Evidence map›Paper›PMID 24910564›Full record

ReviewThe Yale journal of biology and medicine2014

Clinical decision support: effectiveness in improving quality processes and clinical outcomes and factors that may influence success.

Elizabeth V Murphy

Registry-linked trialAbstract readReview
In one paragraph

Review in The Yale journal of biology and medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03537638 (Effectiveness and Cost-effectiveness of a Multicomponent Strategy to Implement a Clinical Practice Guideline and Improve Health Outcomes in People With Systemic Lupus Erythematosus), which is not on this map. Cited by 54 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 5 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.

NCT03537638 nacompletednot on this mapstarted 2018, after this paper: background citation

Effectiveness and Cost-effectiveness of a Multicomponent Strategy to Implement a Clinical Practice Guideline and Improve Health Outcomes in People With Systemic Lupus Erythematosus

TypeinterventionalSponsorServicio Canario de SaludRan2018 to 2020Enrolled237ConditionsSystemic Lupus ErythematosusArmsMulticomponent intervention
3 · Its place in the literature

Who cites it

54 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Alert fatigue measurement in clinical decision support: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2026
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Point-of-care tools to support optometric care provision to people with age-related macular degeneration: A randomised, placebo-controlled trial.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2022
    Trial
  7. Trial
  8. Trial
  9. Article
  10. Development and implementation of "BMC digital health · 2026
    Article
  11. Active Learning Pipeline to Identify Candidate Terms for a CDSS Ontology.Studies in health technology and informatics · 2024
    Article
  12. A Discount Approach to Reducing Nursing Alert Burden.Applied clinical informatics · 2024
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Partner-developed electronic health record tools to facilitate social risk-informed care planning.Journal of the American Medical Informatics Association : JAMIA · 2023
    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

1 author.

Elizabeth V MurphyDepartment of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Medical Informatics, Portland Veteran's Administration Medical Center, Portland, Oregon.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The use of electronic health records has skyrocketed following the 2009 HITECH Act, which provides financial incentives to health care providers for the "meaningful use" of electronic medical record systems. An important component of the "Meaningful Use" legislation is the integration of Clinical Decision Support Systems (CDSS) into the computerized record, providing up-to-date medical knowledge and evidence-based guidance to the physician at the point of care. As reimbursement is increasingly tied to process and clinical outcomes, CDSS will be integral to future medical practice. Studies of CDSS indicate improvement in preventive services, appropriate care, and clinical and cost outcomes with strong evidence for CDSS effectiveness in process measures. Increasing provider adherence to CDSS recommendations is essential in improving CDSS effectiveness, and factors that influence adherence are currently under study.

Indexed as

Decision Support Systems, ClinicalHumansMeta-Analysis as TopicPreventive Health ServicesQuality of Health CareTreatment Outcomeclinical decision support systemsclinical practice guidelinescomputerized provider order entryelectronic health recordelectronic medical recordsmeta-analysis of randomized controlled trialspreventive services guidelinesquality outcomesquality process measure

Identifiers

PMID24910564
PMCPMC4031792

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.