ReviewEGEMS (Washington, DC)2019
Priorities Wizard: Multisite Web-Based Primary Care Clinical Decision Support Improved Chronic Care Outcomes with High Use Rates and High Clinician Satisfaction Rates.
Review in EGEMS (Washington, DC), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.
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
35 citing papers in PubMed.
- Clinical Decision Support and Cardiometabolic Medication Adherence: A Randomized Clinical Trial.JAMA network open · 2025 · on this mapTrial
- Does Clinical Decision Support Increase Appropriate Medication Prescribing for Cardiovascular Risk Reduction?Journal of the American Board of Family Medicine : JABFM · 2023Trial
- De-Implementing Opioids for Dental Extractions (DIODE): a multi-clinic, cluster-randomized trial of clinical decision support strategies in dentistry.Implementation science : IS · 2023Trial
- Human Papillomavirus vaccination clinical decision support for young adults in an upper midwestern healthcare system: a clinic cluster-randomized control trial.Human vaccines & immunotherapeutics · 2022Trial
- Clinician perceptions of a clinical decision support system to reduce cardiovascular risk among prediabetes patients in a predominantly rural healthcare system.BMC medical informatics and decision making · 2022Trial
- Clinical Decision Support with or without Shared Decision Making to Improve Preventive Cancer Care: A Cluster-Randomized Trial.Medical decision making : an international journal of the Society for Medical Decision Making · 2022Trial
- Effect of Clinical Decision Support at Community Health Centers on the Risk of Cardiovascular Disease: A Cluster Randomized Clinical Trial.JAMA network open · 2022Trial
- Primary care clinicians' opinions before and after implementation of cancer screening and prevention clinical decision support in a clinic cluster-randomized control trial: a survey research study.BMC health services research · 2022Trial
- The impact of personalized clinical decision support on primary care patients' views of cancer prevention and screening: a cross-sectional survey.BMC health services research · 2021Trial
- Project ACTIVE: a Randomized Controlled Trial of Personalized and Patient-Centered Preventive Care in an Urban Safety-Net Setting.Journal of general internal medicine · 2021Trial
- Computerized clinical decision support system for diabetes in primary care does not improve quality of care: a cluster-randomized controlled trial.Implementation science : IS · 2020 · on this mapTrial
- User-Centered Design Approach to Dynamic Clinical Decision Support in Primary Prevention of Cardiovascular Disease.Healthcare (Basel, Switzerland) · 2026Article
- Therapist perspectives on the clinical utility of hand performance information from at-home egocentric video in outpatient neurorehabilitation: a multi-methods evaluation study.BMC medical informatics and decision making · 2026Article
- Design and protocol of a pragmatic clinical trial to improve cognitive impairment detection in primary care.Contemporary clinical trials · 2025Article
- Family Physicians' Perspectives on Personalized Cancer Prevention: Barriers, Training Needs, Quality Improvements and Opportunities for Collaborative Networks.Journal of clinical medicine · 2025Article
- The Effect of an EHR Order Set on Cancer Screening Order Rates in Community-Based Health Centers.Applied clinical informatics · 2025Article
- New Performance Measurement Framework for Realizing Patient-Centered Clinical Decision Support: Qualitative Development Study.Journal of medical Internet research · 2025Article
- Clinical decision support to improve primary care obesity management in adults with diabetes: Clinic-randomized study design.Contemporary clinical trials · 2025Article
- Barriers, facilitators, and recommendations to increase the use of a clinical decision support tool for managing chronic pain in primary care.International journal of medical informatics · 2024Article
- Improvements in appropriate placement of dental sealants after implementation of a clinical decision support system.Journal of the American Dental Association (1939) · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors.
Funding
Abstract
introductionPriorities Wizard is an electronic health record-linked, web-based clinical decision support (CDS) system designed and implemented at multiple Health Care Systems Research Network (HCSRN) sites to support high quality outpatient chronic disease and preventive care. The CDS system (a) identifies patients who could substantially benefit from evidence-based actions; (b) presents prioritized evidence-based treatment options to both patient and clinician at the point of care; and (c) facilitates efficient ordering of recommended medications, referrals or procedures.
methodsThe CDS system extracts relevant data from electronic health records (EHRs), processes the data using Web-based clinical decision support algorithms, and displays the CDS output seamlessly on the EHR screen for use by the clinician and patient. Through a series of National Institutes of Health-funded projects led by HealthPartners Institute and the HealthPartners Center for Chronic Care Innovation and HCSRN partners, Priorities Wizard has been evaluated in cluster-randomized trials and expanded to include over 20 clinical domains.
resultsCluster-randomized trials show that this CDS system significantly improved glucose and blood pressure control in diabetes patients, reduced 10-year cardiovascular (CV) risk in high-CV risk adults without diabetes, improved management of smoking in dental patients, and improved high blood pressure identification and management in adolescents. CDS output was used at 71-77 percent of targeted visits, 85-98 percent of clinicians were satisfied with the CDS system, and 94 percent reported they would recommend it to colleagues.
conclusionsRecently developed EHR-linked, Web-based CDS systems have significantly improved chronic disease care outcomes and have high use rates and primary care clinician satisfaction.
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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.