ArticleAcademic pediatrics
Impact of Mobile Device-Based Clinical Decision Support Tool on Guideline Adherence and Mental Workload.
Article in Academic pediatrics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 4 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
16 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Cognitive Workload and Mental Burden in Health Care Professionals Interacting With AI: Systematic Review and Meta-Analysis.Journal of medical Internet research · 2026Pooled it
- Cognitive Load Measurement Methods for Usability Testing: A Critical Analysis and Framework for Interface Evaluation.Human factors · 2026Pooled it
- Examining Mental Workload Relating to Digital Health Technologies in Health Care: Systematic Review.Journal of medical Internet research · 2022Pooled it
- Decision-support tools via mobile devices to improve quality of care in primary healthcare settings.The Cochrane database of systematic reviews · 2021Pooled it
- Influence factors of guideline adherence based on the Cognitive Load Theory among clinical nurses: A cross-sectional study.International journal of nursing sciences · 2026Article
- Relevance of Reversible Causes of Out-of-Hospital Cardiac Arrest: The "REBECCA" Interactive Checklist.Journal of clinical medicine · 2026Article
- Investigating Weekend Effect in the Management of Upper and Lower Extremity Degloving Injuries.Plastic and reconstructive surgery. Global open · 2023Article
- Clinicians' Perceptions of Artificial Intelligence: Focus on Workload, Risk, Trust, Clinical Decision Making, and Clinical Integration.Healthcare (Basel, Switzerland) · 2023Article
- Team-focused implementation strategies to improve implementation of mental health screening and referral in rural Children's Advocacy Centers: study protocol for a pilot cluster randomized hybrid type 2 trial.Implementation science communications · 2023Article
- Workflow interruption and nurses' mental workload in electronic health record tasks: An observational study.BMC nursing · 2023Article
- Article
- Shared Decision-Making for Drug-Drug Interactions: Formative Evaluation of an Anticoagulant Drug Interaction.JMIR formative research · 2022Article
- Future Mobile Device Usage, Requirements, and Expectations of Physicians in German University Hospitals: Web-Based Survey.Journal of medical Internet research · 2020Article
- Predictors of Quality Improvement in Pediatric Asthma Care.Hospital pediatrics · 2020Article
- Estimating the impact of deploying an electronic clinical decision support tool as part of a national practice improvement project.Journal of the American Medical Informatics Association : JAMIA · 2019Article
- Implementing a COVID-19 Discharge Pathway to Improve Patient Safety.American journal of medical quality : the official journal of the American College of Medical QualityArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
objectiveTo evaluate the individual-level impact of an electronic clinical decision support (ECDS) tool, PedsGuide, on febrile infant clinical decision making and cognitive load.
methodsA counterbalanced, prospective, crossover simulation study was performed among attending and trainee physicians. Participants performed simulated febrile infant cases with use of PedsGuide and with standard reference text. Cognitive load was assessed using the NASA-Task Load Index (NASA-TLX), which determines mental, physical, temporal demand, effort, frustration, and performance. Usability was assessed with the System Usability Scale (SUS). Scores on cases and NASA-TLX scores were compared between condition states.
resultsA total of 32 participants completed the study. Scores on febrile infant cases using PedsGuide were greater compared with standard reference text (89% vs 72%, P = .001). NASA-TLX scores were lower (ie, more optimal) with use of PedsGuide versus control (mental 6.34 vs 11.8, P < .001; physical 2.6 vs 6.1, P = .001; temporal demand 4.6 vs 8.0, P = .003; performance 4.5 vs 8.3, P < .001; effort 5.8 vs 10.7, P < .001; frustration 3.9 vs 10, P < .001). The SUS had an overall score of 88 of 100 with rating of acceptable on the acceptability scale.
conclusionsUse of PedsGuide led to increased adherence to guidelines and decreased cognitive load in febrile infant management when compared with the use of a standard reference tool. This study employs a rarely used method of assessing ECDS tools using a multifaceted approach (medical decision-making, assessing usability, and cognitive workload,) that may be used to assess other ECDS tools 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.