PittsburghV1, Main, Exploration, bibRecord, 000272

The impact of electronic decision support on transfusion practice: a systematic review.

Identifieur interne : 000272 ( Main/Exploration ); précédent : 000271; suivant : 000273

The impact of electronic decision support on transfusion practice: a systematic review.

Auteurs : Stephen P. Hibbs [Royaume-Uni] ; Nathan D. Nielsen [États-Unis] ; Susan Brunskill [Royaume-Uni] ; Carolyn Doree [Royaume-Uni] ; Mark H. Yazer [États-Unis] ; Richard M. Kaufman [États-Unis] ; Michael F. Murphy [Royaume-Uni]

Source :

Transfusion medicine reviews [ 1532-9496 ] ; 2015.

RBID : pubmed:25535095

Descripteurs français

English descriptors

KwdEn :
- Automatic Data Processing (standards), Blood Transfusion (standards), Blood Transfusion (utilization), Case-Control Studies, Decision Support Systems, Clinical, Guideline Adherence, Humans, Patient Outcome Assessment, Practice Guidelines as Topic, Professional Practice (standards).
MESH :
- standards : Automatic Data Processing, Blood Transfusion, Professional Practice.
- utilization : Blood Transfusion.
- Case-Control Studies, Decision Support Systems, Clinical, Guideline Adherence, Humans, Patient Outcome Assessment, Practice Guidelines as Topic.

Abstract

Decision support systems (DSSs) provide clinicians with tailored treatment recommendations by combining individual patient information and local guidelines. The objective of this systematic review was to assess the effects of electronic DSS on blood product ordering practices. Eligible studies were identified from searches of MEDLINE, Embase, CINAHL, The Cochrane Library, PubMed, and the Transfusion Evidence Library from January 2000 to April 2014. Of these, 23 articles were eligible, resulting in the inclusion of 20 independent studies in this systematic review. There was a significant variation in study population, the type of DSS used, and outcome reporting. All but one study used a before-after design without any element of randomization. Overall, there is good evidence that implementation of a DSS improves red blood cell usage. The effect of a DSS on plasma, platelets, and cryoprecipitate usage is less clear probably because fewer studies have been conducted focusing on these products. In addition, the introduction of a DSS resulted in cost savings in the 7 studies that reported financial outcomes. Patient outcomes were generally not studied in detail, and there were few data on the sustainability of the effect of DSS. Further data are needed to assess the effect of a DSS on blood products other than red blood cell, and future studies should standardize reporting of outcomes.

DOI: 10.1016/j.tmrv.2014.10.002
PubMed: 25535095

Affiliations:

