Reviewing the impact of computerized provider order entry on clinical outcomes: The quality of systematic reviews

Weir, Charlene R.; Staggers, Nancy; Laukert, Tamara

doi:10.1016/j.ijmedinf.2012.01.009

Cited by 28 publications

(21 citation statements)

References 51 publications

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“…83,84,91–95 Yet with the availability and promotion of methodological and reporting standards for systematic reviews, 16,96–98 we expect reliable conduct and reporting of systematic reviews published in the literature to increase. Well-reported methods may not accord with methods actually used to conduct the review, however.…”

Section: Discussionmentioning

confidence: 99%

Interventions for Age-Related Macular Degeneration

Lindsley

Ssemanda

et al. 2016

Ophthalmology

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Topic Are existing systematic reviews of interventions for age-related macular degeneration incorporated into clinical practice guidelines? Clinical relevance High-quality systematic reviews should be used to underpin evidence-based clinical practice guidelines and clinical care. We have examined the reliability of systematic reviews of interventions for age-related macular degeneration (AMD) and described the main findings of reliable reviews in relation to clinical practice guidelines. Methods Eligible publications are systematic reviews of the effectiveness of treatment interventions for AMD. We searched a database of systematic reviews in eyes and vision and employed no language or date restrictions; the database is up-to-date as of May 6, 2014. Two authors independently screened records for eligibility and abstracted and assessed the characteristics and methods of each review. We classified reviews as “reliable” when they reported eligibility criteria, comprehensive searches, appraisal of methodological quality of included studies, appropriate statistical methods for meta-analysis, and conclusions based on results. We mapped treatment recommendations from the American Academy of Ophthalmology Preferred Practice Patterns (AAO PPP) for AMD to the identified systematic reviews and assessed whether any reliable systematic review was cited or could have been cited to support each treatment recommendation. Results Of 1,570 systematic reviews in our database, 47 met our inclusion criteria. Most of the systematic reviews targeted neovascular AMD and investigated anti-vascular endothelial growth factor (anti-VEGF) interventions, dietary supplements or photodynamic therapy. We classified over two-thirds (33/47) of the reports as reliable. The quality of reporting varied, with criteria for reliable reporting met more often for Cochrane reviews and for reviews whose authors disclosed conflicts of interest. Although most systematic reviews were reliable, anti-VEGF agents and photodynamic therapy were the only interventions identified as effective by reliable reviews. Of 35 treatment recommendations extracted from the AAO PPP, 15 could have been supported with reliable systematic reviews; however, only one recommendation had an accompanying intervention systematic review citation, which we assessed as a reliable systematic review. No reliable systematic review was identified for 20 treatment recommendations, highlighting areas of evidence gaps. Conclusions For AMD, reliable systematic reviews exist for many treatment recommendations in the AAO PPP and should be used to support these recommendations. We also identified areas where no high-level evidence exists. Mapping clinical practice guidelines to existing systematic reviews is one way to highlight areas where evidence generation or evidence synthesis is either available or needed.

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Section: Discussionmentioning

confidence: 99%

Interventions for Age-Related Macular Degeneration

Lindsley

Ssemanda

et al. 2016

Ophthalmology

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“…Consequently, the findings of much of the past quantitative research do not provide precise quantitative information and results. 30 Moreover, the past research has hardly developed and validated a theoretical model for usability. 13,32 The above shortcomings motivated us to use a quantitative research method and investigate the impacts of e-prescribing systems' usability on the reduction of community physicians' mental workload and prescribing errors.…”

Section: Discussionmentioning

confidence: 99%

“…29 On the other hand, quantitative research can help overcome these limitations. 29 However, most of the few available empirical studies suffer from inaccuracy as recently Weir et al 30 20,24,31 Another limitation is that the past research in this field has hardly developed and tested a theoretical usability model. 13,32 Therefore, the use of models to empirically examine the influence of e-prescribing on users' outcomes is desirable.…”

Section: Introductionmentioning

confidence: 99%

Electronic Prescribing Usability: Reduction of Mental Workload and Prescribing Errors Among Community Physicians

Shah

Peikari

2016

Telemedicine and e-Health

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Background: Medical errors are common in hospitals, and research is always needed to find ways of reducing these. This study attempts to address three gaps in this field. First, the factors leading to the reduction of mental workload and its relationship with the reduction of prescribing errors by improving electronic prescribing (e-prescribing) usability have not been empirically examined before. Second, the past research in the field of e-prescribing usability lacks robust theoretical models. Third, there are no existing studies to examine the direct influences of user interface consistency and error prevention with the reduction of mental workload and prescribing errors. Materials and Methods: A quantitative survey method was used to collect data from 188 community physicians. The partial least squares path modeling technique was applied to analyze the data. Results: Prescribing errors were reduced by improving the information quality, user interface consistency, system ease of use, and mental workload reduction. Mental workload is reduced by ease of use, error prevention, and consistency. No significant relationships between prescribing error reduction with error prevention and also between information quality with mental workload reduction were found. Conclusions: The designers of e-prescribing should improve the error prevention and consistency of the system and make it easy to use if they wish for the system to reduce users' mental workload. They should also improve the system information quality, ease of use, and consistency if they claim that their system reduces physicians' prescribing errors. The system should also reduce users' mental workload to meet this objective.

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“…5 There is a large body of literature on the experiences of specific organizations and providers in implementing electronic health records (EHRs) and other related applications such as e-prescribing and computerized physician order entry systems. [6][7][8][9] ICTs can also enable new ways of delivering care. For example, telehealth can provide access to advanced services that would not otherwise be available in rural and remote areas.…”

Section: Background and Significancementioning

confidence: 99%

International health IT benchmarking: learning from cross-country comparisons

Zelmer

Ronchi

Hyppönen

et al. 2016

Journal of the American Medical Informatics Association

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Objective: To pilot benchmark measures of health information and communication technology (ICT) availability and use to facilitate cross-country learning. Materials and Methods: A prior Organization for Economic Cooperation and Development–led effort involving 30 countries selected and defined functionality-based measures for availability and use of electronic health records, health information exchange, personal health records, and telehealth. In this pilot, an Organization for Economic Cooperation and Development Working Group compiled results for 38 countries for a subset of measures with broad coverage using new and/or adapted country-specific or multinational surveys and other sources from 2012 to 2015. We also synthesized country learnings to inform future benchmarking. Results: While electronic records are widely used to store and manage patient information at the point of care—all but 2 pilot countries reported use by at least half of primary care physicians; many had rates above 75%—patient information exchange across organizations/settings is less common. Large variations in the availability and use of telehealth and personal health records also exist. Discussion: Pilot participation demonstrated interest in cross-national benchmarking. Using the most comparable measures available to date, it showed substantial diversity in health ICT availability and use in all domains. The project also identified methodological considerations (e.g., structural and health systems issues that can affect measurement) important for future comparisons. Conclusion: While health policies and priorities differ, many nations aim to increase access, quality, and/or efficiency of care through effective ICT use. By identifying variations and describing key contextual factors, benchmarking offers the potential to facilitate cross-national learning and accelerate the progress of individual countries.

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Reviewing the impact of computerized provider order entry on clinical outcomes: The quality of systematic reviews

Cited by 28 publications

References 51 publications

Interventions for Age-Related Macular Degeneration

Interventions for Age-Related Macular Degeneration

Electronic Prescribing Usability: Reduction of Mental Workload and Prescribing Errors Among Community Physicians

International health IT benchmarking: learning from cross-country comparisons

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