Evidence map›Paper›PMID 21278102›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA

Actionable reminders did not improve performance over passive reminders for overdue tests in the primary care setting.

Robert E El-Kareh, Tejal K Gandhi, Eric G Poon, Lisa P Newmark, Jonathan Ungar, E J Orav, Thomas D Sequist

Abstract readControlled Clinical TrialMulticenter Study
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. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 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.

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 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Physician-Reported Barriers to Osteoporosis Screening: A Nationwide Survey.Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 2023
    Article
  4. Article
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  7. An integrated billing application to streamline clinician workflow.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2014
    Article
  8. Review
  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

7 authors.

Robert E El-KarehDepartment of Medicine, Divisions of Biomedical Informatics and Hospital Medicine, UCSD, San Diego, California, USA. relkareh@ucsd.edu
Tejal K Gandhi
Eric G Poon
Lisa P Newmark
Jonathan Ungar
E J Orav
Thomas D Sequist

Funding

RESEARCH TRAINING-MEDICAL INFORMATICS 90T15LM007092 · NLM · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI Nils Gehlenborg · 1992 to 2026
$32.8M
Improving Safety and Quality with Outpatient Order EntryR01HS015226 · AHRQ · BRIGHAM AND WOMEN'S HOSPITAL · PI GANDHI, TEJAL K · 2004 to 2006
$500k
AHRQ HHS 1 R01 HS 015226-01AHRQ HHS R01 HS015226NLM NIH HHS 2 T15 LM 007092-17NLM NIH HHS T15 LM007092
6 · The paper itself

Abstract

Actionable reminders (electronic reminders linked to computerized order entry) might improve care by facilitating direct ordering of recommended tests. The authors implemented four enhanced actionable reminders targeting performance of annual mammography, one-time bone-density screening, and diabetic testing. There was no difference in rates of appropriate testing between the four intervention and four matched, control primary care clinics for screening mammography (OR 0.81, 95% CI 0.64 to 1.02), bone-density exams (OR 1.29, 95% CI 0.82 to 2.02), HbA1c monitoring (OR 0.91, 95% CI 0.58 to 1.42) and LDL cholesterol monitoring (OR 1.40, 95% CI 0.76 to 2.59). Of the survey respondents, 79% almost never used the system or were unaware of the functionality. In the 9/228 (3.9%) cases with indirect evidence of mammography reminder use, there was a significantly lower proportion with test performance. Our actionable reminders did not improve receipt of overdue testing, potentially due to limitations of workflow integration.

Indexed as

Appointments and SchedulesGuideline AdherenceMass ScreeningMedical Order Entry SystemsReminder SystemsAdultAgedAged, 80 and overBostonFemaleHumansMiddle AgedPractice Patterns, Physicians'Primary Health Care

Identifiers

PMID21278102
PMCPMC3116255

What OpenQuestion holds

Textmetadata
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.