partnership systematic review of effects on process of care and patient outcomes Nathan M Souza1 Rolf J Sebaldt2 Jean A Mackay3 Jeanette C Prorok3 Lorraine Weise-Kelly3 Tamara Navarro3 Nancy L Wilczynski3 and R Brian Haynes2 3 4 for the CCDSS Systematic Review Team Abstract Background Computerized clinical decision support systems CCDSSs are claimed to improve processes and outcomes of primary preventive care PPC but their effects safety and acceptance must be confirmed. We updated our previous systematic reviews of CCDSSs and integrated a knowledge translation approach in the process. The objective was to review randomized controlled trials RCTs assessing the effects of CCDSSs for PPC on process of care patient outcomes harms and costs. Methods We conducted a decision-maker-researcher partnership systematic review. We searched MEDLINE EMBASE Ovid s EBM Reviews Database Inspec and other databases as well as reference lists through January 2010. We contacted authors to confirm data or provide additional information. We included RCTs that assessed the effect of a CCDSS for PPC on process of care and patient outcomes compared to care provided without a CCDSS. A study was considered to have a positive effect . CCDSS showed improvement if at least 50 of the relevant study outcomes were statistically significantly positive. Results We added 17 new RCTs to our 2005 review for a total of 41 studies. RCT quality improved over time. CCDSSs improved process of care in 25 of 40 63 RCTs. Cumulative scientifically strong evidence supports the effectiveness of CCDSSs for screening and management of dyslipidaemia in primary care. There is mixed evidence for effectiveness in screening for cancer and mental .

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