Le document en format XML

<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">The impact of electronic decision support on transfusion practice: a systematic review.</title>
<author><name sortKey="Hibbs, Stephen P" sort="Hibbs, Stephen P" uniqKey="Hibbs S" first="Stephen P" last="Hibbs">Stephen P. Hibbs</name>
<affiliation wicri:level="3"><nlm:affiliation>Oxford University Clinical Academic Graduate School, University of Oxford and NHS Blood and Transplant, Oxford, UK. Electronic address: stephenpeterhibbs@googlemail.com.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Oxford University Clinical Academic Graduate School, University of Oxford and NHS Blood and Transplant, Oxford</wicri:regionArea>
<placeName><settlement type="city">Oxford</settlement>
<region type="country">Angleterre</region>
<region type="comté" nuts="2">Oxfordshire</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Nielsen, Nathan D" sort="Nielsen, Nathan D" uniqKey="Nielsen N" first="Nathan D" last="Nielsen">Nathan D. Nielsen</name>
<affiliation wicri:level="2"><nlm:affiliation>Departments of Medicine and Pathology, University of Maryland School of Medicine, Baltimore, MD. Electronic address: nathan.nielsen@gmail.com.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Maryland</region>
</placeName>
<wicri:cityArea>Departments of Medicine and Pathology, University of Maryland School of Medicine, Baltimore</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Brunskill, Susan" sort="Brunskill, Susan" uniqKey="Brunskill S" first="Susan" last="Brunskill">Susan Brunskill</name>
<affiliation wicri:level="3"><nlm:affiliation>Systematic Review Initiative, NHS Blood and Transplant, Oxford, UK. Electronic address: Susan.Brunskill@nhsbt.nhs.uk.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Systematic Review Initiative, NHS Blood and Transplant, Oxford</wicri:regionArea>
<placeName><settlement type="city">Oxford</settlement>
<region type="country">Angleterre</region>
<region type="comté" nuts="2">Oxfordshire</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Doree, Carolyn" sort="Doree, Carolyn" uniqKey="Doree C" first="Carolyn" last="Doree">Carolyn Doree</name>
<affiliation wicri:level="3"><nlm:affiliation>Systematic Review Initiative, NHS Blood and Transplant, Oxford, UK. Electronic address: Carolyn.Doree@nhsbt.nhs.uk.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Systematic Review Initiative, NHS Blood and Transplant, Oxford</wicri:regionArea>
<placeName><settlement type="city">Oxford</settlement>
<region type="country">Angleterre</region>
<region type="comté" nuts="2">Oxfordshire</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Yazer, Mark H" sort="Yazer, Mark H" uniqKey="Yazer M" first="Mark H" last="Yazer">Mark H. Yazer</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Pathology, University of Pittsburgh and the Institute for Transfusion Medicine, Pittsburgh, PA. Electronic address: MYazer@itxm.org.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Pennsylvanie</region>
</placeName>
<wicri:cityArea>Department of Pathology, University of Pittsburgh and the Institute for Transfusion Medicine, Pittsburgh</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Kaufman, Richard M" sort="Kaufman, Richard M" uniqKey="Kaufman R" first="Richard M" last="Kaufman">Richard M. Kaufman</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Pathology, Brigham and Women's Hospital, Boston, MA. Electronic address: RMKAUFMAN@PARTNERS.ORG.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Massachusetts</region>
</placeName>
<wicri:cityArea>Department of Pathology, Brigham and Women's Hospital, Boston</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Murphy, Michael F" sort="Murphy, Michael F" uniqKey="Murphy M" first="Michael F" last="Murphy">Michael F. Murphy</name>
<affiliation wicri:level="3"><nlm:affiliation>NHS Blood & Transplant, the National Institute for Health Research (NIHR) Oxford Biomedical Research Centre, Oxford University Hospitals and the University of Oxford, Oxford, UK. Electronic address: mike.murphy@nhsbt.nhs.uk.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>NHS Blood & Transplant, the National Institute for Health Research (NIHR) Oxford Biomedical Research Centre, Oxford University Hospitals and the University of Oxford, Oxford</wicri:regionArea>
<placeName><settlement type="city">Oxford</settlement>
<region type="country">Angleterre</region>
<region type="comté" nuts="2">Oxfordshire</region>
</placeName>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PubMed</idno>
<date when="2015">2015</date>
<idno type="RBID">pubmed:25535095</idno>
<idno type="pmid">25535095</idno>
<idno type="doi">10.1016/j.tmrv.2014.10.002</idno>
<idno type="wicri:Area/PubMed/Corpus">000794</idno>
<idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000794</idno>
<idno type="wicri:Area/PubMed/Curation">000794</idno>
<idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000794</idno>
<idno type="wicri:Area/PubMed/Checkpoint">000794</idno>
<idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000794</idno>
<idno type="wicri:Area/Ncbi/Merge">004562</idno>
<idno type="wicri:Area/Ncbi/Curation">004562</idno>
<idno type="wicri:Area/Ncbi/Checkpoint">004562</idno>
<idno type="wicri:Area/Main/Merge">000272</idno>
<idno type="wicri:Area/Main/Curation">000272</idno>
<idno type="wicri:Area/Main/Exploration">000272</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en">The impact of electronic decision support on transfusion practice: a systematic review.</title>
<author><name sortKey="Hibbs, Stephen P" sort="Hibbs, Stephen P" uniqKey="Hibbs S" first="Stephen P" last="Hibbs">Stephen P. Hibbs</name>
<affiliation wicri:level="3"><nlm:affiliation>Oxford University Clinical Academic Graduate School, University of Oxford and NHS Blood and Transplant, Oxford, UK. Electronic address: stephenpeterhibbs@googlemail.com.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Oxford University Clinical Academic Graduate School, University of Oxford and NHS Blood and Transplant, Oxford</wicri:regionArea>
<placeName><settlement type="city">Oxford</settlement>
<region type="country">Angleterre</region>
<region type="comté" nuts="2">Oxfordshire</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Nielsen, Nathan D" sort="Nielsen, Nathan D" uniqKey="Nielsen N" first="Nathan D" last="Nielsen">Nathan D. Nielsen</name>
<affiliation wicri:level="2"><nlm:affiliation>Departments of Medicine and Pathology, University of Maryland School of Medicine, Baltimore, MD. Electronic address: nathan.nielsen@gmail.com.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Maryland</region>
</placeName>
<wicri:cityArea>Departments of Medicine and Pathology, University of Maryland School of Medicine, Baltimore</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Brunskill, Susan" sort="Brunskill, Susan" uniqKey="Brunskill S" first="Susan" last="Brunskill">Susan Brunskill</name>
<affiliation wicri:level="3"><nlm:affiliation>Systematic Review Initiative, NHS Blood and Transplant, Oxford, UK. Electronic address: Susan.Brunskill@nhsbt.nhs.uk.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Systematic Review Initiative, NHS Blood and Transplant, Oxford</wicri:regionArea>
<placeName><settlement type="city">Oxford</settlement>
<region type="country">Angleterre</region>
<region type="comté" nuts="2">Oxfordshire</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Doree, Carolyn" sort="Doree, Carolyn" uniqKey="Doree C" first="Carolyn" last="Doree">Carolyn Doree</name>
