© 2003 BMJ Publishing Group Ltd.
Quality improvement
Review: computerised reminders and feedback can improve provider medication management
Bennett JW, Glasziou PP.Computerised reminders and feedback in medication management: a systematic review of randomised controlled trials.Med J Aust 2003;178:217–22[Medline]
QUESTION: What is the effectiveness of computer generated medication reminders or feedback directed at healthcare providers or patients?
Key Words: drug therapy • feedback • reminder systems
| The first 150 words of the full text of this article appear below. |
English language studies were identified by searching Medline (1966–2001), CINAHL (1982–2001), COMPENDEX (1987–2001), the Cochrane Controlled Trials Register (1996–2001), and Current Contents (1997–2001); hand searching the contents pages of conference proceedings from MEDINFO (1980–92) and SCAMC/AMIA Annual Fall Symposium (1984–91); and reviewing reference lists of retrieved articles.
Randomised controlled trials (RCTs) were included if they assessed the use of computers to assist in identifying patients and generating reminders or feedback. Studies of systems that calculated drug doses were excluded.
Data were extracted on setting, participants, nature of reminders, and rates of compliance. Quality of individual studies was scored for randomisation method (3 points), attention to comparability of baseline data (2), objectivity of primary outcome (4), loss to follow up (4), clarity of inclusion criteria (1), unit of allocation (1), ease of implementation of reminder system (1), and statistical analysis (1) (total possible points = 17).
26 trials (29 comparisons) were
University of California San Francisco School of Medicine
San Francisco, California, USA
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