Table 4

Recommendations for future research

Recommendations
Future directions for CPOE-based SR studies
  • Analysis based on well-defined comparison groups

  • Analysis based on characterisation of functional capabilities of the CPOE (eg, CDS functions and related features)

  • Analysis comparing studies that use similar methods to measure medication safety outcomes and the impact of outcomes on patient harm

  • Analysis comparing various users of CPOE–CDSS

  • Use evidence-based practice/guidelines to improve methodological rigour and reporting quality of SRs and protocols65 66

Future directions for CPOE-based primary research studies
  • Use of non-randomised pragmatic trials67 in real-world context that allow for collecting effectiveness and implementation outcomes

  • Multi-centre studies of CPOE–CDS

  • Evaluation of CPOE systems on costs

  • Evaluation of effectiveness of CPOE-based medication ordering in outpatient settings

  • Use of standardised methods to report, measure and classify medication safety outcomes and the impact of outcomes on patient harm1

  • Use standardised frameworks to conceptualise and describe CDS, its functions and features, such as the commonly used, ‘five rights’68 framework

  • Use evidence-based practice/guidelines to improve methodological rigour and reporting quality of primary studies/protocols (see69 for a SR on quality assessment tools)

  • CDS, clinical decision support; CDSS, clinical decision support systems; CPOE, computerised provider order entry; SR, systematic review.