CRITICAL APPRAISAL OF A SYSTEMATIC REVIEW AND NARRATIVE REVIEW
CRITICAL APPRAISAL OF A SYSTEMATIC REVIEW AND NARRATIVE REVIEW RELATED TO COMPUTERISED PHYSICIAN ORDER ENTRY SYSTEM
The author of this paper is a nurse educator working in an Intensive Care Unit (ICU) within the north-west region of England. For the purpose of this paper, the author has chosen a systematic review (SR) and a narrative review (NR) and aims to critically analyse these reviews using the Critical Appraisal Skills Programme (CASP) tool. The CASP tool has been developed by the Solutions for Public Health (SPH) (formerly known as Public Health Resources Unit), which is controlled by the National Health Service (NHS) (SPH, 2006). The tool is based on the guidelines formed by a group of clinicians at McMaster University, Canada (SPH, 2010). Additionally, the author will apply the Preferred Reporting items for Systematic Reviews and meta-analyses (PRISMA) 2009 checklist as a guide to support this discussion. The PRISMA checklist is a 27 item checklist, subject to modification as new evidence emerges (Liberati et al, 2009). Accordingly, this critical appraisal will rigorously analyse the strengths and weaknesses of the papers chosen for this discussion and assess its relevance to practice.
Medication errors and adverse drug events vary from 5.1 to 87.5 incidents per 1000 patient days in ICUs (Wilmer et al, 2010). Computerised Physician Order Entry (CPOE) was introduced to minimise these errors and promote patient safety within the ICU setting (Kaushal et al, 2003; Rothschild, 2004). The SR and NR that the author has chosen highlight the importance of CPOE systems in promoting patient safety and reducing avoidable harm. The papers can be accessed using these references: Kaushal R, Shojania KG and Bates W (2003) ‘Effects of computerised physician order entry and clinical decision support systems on medication safety: a systematic review’ Archives of Internal Medicine 163 pp.1409-1416 and Rothschild J (2004) ‘Computerized physician order entry in the critical
The author of this paper is a nurse educator working in an Intensive Care Unit (ICU) within the north-west region of England. For the purpose of this paper, the author has chosen a systematic review (SR) and a narrative review (NR) and aims to critically analyse these reviews using the Critical Appraisal Skills Programme (CASP) tool. The CASP tool has been developed by the Solutions for Public Health (SPH) (formerly known as Public Health Resources Unit), which is controlled by the National Health Service (NHS) (SPH, 2006). The tool is based on the guidelines formed by a group of clinicians at McMaster University, Canada (SPH, 2010). Additionally, the author will apply the Preferred Reporting items for Systematic Reviews and meta-analyses (PRISMA) 2009 checklist as a guide to support this discussion. The PRISMA checklist is a 27 item checklist, subject to modification as new evidence emerges (Liberati et al, 2009). Accordingly, this critical appraisal will rigorously analyse the strengths and weaknesses of the papers chosen for this discussion and assess its relevance to practice.
Medication errors and adverse drug events vary from 5.1 to 87.5 incidents per 1000 patient days in ICUs (Wilmer et al, 2010). Computerised Physician Order Entry (CPOE) was introduced to minimise these errors and promote patient safety within the ICU setting (Kaushal et al, 2003; Rothschild, 2004). The SR and NR that the author has chosen highlight the importance of CPOE systems in promoting patient safety and reducing avoidable harm. The papers can be accessed using these references: Kaushal R, Shojania KG and Bates W (2003) ‘Effects of computerised physician order entry and clinical decision support systems on medication safety: a systematic review’ Archives of Internal Medicine 163 pp.1409-1416 and Rothschild J (2004) ‘Computerized physician order entry in the critical
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