Evidence map›Paper›PMID 21385821›Full record

SynthesisJournal of the American Medical Informatics Association : JAMIA2011

The impact of computerized provider order entry systems on medical-imaging services: a systematic review.

Andrew Georgiou, Mirela Prgomet, Andrew Markewycz, Edwina Adams, Johanna I Westbrook

2 registry-linked trialsAbstract readSystematic Review
In one paragraph

Synthesis in Journal of the American Medical Informatics Association : JAMIA, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 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.

NCT02578290 naterminatednot on this mapstarted 2015, after this paper: background citation

The Impact of Clinical Decision Support (CDS) for Outpatient Radiology Imaging: A Randomized Control Trial

TypeinterventionalSponsorAbdul Latif Jameel Poverty Action LabRan2015 to 2016Enrolled2,033ConditionsCT and MR Image OrdersArmsClinical Decision Support (CDS)
NCT02996045 nacompletednot on this mapstarted 2016, after this paper: background citation

The Impact of Clinical Decision Support (CDS) for Radiology: A Randomized Control Trial

TypeinterventionalSponsorAbdul Latif Jameel Poverty Action LabRan2016 to 2018Enrolled3,511ConditionsCT, MR, NM, and PET Image OrdersArmsClinical Decision Support (CDS)
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Review
  6. The Effect of AI on the Radiologist Workforce: A Task-Based Analysis.medRxiv : the preprint server for health sciences · 2025
    Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Pharmacy practice in hospital settings in GCC countries: Prescribing and transcribing.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2021
    Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. 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

5 authors.

Andrew GeorgiouCentre for Health Systems and Safety Research, Australian Institute of Health Innovation, Faculty of Medicine, University of New South Wales, Sydney, New South Wales, Australia. a.georgiou@unsw.edu.au
Mirela Prgomet
Andrew Markewycz
Edwina Adams
Johanna I Westbrook

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundComputerized provider order entry (CPOE) systems have been strongly promoted as a means to improve the quality and efficiency of healthcare.

methodsThis systematic review aimed to assess the evidence of the impact of CPOE on medical-imaging services and patient outcomes.

resultsFourteen studies met the inclusion criteria, most of which (10/14) used a pre-/postintervention comparison design. Eight studies demonstrated benefits, such as decreased test utilization, associated with decision-support systems promoting adherence to test ordering guidelines. Three studies evaluating medical-imaging ordering and reporting times showed statistically significant decreases in turnaround times.

conclusionsThe findings reveal the potential for CPOE to contribute to significant efficiency and effectiveness gains in imaging services. The diversity and scope of the research evidence can be strengthened through increased attention to the circumstances and mechanisms that contribute to the success (or otherwise) of CPOE and its contribution to the enhancement of patient care delivery.

Indexed as

Diagnostic ImagingGuideline AdherenceMedical Order Entry SystemsOutcome Assessment, Health CareDecision Support Systems, ClinicalHumansUnnecessary Procedures

Identifiers

PMID21385821
PMCPMC3078656

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.