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首页> 外文期刊>The International journal of pharmacy practice >Pharmacy decision support: where is it? A systematic literature review
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Pharmacy decision support: where is it? A systematic literature review

机译：药房决策支持：在哪里？系统的文献综述

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Objective: The objectives of this study were: to identify electronic decision supported systems that directly support pharmacists or pharmacy practice, in either the hospital or community settings; to ascertain the type of research in this area; and to identify any observable gaps for electronic decision support.Method: A systematic literature review of PubMed, journals with known publication of decision support, databases including the Cochrane Reviews Database, selected websites and conference proceedings was conducted. Criteria for inclusion were electronic decision support systems that: were in routine use; had been used or published since 1998; provided clinical support; were not embedded into medical instruments; and were used by pharmacists in the community or hospital setting.Key findings: Four publications met the criteria from 386 references. Of these, three described alerting systems for pharmacists, and one described the effect on pharmacist workflow of computerised prescribing. Investigation of selected websites revealed a further 20 pharmacy-related projects. It was difficult to ascertain to what extent to these (unpublished) activities were occurring in countries outside Australia (the main practice setting considered), such as the UK and Canada.Conclusion: There is scant literature describing electronic decision support system activities specifically for pharmacy or pharmacists, in comparison to the substantial quantity of similar literature for healthcare in general. Electronic decision support activities are evident in the commercial environment for systems supporting traditional pharmacy roles. Selected conference proceedings and web-based information indicate that activity is occurring in the area of pharmacy decision support, although for relatively simple systems. The emerging patient-focused roles for pharmacists suggest that they may require similar knowledge and information to those of medical professionals. There is now a need to fully understand, define and support these pharmacist requirements, to enable appropriate decision support tools to be developed, and provide the opportunity for improved healthcare.
机译：目的：本研究的目的是：确定在医院或社区环境中直接支持药剂师或药学实践的电子决策支持系统;确定这方面的研究类型;方法：对PubMed，已知决策支持出版物的期刊，包括Cochrane评价数据库在内的数据库，选定的网站和会议记录进行了系统的文献综述。纳入标准是电子决策支持系统，该系统在日常使用中;自1998年以来已被使用或出版;提供临床支持;没有嵌入医疗器械中;主要发现：四个出版物符合386篇参考文献中的标准。其中，三种描述了针对药剂师的警报系统，一种描述了计算机处方对药剂师工作流程的影响。对选定网站的调查显示，还有20个与制药相关的项目。很难确定这些（未公开发表的）活动在澳大利亚以外的国家（所考虑的主要实践环境）的发生程度，例如英国和加拿大。结论：很少有文献描述专门针对药学的电子决策支持系统活动一般而言，与大量类似的医疗保健文献相比，该书还是药剂师。在支持传统药房角色的系统的商业环境中，电子决策支持活动是显而易见的。选定的会议记录和基于Web的信息表明，尽管在相对简单的系统中，活动仍在药房决策支持领域内进行。药剂师以患者为中心的新兴角色表明，他们可能需要与医学专业人员相似的知识和信息。现在需要完全理解，定义和支持这些药剂师的要求，以便能够开发适当的决策支持工具，并提供改善医疗保健的机会。

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