The impact of electronic decision support on transfusion practice: a systematic review
Written by: Stephen P. Hibbs, Nathan D. Nielsen, Susan Brunskill, Carolyn Doree, Mark H. Yazer, Richard M. Kaufman, and Michael F. Murphy [1]
Introduction
The purpose of this paper is to make a systematic review of studies examining the effects of clinical decision support system (CDSS) on the following: 1) prescriber compliance on blood transfusion guidelines, 2) average pre-transfusion blood counts or coagulation parameters as a surrogate of compliance, 3) amount of blood usage, 4) financial outcomes, 5) patient outcomes, 6) educational outcomes, and 7) clinician workflows.
Methods
A search was made through MEDLINE with the following criteria for studies: 1) discuss and investigate use of a decision support system for blood ordering, 2) give recommendations for transfusion of red blood cell (RBC), plasma, platelets, and/or cryoprecipitae, an d 3) report outcomes of interest: 1) prescriber compliance on blood transfusion guidelines, 2) average pre-transfusion blood counts or coagulation parameters as a surrogate of compliance, 3) amount of blood usage, 4) financial outcomes, 5) patient outcomes, 6) educational outcomes, and 7) clinician workflows.
Results
Discussion
Conclusion
Comment
Reference
- ↑ Hibbs, S. P., Nielsen, N. D., Brunskill, S., Doree, C., Yazer, M. H., Kaufman, R. M., & Murphy, M. F. (2015). The impact of electronic decision support on transfusion practice: A systematic review. Transfusion Medicine Reviews, 29(1), 14-23. doi:http://dx.doi.org.ezproxyhost.library.tmc.edu/10.1016/j.tmrv.2014.10.002