Evidence map›Paper›PMID 18693880›Full record

ArticleAMIA ... Annual Symposium proceedings. AMIA Symposium2007

Clinical decision support to improve antibiotic prescribing for acute respiratory infections: results of a pilot study.

Jeffrey Linder, Jeffrey L Schnipper, Lynn A Volk, Ruslana Tsurikova, Matvey Palchuk, Maya Olsha-Yehiav, Andrea J Melnikas, Blackford Middleton

Abstract read
In one paragraph

Article in AMIA ... Annual Symposium proceedings. AMIA Symposium, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Clinician characteristics and use of novel electronic health record functionality in primary care.Journal of the American Medical Informatics Association : JAMIA · 2011
    Article
  9. Article
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

8 authors.

Jeffrey LinderBrigham and Women's Hospital and Harvard Medical School.
Jeffrey L Schnipper
Lynn A Volk
Ruslana Tsurikova
Matvey Palchuk
Maya Olsha-Yehiav
Andrea J Melnikas
Blackford Middleton

Funding

Using Information Systems to Improve Cardiac PreventionK08HL072806 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI SCHNIPPER, JEFFREY LAWRENCE · 2003 to 2007
$669k
Improving Care for Acute Respiratory InfectionK08HS014563 · AHRQ · BRIGHAM AND WOMEN'S HOSPITAL · PI LINDER, JEFFREY A. · 2004 to 2008
$402k
Evaluating Smart Forms and Quality Dashboards in an EHRR01HS015169 · AHRQ · BRIGHAM AND WOMEN'S HOSPITAL · PI MIDDLETON, BLACKFORD · 2004 to 2006
$393k
AHRQ HHS HS014563AHRQ HHS HS015169AHRQ HHS K08 HS014563AHRQ HHS R01 HS015169NHLBI NIH HHS HL072806NHLBI NIH HHS K08 HL072806
6 · The paper itself

Abstract

Acute Respiratory Infections (ARIs) are the number one reason for antibiotic prescribing in the United States, and much antibiotic prescribing for ARIs is inappropriate. We designed an electronic health record-integrated, documentation-based clinical decision support system for the care of patients with ARIs, the ARI Smart Form. To evaluate the ARI Smart Form and assess the feasibility of performing a larger trial, we conducted a pilot study with 10 clinicians who used the ARI Smart Form with 26 patients. Clinicians prescribed antibiotics to 6 of 6 patients with antibiotic-appropriate diagnoses and to 3 of 20 (15%) patients with antibiotic-inappropriate diagnoses. The average duration of use of the ARI Smart Form was 7.5 (SD+/-4.5) minutes. Eight of 10 respondents reported that the ARI Smart Form was either time-neutral or timesaving. The ARI Smart Form requires further evaluation but has the potential to improve workflow and reduce inappropriate antibiotic prescribing.

Indexed as

Drug Therapy, Computer-AssistedUser-Computer InterfaceAcute DiseaseAdultAnti-Bacterial AgentsAttitude of Health PersonnelData CollectionDecision Support Systems, ClinicalDrug Utilization ReviewFemaleHumansMaleMedical Records Systems, ComputerizedPilot ProjectsPractice Patterns, Physicians'Respiratory Tract InfectionsAnti-Bacterial Agents

Identifiers

PMID18693880
PMCPMC2655801

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

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.