Clinical decision support systems for neonatal care

• HIT Description: Decision support More info...
  
• Purpose of Study: To examine whether clinical decision support systems affect the mortality and morbidity of newborns and the performacne of MDs treating them
  
• Years of study: 1966-2004
  
• Study Design: Systematic review
  
• Outcomes: Other
  

• Settings: Hospital neonatal units
• Intervention: Any computerized: provider order entry (CPOE), physiological monitoring system, diagnostic, or prognostic system in the neonatal unit.
• Evaluation Method: Narrative summary of three randomized trials
• Description: Three interventions were discussed: a software package for computer aided prescribing of parenteral nutrition (PN), a spreadsheet program called Neodosis to aid in calculation of drug doses, and a computerized physiological monitoring system.
• Healthcare Utilization: In the study of computerized monitoring, there was no significant difference in the mean number of days on assisted ventilation or supplemental oxygen.
• Quality of Care and Patient Safety Outcome: The study of Neodosis, which used simulated cases, showed a significant reduction in errors in calculation of drug doses among staff. Errors classified as serious were eliminated. There were no significant results in the other two studies.
• Changes in efficiency and productivity: The length of time to calculate doses was significantly reduced with Neodosis.