Evidence map›Paper›PMID 21422099›Full record

Trial reportJournal of the American Medical Informatics Association : JAMIA2011

Improving the utilization of admission order sets in a computerized physician order entry system by integrating modular disease specific order subsets into a general medicine admission order set.

Rajika L Munasinghe, Camelia Arsene, Tarun K Abraham, Marwan Zidan, Mohamed Siddique

Abstract readClinical Trial
In one paragraph

Trial report 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. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Paving the COWpath: data-driven design of pediatric order sets.Journal of the American Medical Informatics Association : JAMIA · 2014
    Article
  10. Review
  11. Data-driven order set generation and evaluation in the pediatric environment.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2012
    Article
  12. 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.

Rajika L MunasingheDepartment of Medicine, Sinai-Grace Hospital, Detroit Medical Center, Detroit, Michigan, USA.
Camelia Arsene
Tarun K Abraham
Marwan Zidan
Mohamed Siddique

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

case descriptionWe evaluated the effects of integrating order subsets for the most common medical diagnoses into a general medical admission order set of our electronic medical records (EMR) in order to improve order set integration by clinicians. METHODS OF IMPLEMENTATION: We identified the most common primary and secondary diagnoses for patients admitted to our medical service and developed order subsets comprising only of the orders necessary for the management of these individual diagnoses. Using the capabilities of our computerized physician order entry (CPOE), we nested these order subsets into the general order set and evaluated the resulting change in order set utilization by our clinicians. EXAMPLE AND OBSERVATIONS: The total number of order sets used by clinicians in all departments increased fivefold during the 16-month period following the implementation of the integrated order sets in July 2008. A before and after time series was used to analyze the trend in increased order set usage and showed an effect of the intervention (p=0.023). DISCUSSION: Integration of disease specific order subsets into a single general admission order set significantly improved the overall adoption of order sets by clinicians. This provides health care systems with the opportunity to improve patient safety and implement evidence based care in clinical practice.

Indexed as

Patient AdmissionPractice Patterns, Physicians'Systems IntegrationElectronic Health RecordsHumansMedical Order Entry SystemsMichiganTime and Motion StudiesUser-Computer Interface

Identifiers

PMID21422099
PMCPMC3078659

What OpenQuestion holds

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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.