Evidence map›Paper›PMID 42281563›Full record

ArticleJournal of general and family medicine2026

Effect of a Clinical Decision Support System on Team-Based Clinical Quiz Performance Among Japanese Medical Students: A Pre-Post Pilot Study.

Sho Isoda, Tadayuki Hashimoto, Toshinori Nishizawa, Satoru Sekiya, Shinya Yamanaka, Miwa Misawa, Takashi Watari, Eiichiro Ueda, Tomio Suzuki, Yasuharu Tokuda

Abstract read
In one paragraph

Article in Journal of general and family medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

10 authors.

Sho IsodaDepartment of General Medicine Osaka Medical and Pharmaceutical University Hospital Osaka Japan.
Tadayuki HashimotoDepartment of General Medicine Osaka Medical and Pharmaceutical University Hospital Osaka Japan.
Toshinori NishizawaMedical Quality Management Office St. Luke's International Hospital Chūō Japan.ORCID https://orcid.org/0000-0003-2074-646X
Satoru SekiyaDepartment of Anesthesiology St. Luke's International Hospital Chūō Japan.
Shinya YamanakaDepartment of Hematology St. Luke's International Hospital Chūō Japan.ORCID https://orcid.org/0009-0003-1393-0987
Miwa MisawaDepartment of General Medicine Osaka Medical and Pharmaceutical University Hospital Osaka Japan.
Takashi WatariIntegrated Clinical Education Center Kyoto University Hospital Kyoto Japan.ORCID https://orcid.org/0000-0002-9322-8455
Eiichiro UedaDepartment of Hospital Quality and Safety Management Osaka Medical and Pharmaceutical University Hospital Osaka Japan.
Tomio SuzukiDepartment of General Medicine Osaka Medical and Pharmaceutical University Hospital Osaka Japan.
Yasuharu TokudaMuribushi Okinawa Center for Teaching Hospitals Urasoe Japan.ORCID https://orcid.org/0000-0002-9325-7934

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Educational impact of point-of-care clinical decision support system (CDSS) on medical students remains insufficiently studied. Our aim was to evaluate the effect of a CDSS on team-based clinical quiz performance and confidence in using medical information resources. Methods: We conducted a nationwide, online, pre-post quasi-experimental pilot study on November 24, 2024. Eighteen teams of Japanese medical students (team size ranging from one to three members) completed ten multiple-choice questions based on two clinical cases. Teams first answered questions using any resources except UpToDate (Pre phase), then re-answered the same questions using UpToDate only (Post phase) under stricter time constraints. The primary outcome was team-based quiz score. Secondary outcomes were team-based confidence in using UpToDate and other resources. Paired Results: Seventeen teams (43 individuals) were included in the analysis. Mean quiz scores increased from 4.00 (SD 1.70) to 4.76 (SD 2.17) (paired Conclusions: CDSS use may be associated with modest improvements in team-based quiz performance and confidence among medical students in this volunteer-based sample; generalizability to broader populations requires further investigation. Future studies should examine learning outcomes, clinical applicability, and curricular integration.

Indexed as

clinical decision supportevidence‐based digital toolevidence‐based medicinemedical studentsquasi‐experimental study

Identifiers

PMID42281563
PMCPMC13250386

What OpenQuestion holds

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Registered trials

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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.