SynthesisAnnals of emergency medicine2019
Scope and Influence of Electronic Health Record-Integrated Clinical Decision Support in the Emergency Department: A Systematic Review.
Synthesis in Annals of emergency medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 2 of them syntheses that pooled 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.
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
53 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Sepsis Alert Systems, Mortality, and Adherence in Emergency Departments: A Systematic Review and Meta-Analysis.JAMA network open · 2024Pooled it
- The role of information systems in emergency department decision-making-a literature review.Journal of the American Medical Informatics Association : JAMIA · 2024Pooled it
- Multiple Suggested Care Alternatives and Decision-Making of Primary Care Physicians: A Randomized Clinical Trial.JAMA network open · 2025Trial
- Diagnostic capability of large language models in critically ill patients: a prospective single-centre study comparing ChatGPT, Claude, and Gemini with emergency physicians.BMC emergency medicine · 2026Observational
- Effectiveness and Challenges of Electronic Health Record Use in the Bosomtwe District, Ashanti Region, Ghana; A Cross-Sectional Study.Health science reports · 2026Article
- Leveraging the electronic health records to mitigate the effects of a nation-wide shortage of blood culture bottles.JAMIA open · 2026Article
- From performance to practice: knowledge-distilled segmentator for on-premises clinical workflows.npj health systems · 2026Article
- User-Centered Redesign of a Clinical Decision Support System for Pneumonia in the Emergency Department.Applied clinical informatics · 2026Article
- Digitally Enabled Discharge Quality After Neurosurgical Traumatic Brain Injury: A 10-Year Cohort from a Brazilian Public Tertiary Center.Healthcare (Basel, Switzerland) · 2025Article
- Study protocol for the design, implementation, and evaluation of the STRATIFY clinical decision support tool for emergency department disposition of patients with heart failure.Implementation science communications · 2025Article
- Evaluating Physical and Occupational Therapists' and Assistants' Experiences Implementing an Electronic Health Record-Based Intervention to Support Perioperative Patients' Use of Nonpharmacological Pain Management Techniques.Archives of rehabilitation research and clinical translation · 2025Article
- "I worry we'll blow right by it:" Barriers to Uptake of the STRATIFY-CDS for Acute Heart Failure.Applied clinical informatics · 2025Article
- The Effects of Health Information Technology on Quality of Care in Emergency Departments: A Systematic Review.Health science reports · 2025Review
- Article
- "Everything is electronic health record-driven": the role of the electronic health record in the emergency department diagnostic process.JAMIA open · 2025Article
- Humanistic Charting: Empowering Person-centered Emergency Care Through Reimagining the Electronic Health Record.Journal of the American College of Emergency Physicians open · 2025Article
- Facilitators to implementing preventive health interventions for adolescents in the emergency department: A multicenter qualitative analysis.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025Article
- Leveraging artificial intelligence to reduce diagnostic errors in emergency medicine: Challenges, opportunities, and future directions.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025Review
- Current Applications, Challenges, and Future Directions of Artificial Intelligence in Emergency Medicine: A Narrative Review.Archives of academic emergency medicine · 2025Article
- Implementing STEADI for routine falls prevention of all older adults attending outpatient physical therapy: key partner perspectives.Frontiers in health services · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
Abstract
STUDY
objectiveAs electronic health records evolve, integration of computerized clinical decision support offers the promise of sorting, collecting, and presenting this information to improve patient care. We conducted a systematic review to examine the scope and influence of electronic health record-integrated clinical decision support technologies implemented in the emergency department (ED).
methodsA literature search was conducted in 4 databases from their inception through January 18, 2018: PubMed, Scopus, the Cumulative Index of Nursing and Allied Health, and Cochrane Central. Studies were included if they examined the effect of a decision support intervention that was implemented in a comprehensive electronic health record in the ED setting. Standardized data collection forms were developed and used to abstract study information and assess risk of bias.
resultsA total of 2,558 potential studies were identified after removal of duplicates. Of these, 42 met inclusion criteria. Common targets for clinical decision support intervention included medication and radiology ordering practices, as well as more comprehensive systems supporting diagnosis and treatment for specific disease entities. The majority of studies (83%) reported positive effects on outcomes studied. Most studies (76%) used a pre-post experimental design, with only 3 (7%) randomized controlled trials.
conclusionNumerous studies suggest that clinical decision support interventions are effective in changing physician practice with respect to process outcomes such as guideline adherence; however, many studies are small and poorly controlled. Future studies should consider the inclusion of more specific information in regard to design choices, attempt to improve on uncontrolled before-after designs, and focus on clinically relevant outcomes wherever possible.
Indexed as
Identifiers
What OpenQuestion holds
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.