Evidence map›Paper›PMID 26791992›Full record

Trial reportJournal of medical systems2016

Efficiency of Clinical Decision Support Systems Improves with Experience.

Michiel C Meulendijk, Marco R Spruit, Floor Willeboordse, Mattijs E Numans, Sjaak Brinkkemper, Wilma Knol, Paul A F Jansen, Marjan Askari

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of medical systems, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03724539 (Optimizing PharmacoTherapy In the Multimorbid Elderly in Primary CAre), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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.

NCT03724539 nacompletednot on this mapstarted 2019, after this paper: background citation

Optimizing PharmacoTherapy In the Multimorbid Elderly in Primary CAre: a Cluster Randomized Controlled Trial (the OPTICA Trial)

TypeinterventionalSponsorUniversity of BernRan2019 to 2021Enrolled323ConditionsMultimorbidity, PolypharmacyArmsSTRIPA intervention, Sham intervention
3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. 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

8 authors.

Michiel C MeulendijkDepartment of Information and Computing Sciences, Utrecht University, Princetonplein 5, 3584 CC, Utrecht, The Netherlands. m.c.meulendijk@uu.nl.
Marco R SpruitDepartment of Information and Computing Sciences, Utrecht University, Princetonplein 5, 3584 CC, Utrecht, The Netherlands.
Floor WilleboordseDepartment General Practice, VUmc, Van der Boechorstraat 7, 1081 BT, Amsterdam, The Netherlands.
Mattijs E NumansDepartment of Public Health and Primary Care, LUMC, Albinusdreef 2, 2333 ZA, Leiden, The Netherlands.
Sjaak BrinkkemperDepartment of Information and Computing Sciences, Utrecht University, Princetonplein 5, 3584 CC, Utrecht, The Netherlands.
Wilma KnolDepartment of Geriatric Medicine and Expertise Centre Pharmacotherapy in Old Persons, University Medical Center, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands.
Paul A F JansenDepartment of Geriatric Medicine and Expertise Centre Pharmacotherapy in Old Persons, University Medical Center, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands.
Marjan AskariDepartment of Information and Computing Sciences, Utrecht University, Princetonplein 5, 3584 CC, Utrecht, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Efficiency, or the resources spent while performing a specific task, is widely regarded as one the determinants of usability. In this study, the authors hypothesize that having a group of users perform a similar task over a prolonged period of time will lead to improvements in efficiency of that task. This study was performed in the domain of decision-supported medication reviews. Data was gathered during a randomized controlled trial. Three expert teams consisting of an independent physician and an independent pharmacist conducted 150 computerized medication reviews on patients in 13 general practices located in Amsterdam, the Netherlands. Results were analyzed with a linear mixed model. A fixed effects test on the linear mixed model showed a significant difference in the time required to conduct medication reviews over time; F(31.145) = 14.043, p < .001. The average time in minutes required to conduct medication reviews up to the first quartile was M = 20.42 (SD = 9.00), while the time from the third quartile up was M = 9.81 (SD = 6.13). This leads the authors to conclude that the amount of time users needed to perform similar tasks decreased significantly as they gained experience over time.

Indexed as

Efficiency, OrganizationalPharmacistsPhysiciansDecision Support Systems, ClinicalGeneral PracticeHumansLinear ModelsMedication Therapy ManagementNetherlandsTime FactorsClinical decision supportEfficiencyMedication reviewUsability

Identifiers

PMID26791992
PMCPMC4720692

What OpenQuestion holds

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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.