Evidence map›Paper›PMID 10094063›Full record

SynthesisJournal of the American Medical Informatics Association : JAMIA

Computer-based guideline implementation systems: a systematic review of functionality and effectiveness.

R N Shiffman, Y Liaw, C A Brandt, G J Corb

Registry-linked trialAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Journal of the American Medical Informatics Association : JAMIA. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00221455 (The Potential of Technology to Improve Chronic Disease Management and Quality of Care), which is not on this map. Cited by 88 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
88citing papers in PubMed, 9 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00221455 phase1completednot on this map

The Potential of Technology to Improve Chronic Disease Management and Quality of Care

TypeinterventionalSponsorRobert Wood Johnson FoundationRan2004 to 2007Enrolled1,000ConditionsDiabetes MellitusArmsPatient diabetic self-management using the diabetic patient portal tools, A variety of educational interventions for non-adopters of the technology, and for non-compliant patients.
3 · Its place in the literature

Who cites it

88 citing papers in PubMed, 9 syntheses or guidelines pooled it.

  1. Alert fatigue measurement in clinical decision support: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2026
    Pooled it
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  9. Automation bias: a systematic review of frequency, effect mediators, and mitigators.Journal of the American Medical Informatics Association : JAMIA
    Pooled it
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28 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

R N ShiffmanCenter for Medical Informatics, Yale School of Medicine, New Haven, CT 06520-8009, USA. richard.shiffman@yale.edu
Y Liaw
C A Brandt
G J Corb

Funding

MEDICAL INFORMATICS RESEARCH TRAINING AT YALET15LM007056 · NLM · YALE UNIVERSITY · PI Mark Bender Gerstein, LUCILA OHNO-MACHADO · 1987 to 2026
$22.2M
KNOWLEDGE PROCESSING FOR CLINICAL PRACTICE GUIDELINESR29LM005552 · NLM · YALE UNIVERSITY · PI SHIFFMAN, RICHARD N · 1997 to 2001
$229k
NLM NIH HHS 1-R29-LM-05552NLM NIH HHS T-15-LM-07056
6 · The paper itself

Abstract

In this systematic review, the authors analyze the functionality provided by recent computer-based guideline implementation systems and characterize the effectiveness of the systems. Twenty-five studies published between 1992 and January 1998 were identified. Articles were included if the authors indicated an intent to implement guideline recommendations for clinicians and if the effectiveness of the system was evaluated. Provision of eight information management services and effects on guideline adherence, documentation, user satisfaction, and patient outcome were noted. All systems provided patient-specific recommendations. In 19, recommendations were available concurrently with care. Explanation services were described for nine systems. Nine systems allowed interactive documentation, and 17 produced paper-based output. Communication services were present most often in systems integrated with electronic medical records. Registration, calculation, and aggregation services were infrequently reported. There were 10 controlled trials (9 randomized) and 10 time-series correlational studies. Guideline adherence improved in 14 of 18 systems in which it was measured. Documentation improved in 4 of 4 studies.

Indexed as

Decision Support Systems, ClinicalPractice Guidelines as TopicDecision Making, Computer-AssistedGuideline AdherenceHumansInformation ManagementPractice Patterns, Physicians'

Identifiers

PMID10094063
PMCPMC61349

What OpenQuestion holds

Texttitle and abstract
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.