Evidence map›Paper›PMID 38222392›Full record

ArticleAMIA ... Annual Symposium proceedings. AMIA Symposium2023

Choice Architecture in Opioid Safety Alerting.

James Hellewell, Kevin Lindsay, Kellyann Nielsen, Erick Christensen, Lynsie Daley, Kristy Jones, Kim Compagni

Open access · greenAbstract read
In one paragraph

Article in AMIA ... Annual Symposium proceedings. AMIA Symposium, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 67% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

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

7 authors at 1 institution in 1 country.

James HellewellIntermountain Health, Salt Lake City, UT.
Kevin LindsayIntermountain Health, Salt Lake City, UT.
Kellyann NielsenIntermountain Health, Salt Lake City, UT.
Erick ChristensenIntermountain Health, Salt Lake City, UT.
Lynsie DaleyIntermountain Health, Salt Lake City, UT.
Kristy JonesIntermountain Health, Salt Lake City, UT.
Kim CompagniIntermountain Health, Salt Lake City, UT.
Intermountain Healthcare · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The need for effective and efficient clinical decision support (CDS) embedded in electronic health record (EHR) processes is growing. Using choice architecture design strategies may increase effectiveness of CDS solutions. The authors describe implementation of an opioid risk alert and subsequent revisions of that alert to increase effectiveness and reduce alert volumes. The first version of the alert used an opt-in choice architecture when recommending naloxone and the second version used an active choice design. The percentage of opioid prescriptions ordered with naloxone prescribed within the last 12 months increased significantly after implementation of the first version of the alert and then further increased significantly after implementation of the second version. Alert volumes decreased over the same timeframe. An education campaign was also implemented during the timeframe studied and likely also contributed to the naloxone outcomes seen.

Indexed as

Analgesics, OpioidDecision Support Systems, ClinicalElectronic Health RecordsHumansNaloxoneAnalgesics, OpioidNaloxone

Identifiers

PMID38222392
PMCPMC10785846
OpenAlexW4390889298

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.