Drug Safety

, Volume 34, Issue 4, pp 289–298 | Cite as

The Role of Computerized Decision Support in Reducing Errors in Selecting Medicines for Prescription

Narrative Review
  • Melissa T. Baysari
  • Johanna Westbrook
  • Jeffrey Braithwaite
  • Richard O. Day
Review Article

Abstract

This narrative review includes a summary of research examining prescribing errors, prescription decision making and the role computerized decision support plays in this decision-making process. A reduction in medication prescribing errors, specifically a reduction in the selection of inappropriate medications, is expected to result from the implementation of an effective computerized decision support system. Previous research has investigated the impact of the implementation of electronic systems on medication errors more broadly. This review examines the specific characteristics of decision support systems that may contribute to fewer knowledge-based mistakes in prescribing, and critically appraises the large volume of information available on the decision-making process of selecting medicines for prescription. The results highlight a need for work investigating what decision strategies are used by doctors with different levels of expertise in the prescribing of medications. The nature of the relationship between decision support and decision performance is not well understood and future research is needed to determine the mechanisms by which computerized decision support influences medication selection.

Notes

Acknowledgements

This research is supported by NHMRC Program Grant 568612. The funding agreement ensured the authors’ independence in compiling this review. The authors have no conflicts of interest to declare that are directly relevant to the content of this review.

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Copyright information

© Adis Data Information BV 2011

Authors and Affiliations

  • Melissa T. Baysari
    • 1
    • 2
  • Johanna Westbrook
    • 3
  • Jeffrey Braithwaite
    • 4
  • Richard O. Day
    • 2
    • 5
  1. 1.Australian Institute of Health Innovation, Faculty of MedicineUniversity of New South WalesSydneyAustralia
  2. 2.Department of Clinical Pharmacology and ToxicologySt Vincent’s HospitalSydneyAustralia
  3. 3.Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Faculty of MedicineUniversity of New South WalesSydneyAustralia
  4. 4.Centre for Clinical Governance Research, Australian Institute of Health Innovation, Faculty of Medicine, University of New South WalesSydneyAustralia
  5. 5.Faculty of MedicineUniversity of New South WalesSydneyAustralia

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