Evaluation of real-time clinical decision support systems for platelet and cryoprecipitate orders.

Abstract:

OBJECTIVES:To evaluate cryoprecipitate and platelet ordering practices after the implementation of real-time clinical decision support systems (CDSSs) in a computerized physician order entry (CPOE) system. METHODS:Uniform platelet and cryoprecipitate transfusion thresholds were implemented at 11 hospitals in a regional health care system with a common CPOE system. Over 6 months, a variety of information was collected on the ordering physicians and the number of alerts generated by the CDSSs when these products were ordered outside of the institutional guidelines. RESULTS:There were 1,889 orders for platelets and 152 orders for cryoprecipitate placed in 6 months. Of these, 1,102 (58.3%) platelet and 74 (48.7%) cryoprecipitate orders triggered an alert. The proportion of orders canceled after an alert was generated ranged from 13.5% to 17.9% for platelets and 0% to 50.0% for cryoprecipitate orders. CONCLUSIONS:CDSS alerts reduce, but do not eliminate, platelet and cryoprecipitate transfusions that do not meet institutional guidelines.

journal_name

Am J Clin Pathol

authors

Collins RA,Triulzi DJ,Waters JH,Reddy V,Yazer MH

doi

10.1309/AJCP1OSRTPUJE9XS

subject

Has Abstract

pub_date

2014-01-01 00:00:00

pages

78-84

issue

1

eissn

0002-9173

issn

1943-7722

pii

141/1/78

journal_volume

141

pub_type

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