ArticleJournal of biomedical informatics2008
Reasons for declining computerized insulin protocol recommendations: application of a framework.
Article in Journal of biomedical informatics, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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.
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
13 citing papers in PubMed.
- Use of Simulation to Study Nurses' Acceptance and Nonacceptance of Clinical Decision Support Suggestions.Computers, informatics, nursing : CIN · 2015Trial
- Validating the information technology (IT) implementation framework to Implement mHealth technology for consumers: A case study of the Sense2Quit app for smoking cessation.International journal of medical informatics · 2025Article
- A scoping review, novel taxonomy and catalogue of implementation frameworks for clinical decision support systems.BMC medical informatics and decision making · 2024Article
- A scoping review of medical practice variation research within the informatics literature.International journal of medical informatics · 2022Article
- The role of computer-based clinical decision support systems to deliver protective mechanical ventilation.Current opinion in critical care · 2020Review
- Integrative review of clinical decision support for registered nurses in acute care settings.Journal of the American Medical Informatics Association : JAMIA · 2017Review
- Computerized Decision Support Systems for Mechanical Ventilation in Children.Journal of pediatric intensive care · 2016Review
- Space GlucoseControl system for blood glucose control in intensive care patients--a European multicentre observational study.BMC anesthesiology · 2016Observational
- The evolution of eProtocols that enable reproducible clinical research and care methods.Journal of clinical monitoring and computing · 2012Article
- Barriers and facilitators to the use of computer-based intensive insulin therapy.International journal of medical informatics · 2011Article
- Characteristics and effects of nurse dosing over-rides on computer-based intensive insulin therapy protocol performance.Journal of the American Medical Informatics Association : JAMIA · 2011Article
- Social, organizational, and contextual characteristics of clinical decision support systems for intensive insulin therapy: a literature review and case study.International journal of medical informatics · 2010Review
- Toward Meaningful Care Plan Clinical Decision Support: Feasibility and Effects of a Simulated Pilot Study.Nursing researchArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
Clinical decision support systems (CDS) can interpret detailed treatment protocols for ICU care providers. In open-loop systems, clinicians can decline protocol recommendations. We capture their reasons for declining as part of ongoing, iterative protocol validation and refinement processes. Even though our protocol was well-accepted by clinicians overall, noncompliance patterns revealed potential protocol improvement targets, and suggested ways to reduce barriers impeding software use. We applied Rita Kukafka and colleagues' (2003) IT implementation framework to identify and categorize reasons documented by ICU nurses when declining recommendations from an insulin-titration protocol. Two methods were used to operationalize the framework: reasons for declining recommendations from actual software use, and a nurse questionnaire. Applying the framework exposed limitations of our data sources, and suggested ways to address those limitations; and facilitated our analyses and interpretations.
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What OpenQuestion holds
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.