Evidence map›Paper›PMID 40826169›Full record

Articlenpj antimicrobials and resistance2025

A mixed methods evaluation of an antimicrobial prescribing clinical decision support system app.

William J Waldock, Mark Gilchrist, Hutan Ashrafian, Ara Darzi, Bryony Dean Franklin

Abstract read
In one paragraph

Article in npj antimicrobials and resistance, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

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

2 citing papers in PubMed.

  1. Article
  2. 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

5 authors.

William J WaldockInstitute of Global Health Innovation, Guild, Imperial College London, London, UK. william.waldock17@imperial.ac.uk.ORCID http://orcid.org/0000-0003-3283-4096
Mark GilchristInstitute of Global Health Innovation, Guild, Imperial College London, London, UK.
Hutan AshrafianInstitute of Global Health Innovation, Guild, Imperial College London, London, UK.
Ara DarziInstitute of Global Health Innovation, Guild, Imperial College London, London, UK.
Bryony Dean FranklinImperial College Healthcare NHS Trust, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study evaluated how the usability and accessibility of a digital antimicrobial prescribing app influences clinical decision-making. Using a convergent parallel mixed methods design, the study assessed app usage patterns with surveys and interviews to identify common barriers. Among 700 users at a tertiary hospital, 61 completed the survey (7.3% response rate), including 52 prescribers. Additionally, 20 prescribers participated in interviews. While 87% found the guidelines relevant, only 52% rated navigation as easy, and 34% reported slower decision-making compared to other clinical decision support systems (CDSS). App use peaked during morning rounds (8-11 AM). Key challenges included navigation inefficiencies (59%), technical barriers, limited onboarding, and concerns around clinical AI transparency. Interviews highlighted frustration with excessive steps and a desire for simpler guideline access. Findings highlight the need for user-friendly CDSS tools integrated into clinical workflows, and stress the importance of stakeholder co-design to improve medication safety.

Identifiers

PMID40826169
PMCPMC12361472

What OpenQuestion holds

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LicenceCC BY
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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.