Use of Clinical Decision Support Systems for Kidney-Related Drug Prescribing: A Systematic Review

Evaluation of clinical rules in a standalone pharmacy based clinical decision support system for hospitalized and nursing home patients

“…Kane-Gill et al [12] showed that such clinical rules can detect adverse drug reactions in the ICU. Tawadrous et al [13] showed, in a systematic review, that such clinical rules have a beneficial effect on renal function related drug prescribing. In total, 32 studies were examined of which 17 (53%) involved computerized CDSSs.…”

Reducing Prescribing Errors Through Creatinine Clearance Alert Redesign

“…[3][4][5][6][7] Computerized alerts can reduce prescribing errors associated with nephrotoxic medications, renally cleared medications, and renal impairment. 6,[8][9][10][11][12] However, the approach to presenting information to providers via alerts may affect how providers assess and use that information. [13][14][15] For example, if the alert information is unclear this can result in inappropriate prescribing and increased patient risks.…”

A health record integrated clinical decision support system to support prescriptions of pharmaceutical drugs in patients with reduced renal function: Design, development and proof of concept

“…Often prescribing physicians do not consider the renal function of the patients, rely on their clinical experience, consult FASS (the Swedish Physicians' Desk Reference) or occasionally take advice from a consultant physician with specific knowledge in the field or from a clinical pharmacologist. Automated CDSS for kidney related drug prescribing has previously shown promise in reducing medication errors and improving the frequency of appropriate dosing in hospital care [18,19] and can reduce the occurrence of preventable adverse drug effects related to the renal function [20]. Successful CDSS frequently use automated data entry and real time feedback [21].…”