Evidence map›Paper›PMID 23618425›Full record

Trial reportImplementation science : IS2013

The effectiveness of computer reminders for improving quality assessment for point-of-care testing in general practice--a randomized controlled trial.

Marius Brostrøm Kousgaard, Volkert Siersma, Susanne Reventlow, Ruth Ertmann, Peter Felding, Frans Boch Waldorff

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Implementation science : IS, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01152177 (Point-Of-Care Testing In Danish General Practice), which is not on this map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

NCT01152177 nacompletednot on this map

Point-Of-Care Testing In Danish General Practice: A Randomised Controlled Trial - Part II

TypeinterventionalSponsorResearch Unit Of General Practice, CopenhagenRan2010 to 2011Enrolled286ConditionsPoint of Care TestingArmsElectronic reminder letters
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Variation in Point-of-Care Testing of HbA1c in Diabetes Care in General Practice.International journal of environmental research and public health · 2017
    Article
  6. 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

6 authors.

Marius Brostrøm KousgaardThe Research Unit for General Practice and Section of General Practice, Department of Public Health, Faculty of Health Sciences, University of Copenhagen, Øster Farimagsgade 5, P.O. Box 2099, Copenhagen DK-1014, Denmark. marbro@sund.ku.dk
Volkert Siersma
Susanne Reventlow
Ruth Ertmann
Peter Felding
Frans Boch Waldorff

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundComputer reminders are increasingly being applied in efforts to improve quality and patient safety. However, research is still needed to establish the effectiveness of different kinds of reminders in various settings. This study aimed to evaluate the effectiveness of computer reminders for improving adherence to a quality assessment scheme for point-of-care testing in general practice.

methodThe study was conducted as a randomized controlled crossover trial among general practices in the Capital Region of Denmark. The intervention consisted of sending computer reminders (ComRem) to practices not adhering to the guideline recommendations of split testing for hemoglobin and glucose. Practices were randomly allocated into two groups. During the first follow-up period, one of the groups received the ComRem intervention together with the general implementation activities (GIA), while the other group only received the GIA. For the second follow-up period, the intervention was switched between the two groups. Outcomes were measured as split test procedure adherence.

resultsA total of 142 practices were randomly allocated to the early intervention group and 144 practices to the late intervention group (the control group in the first follow-up period). In the first intervention period, the mean number of split tests performed in the group receiving ComRem group increased from 1.22 to 3.76 (out of eight possible tests) while the mean number of split tests increased from 1.11 to 2.35 in the group targeted by GIA only (p = 0.0059). After the crossover, a similar effect of reminders was observed. Furthermore, the developments in outcome measures over time showed a strong effect of computer reminders beyond the intervention periods.

conclusionThere was a significant effect of computer reminders on adherence to the quality assessment scheme for point-of-care testing. Thus, computer reminders seem to be useful for supporting the implementation of relatively simple procedures for quality and safety.

trial registrationClinicalTrials.gov: http://NCT01152177.

Indexed as

Quality ImprovementDenmarkFemaleGeneral PracticeHumansMaleMiddle AgedPoint-of-Care SystemsQuality Assurance, Health CareReminder SystemsTherapy, Computer-AssistedTreatment Outcome

Identifiers

PMID23618425
PMCPMC3637803

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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.