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Journal : Indonesian Journal of Electrical Engineering and Computer Science

Do clinical decision support systems for prescribing improve patient safety? a systematic literature review Sri Kusumadewi; Isnatin Miladiyah
Indonesian Journal of Electrical Engineering and Computer Science Vol 30, No 3: June 2023
Publisher : Institute of Advanced Engineering and Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijeecs.v30.i3.pp1748-1761

Abstract

Clinical decision support systems (CDSS) are developed independently or connected to the electronic health record (EHR) or other computerized systems. The study begins with identification by searching the literature through the Google Scholar, PubMed and ScienceDirect databases. The search results obtained 5,595 articles. Forty-two articles were obtained, which were used further. Most of the research focus is on "CDSS development and evaluation". In terms of impacts, the most common is "reduce prescribing errors". One of the biggest problems reported was the presence of "alert fatigue," which was felt to be disturbing to doctors and pharmacists. CDSS must be supported by a method that is able to indicate the presence of drug-drug interactions (DDI). The use of alerts indicating the presence of a DDI should be interpreted using clinical judgment to determine the risks and benefits of a particular drug for a specific patient. The performance of CDSS is mostly reported to have been able to reduce prescribing errors, which in turn will improve patient safety. However, increased adherence to clinical protocols has not been widely reported. Complaints that are still quite a lot reported are the presence of "alert fatigue", which can interfere with effectiveness.
Co-Authors Abd. Halim Achmad Khodzim Agus Harjoko AGUS RIYANTO Al Amin, Muhammad Zainudin Alatas, Alwi Achmad Alfian Nurlifa Alysia Nurkhalisha Andika, Zikri Dwi Andri Panca Purnama Ardhitya Wiedha Irawan Aridhanyati Arifin Arifianto, July Arkham Zahri Rakhman Arrie Kurniawardhani Bayu Hartono Bediatra, Muhamad Riko Bhaskara, Adwitya Chaela Rosi Budiarti Chandra Putra Pradana Chanifah I. Ratnasari Chanifah Indah Ratnasari Dhina Puspasari Wijaya, Dhina Puspasari Dzikra Rafik Putra Edi Fitriyanto Edi Fitriyanto Elyza Gustri Wahyuni Erlina Marfianti, Erlina FAJAR SETIAWAN Fitri Nugraheni Fitriyanto, Raden Edi Frestiany Regina Putri Geralvin Maheswara Gita Putry Nabilah Gita Putry Nabilah, Gita Putry Hardiyanti, Cicin Hari Purnomo Heksaputra, Dadang Helmanatun Nisa Wulandari Heni Pujiastuti Hepi Wahyuningsih Herman Yuliansyah Idham Guswaludin Intan Ruspita Ipin Prasojo, Ipin Isnatin Miladiyah Iswara, Ruhil Izzati Muhimmah Jannah, Helmi Roichatul Kariyam - khanan khanan KHARISMA ERIZON Kholisoh Nur Sinta Kiki Kiki Kukuh Eka Nugraha Kusumaningrum, Trias Pungkur Lia Rosmalia Lia Rosmalia Linda Rosita Lizda Iswari Lusiana Indriasari Sagita Lusiana Indriasari Sagita Magus Sediono Mahesti Rancaksari Mufidah, Nadia Citra Muhamad Arifin, Muhamad Nabila Sholihah, Nabila Nadya Satya Handayani Neny Sulistianingsih Ninki Hermaduanti Numan Numan Nur W. Rahayu Nur Wachid Adi Prasetya Nurhayati Nurhayati Nurlaili Muzayyanah Nurul Bahiyah Nurul Mega Saraswati Pahri, Andi Nur Ilma PandiAstuti, Dien NoorFawziah Parjono, Parjono Prasetyo, Dono Catur Rahadian Kurniawan Rakhmat Wahyu Widiantoro Rani Putriana Rani Putriana, Rani Retantyo Wardoyo Rian Anggraeni Ridho Muktiadi Rika Ismayanti Roma Firmansyah Ruslam, Andri Wahyu Ahmad Sabella, Billy Sagala, Muhammad Zikri Khatami Sagita, Lusiana Indriasari Setya Winarno Shofwan Hanif Sri Hartati Sri Mulyati sri mulyati Sri Winiarti Subayu, Abdi Sujarwo, Ari Sukma Puspitorini Supardianto Supadianto Syafiul Muzid Syaiful Hendra Tanti, Wa Ode Tedy Rismawan WAHYU PRABOWO Wawan Indarto Wijaya, Guruh Yuantari, Rahma Yuliansyah, Herman Yunita Wisda Tumarta Arif