Standardized Hospital Order Sets in Acute Care: A Review of Clinical Evidence, Cost-Effectiveness, and Guidelines


( Last Updated : July 25, 2019)
Project Line:
Health Technology Review
Project Sub Line:
Summary with Critical Appraisal
Project Number:
RC1147-000

Details


Question

  1. What is the clinical evidence regarding the use of standardized hospital order sets in the acute care setting?
  2. What is the cost-effectiveness of the use of standardized hospital order sets in the acute care setting?
  3. What are the evidence-based guidelines regarding the use of standardized hospital order sets in the acute care setting?

Key Message

Evidence from fourteen non-randomized studies suggest that standardized order sets implemented in the acute setting reduced hospital length of stay, reduced mortality, and reduced medication errors. The studies focused on patients with respiratory conditions, diabetic conditions, laryngectomies, EOL care, ischemic stroke, coronary heart failure, or who received vancomycin. No evidence regarding cost-effectiveness and no evidence-based guidelines were identified.