ArticleJournal of the American Medical Informatics Association : JAMIA
Effect of CPOE user interface design on user-initiated access to educational and patient information during clinical care.
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. Cited by 34 papers, 7 of them syntheses that pooled it.
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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.
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Who cites it
34 citing papers in PubMed, 7 syntheses or guidelines pooled it.
- Conceptualizing clinical decision support as complex interventions: a meta-analysis of comparative effectiveness trials.Journal of the American Medical Informatics Association : JAMIA · 2022Pooled it
- Do providers use computerized clinical decision support systems? A systematic review and meta-regression of clinical decision support uptake.Implementation science : IS · 2022Pooled it
- A systematic review of trials evaluating success factors of interventions with computerised clinical decision support.Implementation science : IS · 2018Pooled it
- Optimization of infobutton design and Implementation: A systematic review.Journal of biomedical informatics · 2017Pooled it
- Context-sensitive decision support (infobuttons) in electronic health records: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2017Pooled it
- Standards for reporting randomized controlled trials in medical informatics: a systematic review of CONSORT adherence in RCTs on clinical decision support.Journal of the American Medical Informatics Association : JAMIAPooled it
- The effectiveness of integrated health information technologies across the phases of medication management: a systematic review of randomized controlled trials.Journal of the American Medical Informatics Association : JAMIAPooled it
- Does user-centred design affect the efficiency, usability and safety of CPOE order sets?Journal of the American Medical Informatics Association : JAMIA · 2011Trial
- Improving ambulatory prescribing safety with a handheld decision support system: a randomized controlled trial.Journal of the American Medical Informatics Association : JAMIATrial
- Effectiveness of topic-specific infobuttons: a randomized controlled trial.Journal of the American Medical Informatics Association : JAMIATrial
- Clinician preferences for computerised clinical decision support for medications in primary care: a focus group study.BMJ health & care informatics · 2019Article
- Presenting multiple drug alerts in an ambulatory electronic prescribing system: a usability study of novel prototypes.Applied clinical informatics · 2014Article
- Practical choices for infobutton customization: experience from four sites.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2013Article
- Support for contextual control in primary care: a qualitative analysis.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2013Article
- Physicians perceptions of an educational support system integrated into an electronic health record.Studies in health technology and informatics · 2013Article
- The orderly and effective visit: impact of the electronic health record on modes of cognitive control.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2012Article
- Meeting the electronic health record "meaningful use" criterion for the HL7 infobutton standard using OpenInfobutton and the Librarian Infobutton Tailoring Environment (LITE).AMIA ... Annual Symposium proceedings. AMIA Symposium · 2012Article
- A computerized provider order entry intervention for medication safety during acute kidney injury: a quality improvement report.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2010Article
- Leading a horse to water: using automated reminders to increase use of online decision support.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2008Article
- A regional health information exchange: architecture and implementation.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2008Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
objectiveAuthors evaluated whether displaying context sensitive links to infrequently accessed educational materials and patient information via the user interface of an inpatient computerized care provider order entry (CPOE) system would affect access rates to the materials.
designThe CPOE of Vanderbilt University Hospital (VUH) included "baseline" clinical decision support advice for safety and quality. Authors augmented this with seven new primarily educational decision support features. A prospective, randomized, controlled trial compared clinicians' utilization rates for the new materials via two interfaces. Control subjects could access study-related decision support from a menu in the standard CPOE interface. Intervention subjects received active notification when study-related decision support was available through context sensitive, visibly highlighted, selectable hyperlinks. MEASUREMENTS: Rates of opportunities to access and utilization of study-related decision support materials from April 1999 through March 2000 on seven VUH Internal Medicine wards.
resultsDuring 4,466 intervention subject-days, there were 240,504 (53.9/subject-day) opportunities for study-related decision support, while during 3,397 control subject-days, there were 178,235 (52.5/subject-day) opportunities for such decision support, respectively (p = 0.11). Individual intervention subjects accessed the decision support features at least once on 3.8% of subject-days logged on (278 responses); controls accessed it at least once on 0.6% of subject-days (18 responses), with a response rate ratio adjusted for decision support frequency of 9.17 (95% confidence interval 4.6-18, p < 0.0005). On average, intervention subjects accessed study-related decision support materials once every 16 days individually and once every 1.26 days in aggregate.
conclusionHighlighting availability of context-sensitive educational materials and patient information through visible hyperlinks significantly increased utilization rates for study-related decision support when compared to "standard" VUH CPOE methods, although absolute response rates were low.
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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.