ArticleNPJ digital medicine2025
Mixed methods evaluation of a clinical decision support system to reduce variation in healthcare.
Article in NPJ digital medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 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
2 citing papers in PubMed.
- AI-induced never-skilling in medical education.Nature medicine · 2026Review
- Heavy Metal Toxicity in Clinical and Environmental Health: Sources, Mechanisms, Diagnostics, and Evidence-Based Management of Mercury, Lead, Cadmium, and Arsenic.International journal of molecular sciences · 2026Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Evidence that clinical decision support systems (CDSS) reduce unwarranted variation in care and improve patient outcomes remains limited, particularly for acute, high-risk conditions where deviations from clinical guidelines are costly. We evaluated utilisation of a CDSS-embedded care plan within an electronic medical record designed to support timely, protocol-driven management of a complex metabolic emergency. Among 345 episodes, the CDSS was used in just over half of cases; yet a 1% increase in utilisation was associated with a reduction in hospital length of stay by approximately 1.3%, and any use was linked to a 3.3% reduction in in-hospital mortality. Fourteen clinician interviews supported these findings but highlighted barriers such as limited awareness and lack of training that constrain meaningful use. Quantitative and qualitative evidence together suggest that well-designed CDSS care plans can reduce variation and improve outcomes, while emphasising the need for awareness, education, and workflow alignment to unlock greater value.
Identifiers
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.