ArticleAMIA ... Annual Symposium proceedings. AMIA Symposium2010
You can lead a horse to water: physicians' responses to clinical reminders.
Article in AMIA ... Annual Symposium proceedings. AMIA Symposium, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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
16 citing papers in PubMed.
- Effect of a Computer-Based Decision Support Intervention on Autism Spectrum Disorder Screening in Pediatric Primary Care Clinics: A Cluster Randomized Clinical Trial.JAMA network open · 2019Trial
- Use of a computerized decision aid for developmental surveillance and screening: a randomized clinical trial.JAMA pediatrics · 2014Trial
- Pediatricians' responses to printed clinical reminders: does highlighting prompts improve responsiveness?Academic pediatricsTrial
- Improving Patient-Centered Communication about Sudden Unexpected Death in Epilepsy through Computerized Clinical Decision Support.Applied clinical informatics · 2021Article
- The Use of Computer Decision Support for Pediatric Obstructive Sleep Apnea Detection in Primary Care.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2019Article
- Pediatric decision support using adapted Arden Syntax.Artificial intelligence in medicine · 2018Article
- A six-year repeated evaluation of computerized clinical decision support system user acceptability.International journal of medical informatics · 2018Article
- Research on Clinical Preventive Services for Adolescents and Young Adults: Where Are We and Where Do We Need to Go?The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2017Review
- Inadequate Systems to Support Breast and Cervical Cancer Screening in Primary Care Practice.Journal of general internal medicine · 2016Article
- Experience with decision support system and comfort with topic predict clinicians' responses to alerts and reminders.Journal of the American Medical Informatics Association : JAMIA · 2016Article
- Leveraging electronic tablets for general pediatric care: a pilot study.Applied clinical informatics · 2015Article
- Actionable recommendations in the Bright Futures child health supervision guidelines.Applied clinical informatics · 2014Article
- When does adoption of health information technology by physician practices lead to use by physicians within the practice?Journal of the American Medical Informatics Association : JAMIA · 2013Article
- Using multifactorial experiments for comparative effectiveness research in physician practices with electronic health record.EGEMS (Washington, DC) · 2013Article
- Understanding why clinicians answer or ignore clinical decision support prompts.Applied clinical informatics · 2012Article
- Electronic medical record systems are associated with appropriate placement of HIV patients on antiretroviral therapy in rural health facilities in Kenya: a retrospective pre-post study.Journal of the American Medical Informatics Association : JAMIAArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundMeaningful use of health information technology (HIT) requires the use of clinical decision support systems (CDSS). However, the effectiveness of CDSS depends on physician compliance with clinical reminders which is known to be highly variable. Our objective was to evaluate physician adherence to clinical reminders from a CDSS designed to maximize features known to improve practice.
methodsWe evaluated physicians' compliance with clinical reminders generated by the Child Health Improvement through Computer Automation (CHICA) system, a pediatric CDSS that generates scannable paper forms that are completed by patients, staff and physicians during routine care. The forms provide tailored reminders and collect coded clinical data during routine care. We examined CHICA's database to assess the rates of response by patients and physicians to questions and reminders generated by the system. Results showed that while patients answered, on average, 60.6% of 1,351,896 questions generated by the system over 5 years, physicians responded to only 42.9% of 343,949 alerts and reminders over the same period of time. Response rates appeared to be inversely related to both the complexity and sensitivity of the topic. DISCUSSION: Poor physician adherence to clinical reminders in this optimized system reduces effectiveness of the system and poses some liability issues. Strategies to alert physicians to the reminders of highest import are needed.
Indexed as
Identifiers
21346962PMC3041342What 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.