Table 2.
Computerized clinical decision support characteristics in pediatric studies.
| CCDSa characteristics | Number of studies by publication | Totalb | ||||||
|
|
Journal articles | Conference abstracts |
|
|||||
| Subtotal, n | 7 | 6 | 13 | |||||
| CCDS type, n (%) | ||||||||
|
|
Homegrownc | 6 (86) | 5 (83) | 11 (85) | ||||
|
|
Commercial, n (%) | 0 (0) | 1 (17) | 1 (8) | ||||
|
|
|
Epic monitor | 0 (0) | 1 (17) | 1 (8) | |||
|
|
Unspecified | 1 (14) | 0 (0) | 1 (8) | ||||
| Silent or lived, n (%) | ||||||||
|
|
Live | 5 (71) | 5 (83) | 10 (77) | ||||
|
|
Silent | 1 (14) | 1 (17) | 2 (15) | ||||
|
|
Both (pre or post) | 1 (14) | 0 (0) | 1 (8) | ||||
| Related interventions, n (%) | ||||||||
|
|
None | 2 (29) | 5 (83) | 7 (54) | ||||
|
|
Response team | 4 (57) | 1 (17) | 5 (38) | ||||
|
|
Education and information resources | 3 (43) | 1 (17) | 4 (31) | ||||
|
|
Order sets | 3 (43) | 1 (17) | 4 (31) | ||||
|
|
Sepsis protocol | 1 (14) | 1 (17) | 2 (15) | ||||
|
|
Other | 2 (29) | 1 (17) | 3 (23) | ||||
| Responding personnel, n (%) | ||||||||
|
|
Nurses | 6 (86) | 0 (0) | 6 (46) | ||||
|
|
Other clinicians | 3 (43) | 2 (33) | 5 (38) | ||||
|
|
Response team | 0 (0) | 2 (33) | 2 (15) | ||||
|
|
Not specified | 0 (0) | 3 (50) | 3 (23) | ||||
| Alert delivery, n (%) | ||||||||
|
|
Electronic health record | 6 (86) | 0 (0) | 6 (46) | ||||
|
|
Emergency department tracking board | 1 (14) | 0 (0) | 1 (8) | ||||
|
|
Not specified | 0 (0) | 6 (100) | 6 (46) | ||||
aCCDS: computerized clinical decision support.
bThe percentages were calculated from the number of pediatric studies (n=13). As some studies reported multiple characteristics for each category, there were more than 13 characteristics in some categories; therefore, the percentages add to more than 100%.
cHomegrown CCDS systems are defined as CCDS systems that have been designed by the institution implementing them, rather than commercially available systems [41].
dA live CCDS system is a system that is implemented and being used by clinicians in real time during the study. Silent systems are systems that have been implemented but do not alert clinicians during the study and thus do not influence treatment.