Systematic review of clinical decision support interventions with potential for inpatient cost reduction

BMC Medical Informatics and Decision Making
Christopher L FillmoreKensaku Kawamoto

Abstract

Healthcare costs are increasing rapidly and at an unsustainable rate in many countries, and inpatient hospitalizations are a significant driver of these costs. Clinical decision support (CDS) represents a promising approach to not only improve care but to reduce costs in the inpatient setting. The purpose of this study was to systematically review trials of CDS interventions with the potential to reduce inpatient costs, so as to identify promising interventions for more widespread implementation and to inform future research in this area. To identify relevant studies, MEDLINE was searched up to July 2013. CDS intervention studies with the potential to reduce inpatient healthcare costs were identified through titles and abstracts, and full text articles were reviewed to make a final determination on inclusion. Relevant characteristics of the studies were extracted and summarized. Following a screening of 7,663 articles, 78 manuscripts were included. 78.2% of studies were controlled before-after studies, and 15.4% were randomized controlled trials. 53.8% of the studies were focused on pharmacotherapy. The majority of manuscripts were published during or after 2008. 70.5% of the studies resulted in statistically and clinically sig...Continue Reading

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Citations

Feb 24, 2016·Journal of Clinical Monitoring and Computing·Arnaud BelardEric Elster
Jun 23, 2016·Journal of the American Medical Informatics Association : JAMIA·Karen Dunn LopezJoanna Abraham
Oct 17, 2017·Journal of the American Medical Informatics Association : JAMIA·Erin G Stone
Apr 17, 2019·Journal of the American Medical Informatics Association : JAMIA·Philip J ScottCharles P Friedman
Jun 2, 2020·Annals of Internal Medicine·Kensaku Kawamoto, Clement J McDonald
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Jun 27, 2018·Implementation Science : IS·Stijn Van de VeldeUNKNOWN GUIDES expert panel
Feb 12, 2020·Cancers·Claudia MazoWilliam M Gallagher
Jun 24, 2017·Journal of the American Medical Informatics Association : JAMIA·Alvin D JefferyLorraine C Mion
Oct 17, 2020·JMIR Medical Informatics·David KaoKris Stegner

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Methods Mentioned

BETA
pharmacotherapy

Software Mentioned

Religent
Clinica Software
Clinica
CustomID
SEBASTIAN
DXplain

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