Evidence map›Paper›PMID 39091509›Full record

ArticleJAMIA open2024

Effect of a behavioral nudge on adoption of an electronic health record-agnostic pulmonary embolism risk prediction tool: a pilot cluster nonrandomized controlled trial.

Safiya Richardson, Katherine L Dauber-Decker, Jeffrey Solomon, Pradeep Seelamneni, Sundas Khan, Douglas P Barnaby, John Chelico, Michael Qiu, Yan Liu, Shreya Sanghani and 6 more

Registry-linked trialAbstract read
In one paragraph

Article in JAMIA open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05203185 (Nudging Provider Adoption of Clinical Decision Support), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

NCT05203185 nacompletednot on this map

Nudging Provider Adoption of Clinical Decision Support

TypeinterventionalSponsorNYU Langone HealthRan2021 to 2022Enrolled1,612ConditionsPulmonary EmbolismArmsPulmonary Embolism Risk Kalculator (PERK)
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

16 authors.

Safiya RichardsonNew York University (NYU) Langone, New York, NY 10016, United States.
Katherine L Dauber-DeckerFeinstein Institutes for Medical Research, Northwell Health, Manhasset, NY 11030, United States.ORCID https://orcid.org/0000-0002-0498-8779
Jeffrey SolomonFeinstein Institutes for Medical Research, Northwell Health, Manhasset, NY 11030, United States.
Pradeep SeelamneniFeinstein Institutes for Medical Research, Northwell Health, Manhasset, NY 11030, United States.
Sundas KhanCenter for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX 77030, United States.
Douglas P BarnabyFeinstein Institutes for Medical Research, Northwell Health, Manhasset, NY 11030, United States.
John ChelicoCommonSpirit Health, Chicago, IL 60606, United States.
Michael QiuFeinstein Institutes for Medical Research, Northwell Health, Manhasset, NY 11030, United States.
Yan LiuFeinstein Institutes for Medical Research, Northwell Health, Manhasset, NY 11030, United States.
Shreya SanghaniFeinstein Institutes for Medical Research, Northwell Health, Manhasset, NY 11030, United States.
Stephanie M IzardFeinstein Institutes for Medical Research, Northwell Health, Manhasset, NY 11030, United States.
Codruta ChiuzanFeinstein Institutes for Medical Research, Northwell Health, Manhasset, NY 11030, United States.ORCID https://orcid.org/0000-0001-8169-5032
Devin MannNew York University (NYU) Langone, New York, NY 10016, United States.
Renee PekmezarisFeinstein Institutes for Medical Research, Northwell Health, Manhasset, NY 11030, United States.
Thomas McGinnBaylor College of Medicine, Houston, TX 77030, United States.
Michael A DiefenbachFeinstein Institutes for Medical Research, Northwell Health, Manhasset, NY 11030, United States.

Funding

Nudging Provider Adoption of Clinical Decision SupportK23HL145114 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI RICHARDSON, SAFIYA · 2019 to 2023
$863k
NHLBI NIH HHS K23 HL145114
6 · The paper itself

Abstract

Objective: Our objective was to determine the feasibility and preliminary efficacy of a behavioral nudge on adoption of a clinical decision support (CDS) tool. Materials and Methods: We conducted a pilot cluster nonrandomized controlled trial in 2 Emergency Departments (EDs) at a large academic healthcare system in the New York metropolitan area. We tested 2 versions of a CDS tool for pulmonary embolism (PE) risk assessment developed on a web-based electronic health record-agnostic platform. One version included behavioral nudges incorporated into the user interface. Results: A total of 1527 patient encounters were included in the trial. The CDS tool adoption rate was 31.67%. Adoption was significantly higher for the tool that included behavioral nudges (39.11% vs 20.66%; Discussion: We demonstrated feasibility and preliminary efficacy of a PE risk prediction CDS tool developed using insights from behavioral science. The tool is well-positioned to be tested in a large randomized clinical trial. Trial Registration: Clinicaltrials.gov (NCT05203185).

Indexed as

behavioral economicsclinical decision supportcomputed tomographypulmonary angiogrampulmonary embolism

Identifiers

PMID39091509
PMCPMC11293639

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.