A critical appraisal of the literature on the effects of computer-based clinical decision support systems on clinician performance and patient outcomes.

  • 1 January 1992
    • journal article
    • p. 626-30
Abstract
To review the evaluations of computer-based clinical decision support systems (CDSS's). The literature collected in the MEDLARS, EMBASE, SCISEARCH and INSPEC databases was searched from 1974 to the present. The reference lists of relevant articles were reviewed as were conference proceedings. Prospective, controlled studies were included. Studies were rated for methodological quality. Study quality was assessed and data on study setting, subjects, method of allocation, and computer system were collected and verified using a structured form. There is considerable heterogeneity in both systems evaluated and design features of those systems. Future evaluations of CDSS's should focus on methodological issues in order to enhance overall quality of evaluations.