Evaluation of CDSS for Drug Prescriptions Based on Success Measures

박진우; 채영문; 이영택; 조경원; 김정희; 이병화

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자료유형: 학술저널

저자정보: 박진우 채영문 이영택 조경원 김정희 이병화

저널정보: 대한의료정보학회 Healthcare Informatics Research Healthcare Informatics Research 제15권 제3호

발행연도: 2009.1

수록면: 293 - 301 (9page)

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연구배경

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Objective: The Clinical Decision Support System (CDSS) for drug prescriptions was developed by integrating the computerized physician order entry (CPOE) system to support doctors and pharmacists in making correct decisions on prescribing drugs in line with the prescription guidelines by the Health Insurance Review Agency (HIRA). The objective of this study was to evaluate the performance of the CDSS with respect to system quality, information quality, and user satisfaction in reducing prescription errors. Methods: The study was based on survey data from 38 hospitals that were using the CDSS for drug prescriptions. To identify factors influencing the performance of CDSS, multiple linear regression and chi-square analyses were performed. Results: Regression analysis showed that the variables for system quality and information quality significantly influenced the overall system performance. Specifically, ease of understanding the results and terminology assystem quality measures significantly influenced user satisfaction. Furthermore, based on chi-square analysis, two independent variables (ease of understanding results and decision support functions) were statistically significant with respect to all four dependent variables (information satisfaction, system satisfaction, willingness to recommend to other hospitals, and drug safety). Conclusion: Based on this study, users should be educated to improve their understanding of the system,and system and information quality should be continuously monitored to improve user satisfaction.

#Evaluation #Drug Clinical Decision Support System

참고문헌 (12)

참고문헌 신청

Barker KN / 1995 / Research on drug-use-system errors / Am J Health Syst Pharm 52 (4) : 400 ~ 403

Bates DW / 1995 / Relationship between medication errors and adverse drug events / J Gen Intern Med 10 (4) : 199 ~ 205

Bates DW / 1999 / The impact of computerized physician order entry on medication error prevention / J Am Med Infor Asso 6 (4) : 313 ~ 321

Classen DC / 1998 / Clinical decision support system to improve clinical practice and quality of care / J Am Med Asso 280 (15) : 1360 ~ 1361

Delone WH / 1992 / Information system success: the quest for the dependent variable / Inf Sys Res 3 (1) : 55 ~ 69

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