<affiliation wicri:level="3"><nlm:affiliation>Systematic Review Initiative, NHS Blood and Transplant, Oxford, UK. Electronic address: Carolyn.Doree@nhsbt.nhs.uk.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Systematic Review Initiative, NHS Blood and Transplant, Oxford</wicri:regionArea>
<placeName><settlement type="city">Oxford</settlement>
<region type="country">Angleterre</region>
<region type="comté" nuts="2">Oxfordshire</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Yazer, Mark H" sort="Yazer, Mark H" uniqKey="Yazer M" first="Mark H" last="Yazer">Mark H. Yazer</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Pathology, University of Pittsburgh and the Institute for Transfusion Medicine, Pittsburgh, PA. Electronic address: MYazer@itxm.org.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Pennsylvanie</region>
</placeName>
<wicri:cityArea>Department of Pathology, University of Pittsburgh and the Institute for Transfusion Medicine, Pittsburgh</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Kaufman, Richard M" sort="Kaufman, Richard M" uniqKey="Kaufman R" first="Richard M" last="Kaufman">Richard M. Kaufman</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Pathology, Brigham and Women's Hospital, Boston, MA. Electronic address: RMKAUFMAN@PARTNERS.ORG.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Massachusetts</region>
</placeName>
<wicri:cityArea>Department of Pathology, Brigham and Women's Hospital, Boston</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Murphy, Michael F" sort="Murphy, Michael F" uniqKey="Murphy M" first="Michael F" last="Murphy">Michael F. Murphy</name>
<affiliation wicri:level="3"><nlm:affiliation>NHS Blood & Transplant, the National Institute for Health Research (NIHR) Oxford Biomedical Research Centre, Oxford University Hospitals and the University of Oxford, Oxford, UK. Electronic address: mike.murphy@nhsbt.nhs.uk.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>NHS Blood & Transplant, the National Institute for Health Research (NIHR) Oxford Biomedical Research Centre, Oxford University Hospitals and the University of Oxford, Oxford</wicri:regionArea>
<placeName><settlement type="city">Oxford</settlement>
<region type="country">Angleterre</region>
<region type="comté" nuts="2">Oxfordshire</region>
</placeName>
</affiliation>
</author>
</analytic>
<series><title level="j">Transfusion medicine reviews</title>
<idno type="eISSN">1532-9496</idno>
<imprint><date when="2015" type="published">2015</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Automatic Data Processing (standards)</term>
<term>Blood Transfusion (standards)</term>
<term>Blood Transfusion (utilization)</term>
<term>Case-Control Studies</term>
<term>Decision Support Systems, Clinical</term>
<term>Guideline Adherence</term>
<term>Humans</term>
<term>Patient Outcome Assessment</term>
<term>Practice Guidelines as Topic</term>
<term>Professional Practice (standards)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adhésion aux directives</term>
<term>Guides de bonnes pratiques cliniques comme sujet</term>
<term>Humains</term>
<term>Pratique professionnelle (normes)</term>
<term>Systèmes d'aide à la décision clinique</term>
<term>Traitement automatique des données (normes)</term>
<term>Transfusion sanguine (normes)</term>
<term>Transfusion sanguine (utilisation)</term>
<term>Études cas-témoins</term>
<term>Évaluation des résultats des patients</term>
</keywords>
<keywords scheme="MESH" qualifier="normes" xml:lang="fr"><term>Pratique professionnelle</term>
<term>Traitement automatique des données</term>
<term>Transfusion sanguine</term>
</keywords>
<keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Automatic Data Processing</term>
<term>Blood Transfusion</term>
<term>Professional Practice</term>
</keywords>
<keywords scheme="MESH" qualifier="utilisation" xml:lang="fr"><term>Transfusion sanguine</term>
</keywords>
<keywords scheme="MESH" qualifier="utilization" xml:lang="en"><term>Blood Transfusion</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Case-Control Studies</term>
<term>Decision Support Systems, Clinical</term>
<term>Guideline Adherence</term>
<term>Humans</term>
<term>Patient Outcome Assessment</term>
<term>Practice Guidelines as Topic</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adhésion aux directives</term>
<term>Guides de bonnes pratiques cliniques comme sujet</term>
<term>Humains</term>
<term>Systèmes d'aide à la décision clinique</term>
<term>Études cas-témoins</term>
<term>Évaluation des résultats des patients</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">Decision support systems (DSSs) provide clinicians with tailored treatment recommendations by combining individual patient information and local guidelines. The objective of this systematic review was to assess the effects of electronic DSS on blood product ordering practices. Eligible studies were identified from searches of MEDLINE, Embase, CINAHL, The Cochrane Library, PubMed, and the Transfusion Evidence Library from January 2000 to April 2014. Of these, 23 articles were eligible, resulting in the inclusion of 20 independent studies in this systematic review. There was a significant variation in study population, the type of DSS used, and outcome reporting. All but one study used a before-after design without any element of randomization. Overall, there is good evidence that implementation of a DSS improves red blood cell usage. The effect of a DSS on plasma, platelets, and cryoprecipitate usage is less clear probably because fewer studies have been conducted focusing on these products. In addition, the introduction of a DSS resulted in cost savings in the 7 studies that reported financial outcomes. Patient outcomes were generally not studied in detail, and there were few data on the sustainability of the effect of DSS. Further data are needed to assess the effect of a DSS on blood products other than red blood cell, and future studies should standardize reporting of outcomes.</div>
</front>
</TEI>
<affiliations><list><country><li>Royaume-Uni</li>
<li>États-Unis</li>
</country>
<region><li>Angleterre</li>
<li>Maryland</li>
<li>Massachusetts</li>
<li>Oxfordshire</li>
<li>Pennsylvanie</li>
</region>
<settlement><li>Oxford</li>
</settlement>
</list>
<tree><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Hibbs, Stephen P" sort="Hibbs, Stephen P" uniqKey="Hibbs S" first="Stephen P" last="Hibbs">Stephen P. Hibbs</name>
</region>
<name sortKey="Brunskill, Susan" sort="Brunskill, Susan" uniqKey="Brunskill S" first="Susan" last="Brunskill">Susan Brunskill</name>
<name sortKey="Doree, Carolyn" sort="Doree, Carolyn" uniqKey="Doree C" first="Carolyn" last="Doree">Carolyn Doree</name>
<name sortKey="Murphy, Michael F" sort="Murphy, Michael F" uniqKey="Murphy M" first="Michael F" last="Murphy">Michael F. Murphy</name>
</country>
<country name="États-Unis"><region name="Maryland"><name sortKey="Nielsen, Nathan D" sort="Nielsen, Nathan D" uniqKey="Nielsen N" first="Nathan D" last="Nielsen">Nathan D. Nielsen</name>
</region>
<name sortKey="Kaufman, Richard M" sort="Kaufman, Richard M" uniqKey="Kaufman R" first="Richard M" last="Kaufman">Richard M. Kaufman</name>
<name sortKey="Yazer, Mark H" sort="Yazer, Mark H" uniqKey="Yazer M" first="Mark H" last="Yazer">Mark H. Yazer</name>
</country>
</tree>
</affiliations>
</record>

