Computer-based guideline implementation systems: a systematic review of functionality and effectiveness

Authors: 
Shiffman RN, Liaw Y, Brandt CA, Corb GJ
Journal: 
J Am Med Inform Assoc
Publication Date: 
1999
Volume: 
6
Issue: 
2
Pages: 
104-14
  • HIT Description: Computer-based guideline implementation systems More info...
  • Purpose of Study: Characterize the effectiveness of the system.
  • Years of study: Studies published between 1992 and 1998.
  • Study Design: Predicted return-on-investment
  • Outcomes: Varies across studies.
Summary:
  • Intervention: Use of the computer to implement specific guideline recommendations. Some studies reviewed used a time series control, others were randomized clinical trials comparing the computer system to usual care.
  • Evaluation Method: Varies across studies
  • HIT System: Varies across studies, mostly idiosyncratic implementations of guidelines at specific sites.
  • Clinical Outcomes: Guideline adherence improved in 14 of the 18 systems in which it was measured.