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PubMed · 7753146

Computer-based drug-utilization review--risk, benefit, or boondoggle?

S B Soumerai·H L Lipton
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Clinical Pharmacy Information SystemsDrug PrescriptionsDrug UtilizationDrug Utilization ReviewHealth ExpendituresMedicaidMedical RecordsRetrospective StudiesUnited StatesCommentJournal ArticleResearch Support, Non-U.S. Gov'tResearch Support, U.S. Gov't, P.H.S.

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S B Soumerai, H L Lipton. 1995-06-15. Computer-based drug-utilization review--risk, benefit, or boondoggle?. https://doi.org/10.1056/nejm199506153322411

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[Clinical decision support: Is the number of medication errors reduced?].

22 papers on clinical decision support (CDS) for computer physician order entry (CPOE) and the ability to reduce medication errors were reviewed. Among the 22 original clinical trials, 21 demonstrated a reduced number of medication errors after the implementation of CDS. The effect was strongest for 2nd and 3rd generation of the CDS-systems. CPOE with CDS is time consuming and may generate new medication errors in itself. All the trials had poor designs. A Danish data source for CDS has not yet been established.

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