A systematic review of the effects of implementing clinical pathways supported by health information technologies

Journal of the American Medical Informatics Association : JAMIA
Matthew T NeameDaniel B Hawcutt

Abstract

Health information technology (HIT) interventions include electronic patient records, prescribing, and ordering systems. Clinical pathways are multidisciplinary plans of care that enable the delivery of evidence-based healthcare. Our objective was to systematically review the effects of implementing HIT-supported clinical pathways. A systematic review protocol was developed including Medline, Embase, and CENTRAL database searches. We recorded data relating to study design, participants, intervention, and outcome characteristics and formally assessed risk of bias. Forty-four studies involving more than 270 000 patients were included. Investigation methodologies included before-after (n = 16, 36.4%), noncomparative (n = 14, 31.8%), interrupted time series (n = 5, 11.4%), retrospective cohort (n = 4, 9.1%), cluster randomized (n = 2, 4.5%), controlled before-after (n = 1, 2.3%), prospective case-control (n = 1, 2.3%), and prospective cohort (n = 1, 2.3%) study designs. Clinical decision support (n = 25, 56.8%), modified electronic documentation (n = 23, 52.3%), and computerized provider order entry (n = 23, 52.3%) were the most frequently utilized HIT interventions. The majority of studies (n = 38, 86.4%) reported benefits associa...Continue Reading

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Citations

Mar 7, 2019·Journal of the American Medical Informatics Association : JAMIA·Suzanne Bakken
Nov 5, 2020·Journal of the American College of Emergency Physicians Open·Jerry ChackoUNKNOWN PERUKI
Jan 11, 2021·International Journal of Medical Informatics·M AskariJ Klundert
Jul 22, 2020·American Journal of Obstetrics and Gynecology·Kimberly K VescoAmanda L Clark

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