ArticleApplied clinical informatics2012
Understanding why clinicians answer or ignore clinical decision support prompts.
Article in Applied clinical informatics, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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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.
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Who cites it
12 citing papers in PubMed, 28 citations in OpenAlex.
- Association of collaborative care intervention features with depression and metabolic outcomes in the INDEPENDENT study: A mixed methods study.Primary care diabetes · 2024Trial
- Pediatricians' responses to printed clinical reminders: does highlighting prompts improve responsiveness?Academic pediatricsTrial
- Empiric treatment and probability estimates before and after a decision support system intervention in a sore throat setting: a scenario-based survey study.BMC infectious diseases · 2025Article
- A game theoretic approach reveals that discretizing clinical information can reduce antibiotic misuse.Nature communications · 2021Article
- Designing an electronic blood-borne virus risk alert to improve uptake of testing.International journal of STD & AIDS · 2020Article
- Community-Engaged Research to Translate Developmental Screening and Referral Processes into Locally-Relevant, Family-Centered Language.Maternal and child health journal · 2020Article
- An in-hospital clinical care pathway with integrated decision support for cancer pain management reduced pain intensity and needs for hospital stay.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020Article
- Pediatric decision support using adapted Arden Syntax.Artificial intelligence in medicine · 2018Article
- Physician Intervention to Positive Depression Screens Among Adolescents in Primary Care.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2018Article
- 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
- Implementation of a Hearing Loss Screening Intervention in Primary Care.Annals of family medicineArticle
- 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
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe identification of key factors influencing responses to prompts and reminders within a computer decision support system (CDSS) has not been widely studied. The aim of this study was to evaluate why clinicians routinely answer certain prompts while others are ignored.
methodsWe utilized data collected from a CDSS developed by our research group--the Child Health Improvement through Computer Automation (CHICA) system. The main outcome of interest was whether a clinician responded to a prompt.
resultsThis study found that, as expected, some clinics and physicians were more likely to address prompts than others. However, we also found clinicians are more likely to address prompts for younger patients and when the prompts address more serious issues. The most striking finding was that the position of a prompt was a significant predictor of the likelihood of the prompt being addressed, even after controlling for other factors. Prompts at the top of the page were significantly more likely to be answered than the ones on the bottom.
conclusionsThis study detailed a number of factors that are associated with physicians following clinical decision support prompts. This information could be instrumental in designing better interventions and more successful clinical decision support systems in the future.
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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.