BMJ quality & safety
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BMJ quality & safety · Sep 2018
Randomized Controlled TrialNext-generation audit and feedback for inpatient quality improvement using electronic health record data: a cluster randomised controlled trial.
Audit and feedback improves clinical care by highlighting the gap between current and ideal practice. We combined best practices of audit and feedback with continuously generated electronic health record data to improve performance on quality metrics in an inpatient setting. ⋯ The trial was registered with ClinicalTrials.gov (NCT02593253).
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BMJ quality & safety · Sep 2018
Comparative StudyImpact of a commercial order entry system on prescribing errors amenable to computerised decision support in the hospital setting: a prospective pre-post study.
In this UK study, we investigated the impact of computerised physician order entry (CPOE) and clinical decision support (CDS) implementation on the rate of 78 high-risk prescribing errors amenable to CDS. ⋯ Implementation of CPOE with CDS was associated with clinically important reductions in the rate of high-risk prescribing errors. Given the pre-post design, these findings however need to be interpreted with caution. The occurrence of errors was found to be highly dependent on the level of restriction of CDS presented to the prescriber, with the effect that different configurations of the same CPOE system can produce very different results.