Evidence map›Paper›PMID 22126324›Full record

ArticleBMC medical informatics and decision making2011

Redesign of a computerized clinical reminder for colorectal cancer screening: a human-computer interaction evaluation.

Jason J Saleem, David A Haggstrom, Laura G Militello, Mindy Flanagan, Chris L Kiess, Nicole Arbuckle, Bradley N Doebbeling

Registry-linked trialOpen access · goldAbstract readComparative Study
In one paragraph

Article in BMC medical informatics and decision making, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04331535 (Pragmatic Randomized Trial of Polygenic Risk Scoring for Common Diseases in Primary Care), which is not on this map. Cited by 13 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 5 pooled it
4.0field-weighted citation impact, top 6% of its field
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.

NCT04331535 naunknown statusnot on this mapstarted 2020, after this paper: background citation

Pragmatic Randomized Trial of Polygenic Risk Scoring for Common Diseases in Primary Care

TypeinterventionalSponsorBoston VA Research Institute, Inc.Ran2020 to 2025Enrolled1,076ConditionsCoronary Artery Disease, Atrial Fibrillation, Type 2 Diabetes, Colorectal CancerArmsPolygenic risk score (PRS)
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 5 syntheses or guidelines pooled it, 25 citations in OpenAlex.

  1. Why aren't they used? Systematic review of barriers to implementation of clinical decision support systems for early cancer detection in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026
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  5. An appraisal of published usability evaluations of electronic health records via systematic review.Journal of the American Medical Informatics Association : JAMIA · 2017
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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 at 5 institutions in 1 country.

Jason J SaleemVA HSR&D Center of Excellence on Implementing Evidenced-Based Practice (CIEBP), Richard L, Roudebush VA Medical Center (11-H), 1481 West Tenth St, Indianapolis, IN 46202, USA. Jason.Saleem@va.gov
David A Haggstrom
Laura G Militello
Mindy Flanagan
Chris L Kiess
Nicole Arbuckle
Bradley N Doebbeling
Regenstrief Institute · USApplied Decision Science (United States) · USIndiana University Health · USRichard L. Roudebush VA Medical Center · USUniversity of Dayton · US

Funding

PHS HHS HHSA 290-06-00013-3
6 · The paper itself

Abstract

backgroundBased on barriers to the use of computerized clinical decision support (CDS) learned in an earlier field study, we prototyped design enhancements to the Veterans Health Administration's (VHA's) colorectal cancer (CRC) screening clinical reminder to compare against the VHA's current CRC reminder.

methodsIn a controlled simulation experiment, 12 primary care providers (PCPs) used prototypes of the current and redesigned CRC screening reminder in a within-subject comparison. Quantitative measurements were based on a usability survey, workload assessment instrument, and workflow integration survey. We also collected qualitative data on both designs.

resultsDesign enhancements to the VHA's existing CRC screening clinical reminder positively impacted aspects of usability and workflow integration but not workload. The qualitative analysis revealed broad support across participants for the design enhancements with specific suggestions for improving the reminder further.

conclusionsThis study demonstrates the value of a human-computer interaction evaluation in informing the redesign of information tools to foster uptake, integration into workflow, and use in clinical practice.

Indexed as

Early Detection of CancerReminder SystemsSoftware DesignSystems IntegrationUser-Computer InterfaceAmbulatory Care FacilitiesColorectal NeoplasmsCommunity Health ServicesComputer SimulationDecision Support Systems, ClinicalHumansIndianaMedical Records Systems, ComputerizedPatient SimulationReproducibility of ResultsSurveys and Questionnaires

Identifiers

PMID22126324
PMCPMC3252247
OpenAlexW2110147871

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.