ArticleJournal of general internal medicine2008
Improving sedative-hypnotic prescribing in older hospitalized patients: provider-perceived benefits and barriers of a computer-based reminder.
Article in Journal of general internal medicine, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.
- Criteria for assessing high-priority drug-drug interactions for clinical decision support in electronic health records.BMC medical informatics and decision making · 2013Pooled it
- Health information technologies in geriatrics and gerontology: a mixed systematic review.Journal of the American Medical Informatics Association : JAMIAPooled it
- A systematic review of clinicians' acceptance and use of clinical decision support systems over time.NPJ digital medicine · 2025Article
- Extending the ABCDE bundle to the post-intensive care unit setting.Journal of gerontological nursing · 2013Article
- The use of hypnosedative drugs in a university hospital: has anything changed in 10 years?European journal of clinical pharmacology · 2011Article
- Inappropriate prescribing in the hospitalized elderly patient: defining the problem, evaluation tools, and possible solutions.Clinical interventions in aging · 2010Review
- Using health information technology to improve hypertension management.Current hypertension reports · 2008Review
- Computerized clinical decision support: will it transform healthcare?Journal of general internal medicine · 2008Review
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundOlder adults are commonly prescribed sedative-hypnotic (SH) medications when hospitalized, yet these drugs are associated with important adverse effects such as falls and delirium.
objectiveTo identify provider-perceived benefits or barriers of a computer-based reminder regarding appropriate use of SH medications.
designQualitative study using semi-structured interviews. PARTICIPANTS AND
settingThirty-six house staff physicians at a university hospital. MEASUREMENTS: Information was collected regarding the experiences of prescribing an SH using a computer order entry system with a reminder intervention. Clinicians were asked about their perceptions of the reminder and what they found most and least useful about it. Responses were analyzed using grounded theory methodology.
resultsThe 36 participants (including 29 interns) had prescribed an SH medication for a hospitalized patient over age 65 years. Three themes associated with benefits of a computer reminder were identified: increasing awareness of safety, including risk of delirium, falls, and general patient safety risks; usefulness of information technology; and the value of the educational content, including geriatric pharmacology review and nonpharmacologic treatment options. Barriers included the demands of the reminder with regard to time needed to read the reminder, the role of clinician experience with regard to preserving clinical autonomy, and the information content of the reminder, including its being too basic or not relevant for a particular patient. The mean satisfaction rating for the reminder was 8.5 (+/-0.9 SD), with 10 indicating high satisfaction.
conclusionsImproving decision support systems involves an understanding of how clinicians respond to real-time strategies encouraging better prescribing.
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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.