Pour manipuler ce document sous Unix (Dilib)

EXPLOR_STEP=$WICRI_ROOT/Wicri/Amérique/explor/PittsburghV1/Data/Main/Exploration

HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000272 | SxmlIndent | more

HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 000272 | SxmlIndent | more

Pour mettre un lien sur cette page dans le réseau Wicri

{{Explor lien
   |wiki=    Wicri/Amérique
   |area=    PittsburghV1
   |flux=    Main
   |étape=   Exploration
   |type=    RBID
   |clé=     pubmed:25535095
   |texte=   The impact of electronic decision support on transfusion practice: a systematic review.
}}

Pour générer des pages wiki

HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i   -Sk "pubmed:25535095" \
       | HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd   \
       | NlmPubMed2Wicri -a PittsburghV1

This area was generated with Dilib version V0.6.38.
Data generation: Fri Jun 18 17:37:45 2021. Site generation: Fri Jun 18 18:15:47 2021

Serveur d'exploration sur Pittsburgh

The impact of electronic decision support on transfusion practice: a systematic review.

The impact of electronic decision support on transfusion practice: a systematic review.

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki

	Serveur d'exploration sur Pittsburgh
	Attention, ce site est en cours de développement ! Attention, site généré par des moyens informatiques à partir de corpus bruts. Les informations ne sont donc pas validées.