Trial reportJournal of evaluation in clinical practice2016
Outcomes of clinical decision support (CDS) and correlates of CDS use for home care patients with high medication regimen complexity: a randomized trial.
Trial report in Journal of evaluation in clinical practice, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 5 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
15 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Digital patient safety interventions in primary care: a systematic review and meta-analysis.BMC medicine · 2026Pooled it
- Pooled it
- Pooled it
- Automation in nursing decision support systems: A systematic review of effects on decision making, care delivery, and patient outcomes.Journal of the American Medical Informatics Association : JAMIA · 2021Pooled it
- The effect of computerized decision support systems on cardiovascular risk factors: a systematic review and meta-analysis.BMC medical informatics and decision making · 2019Pooled it
- Process Evaluation of the SImplification of Medications Prescribed to Long-tErm Care Residents (SIMPLER) Cluster Randomized Controlled Trial: A Mixed Methods Study.International journal of environmental research and public health · 2021Trial
- Identifying and Reducing Stigmatizing Language in Home Health Care With a Natural Language Processing-Based System (ENGAGE): Protocol for a Mixed Methods Study.JMIR research protocols · 2025Article
- Resigned but Resilient: Caregiver Perceptions of Role Ambiguity and Quality of Care During Hospital-to-Home Transitions of Older Latinos Living With Dementia.Journal of aging and health · 2025Article
- Exploring home healthcare clinicians' needs for using clinical decision support systems for early risk warning.Journal of the American Medical Informatics Association : JAMIA · 2024Article
- HIOPP-6 - a pilot study on the evaluation of an electronic tool to assess and reduce the complexity of drug treatment considering patients' views.BMC primary care · 2022Article
- A narrative review of evidence to guide deprescribing among older adults.Journal of general and family medicine · 2021Review
- A thematic analysis to examine the feasibility of EHR-based clinical decision support for implementingJAMIA open · 2021Article
- Development of an algorithm to detect and reduce complexity of drug treatment and its technical realisation.BMC medical informatics and decision making · 2020Article
- Characterization of the medication regimen complexity index in high-utilizer, adult psychiatric patients.The mental health clinician · 2020Article
- Identifying unmet needs of older adults transitioning from home health care to independence at home: A qualitative study.Geriatric nursing (New York, N.Y.)Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
RATIONALE, AIMS AND
objectivesTo assess the outcomes of a clinical decision support (CDS) intervention designed for home care patients with high medication regimen complexity (MRC) and to examine correlates of CDS use.
methodThe CDS consisted of a computerized algorithm that identified high MRC patients, electronic alerts and a care management module. Nurses were randomized upon identification of an eligible patient. Full intention to treat and intervention group-only analyses were completed. Regression-adjusted outcomes were hospitalization, emergency department use and reduction in MRC.
resultsFive hundred nurses were randomized with 7919 of their patients. Approximately 20% of the intervention group was hospitalized versus 21% in the control group; 16.5% versus 16.7% had an emergency department visit; and 6% in each group dropped below the high MRC threshold. No statistically significant differences were found in the intention to treat analysis. Eighty-two percent of intervention nurses used the CDS but for only 42% of their patients. Among intervention patients, CDS use (vs. non-use) was associated with reduced MRC and hospitalization. CDS use was associated with various clinician and patient characteristics.
conclusionCDS use was limited, negating the impact of the intervention overall. Findings on correlates of CDS use and the relationship between CDS use and positive outcomes suggest that CDS use and outcomes could be enhanced by avoiding short patient lengths of stay, improving continuity of care, increasing reliance on salaried nurses and/or increasing per diem nurses' incentives to use CDS.
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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.