Evidence map›Paper›PMID 8563376›Full record

Trial reportProceedings. Symposium on Computer Applications in Medical Care1995

A randomized evaluation of a computer-based physician's workstation: design considerations and baseline results.

B L Rotman, A N Sullivan, T McDonald, P DeSmedt, D Goodnature, M Higgins, H J Suermondt, C Y Young, D K Owens

Open access · greenAbstract readClinical TrialRandomized Controlled Trial
In one paragraph

Trial report in Proceedings. Symposium on Computer Applications in Medical Care, 1995. 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, top 99% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  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

9 authors at 1 institution in 1 country.

B L RotmanDepartment of Veterans Affairs Medical Center, Palo Alto, CA, USA.
A N Sullivan
T McDonald
P DeSmedt
D Goodnature
M Higgins
H J Suermondt
C Y Young
D K Owens
Veterans Health Administration · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We are performing a randomized, controlled trial of a Physician's Workstation (PWS), an ambulatory care information system, developed for use in the General Medical Clinic (GMC) of the Palo Alto VA. Goals for the project include selecting appropriate outcome variables and developing a statistically powerful experimental design with a limited number of subjects. As PWS provides real-time drug-ordering advice, we retrospectively examined drug costs and drug-drug interactions in order to select outcome variables sensitive to our short-term intervention as well as to estimate the statistical efficiency of alternative design possibilities. Drug cost data revealed the mean daily cost per physician per patient was 99.3 cents +/- 13.4 cents, with a range from 0.77 cent to 1.37 cents. The rate of major interactions per prescription for each physician was 2.9% +/- 1%, with a range from 1.5% to 4.8%. Based on these baseline analyses, we selected a two-period parallel design for the evaluation, which maximized statistical power while minimizing sources of bias.

Indexed as

Ambulatory Care Information SystemsClinical Pharmacy Information SystemsOutcome Assessment, Health CareResearch DesignDrug CostsDrug InteractionsDrug UtilizationHumansOnline SystemsPoint-of-Care SystemsPractice Patterns, Physicians'Quality Assurance, Health CareRetrospective Studies

Identifiers

PMID8563376
PMCPMC2579182
OpenAlexW64978993

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.