Evidence map›Paper›PMID 12925543›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA

Ten commandments for effective clinical decision support: making the practice of evidence-based medicine a reality.

David W Bates, Gilad J Kuperman, Samuel Wang, Tejal Gandhi, Anne Kittler, Lynn Volk, Cynthia Spurr, Ramin Khorasani, Milenko Tanasijevic, Blackford Middleton

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

Article 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 NCT05534412 (A Practice-Based Intervention To Improve Care for a Diverse Population Of Women With Urinary Incontinence), which is not on this map. Cited by 550 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
550citing papers in PubMed, 2 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.

NCT05534412 naactive not recruitingnot on this map

A Practice-Based Intervention To Improve Care for a Diverse Population Of Women With Urinary Incontinence

TypeinterventionalSponsorUniversity of California, San DiegoRan2022 to 2027Enrolled1,600ConditionsUrinary IncontinenceArmsAcademic Detailing, Electronic Clinical Decision Support, APP Co-management, Electronic Referral
3 · Its place in the literature

Who cites it

550 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  6. Clinical Decision Support with or without Shared Decision Making to Improve Preventive Cancer Care: A Cluster-Randomized Trial.Medical decision making : an international journal of the Society for Medical Decision Making · 2022
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  20. [Patient safety in the operating room].Chirurgie (Heidelberg, Germany) · 2026
    Review

490 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

10 authors.

David W BatesDepartment of Medicine, Brigham and Women's Hospital, Boston, MA 02115, USA. dbates@partners.org
Gilad J Kuperman
Samuel Wang
Tejal Gandhi
Anne Kittler
Lynn Volk
Cynthia Spurr
Ramin Khorasani
Milenko Tanasijevic
Blackford Middleton

Funding

PREVENTION OF DRUG-RELATED COMPLICATIONSR01HS007107 · AHRQ · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI LEAPE, LUCIAN L · 1993 to 1993
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AHRQ HHS R01 HS07107
6 · The paper itself

Abstract

While evidence-based medicine has increasingly broad-based support in health care, it remains difficult to get physicians to actually practice it. Across most domains in medicine, practice has lagged behind knowledge by at least several years. The authors believe that the key tools for closing this gap will be information systems that provide decision support to users at the time they make decisions, which should result in improved quality of care. Furthermore, providers make many errors, and clinical decision support can be useful for finding and preventing such errors. Over the last eight years the authors have implemented and studied the impact of decision support across a broad array of domains and have found a number of common elements important to success. The goal of this report is to discuss these lessons learned in the interest of informing the efforts of others working to make the practice of evidence-based medicine a reality.

Indexed as

Decision Making, Computer-AssistedDecision Support Systems, ClinicalDecision Support TechniquesEvidence-Based MedicineHumansUser-Computer Interface

Identifiers

PMID12925543
PMCPMC264429

What OpenQuestion holds

Textmetadata
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.