Trial reportProceedings : a conference of the American Medical Informatics Association. AMIA Fall Symposium1996
Electronically distributed, computer-generated, individualized feedback enhances the use of a computerized practice guideline.
Trial report in Proceedings : a conference of the American Medical Informatics Association. AMIA Fall Symposium, 1996. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled 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.
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
15 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Audit and feedback: effects on professional practice.The Cochrane database of systematic reviews · 2025Pooled it
- Audit and feedback: effects on professional practice and healthcare outcomes.The Cochrane database of systematic reviews · 2012Pooled it
- A randomized trial of population-based clinical decision support to manage health and resource use for Medicaid beneficiaries.Journal of medical systems · 2013Trial
- A Guideline-Based Decision Tree Achieves Better Glucose Control with Less Hypoglycemia at 3 Months in Chinese Diabetic Patients.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2021Article
- Otitis Externa in Secondary Care: A Change in Our Practice Following a Full Cycle Audit.International archives of otorhinolaryngology · 2018Article
- Information and Communication Technologies for the Dissemination of Clinical Practice Guidelines to Health Professionals: A Systematic Review.JMIR medical education · 2016Review
- Long-Term Impact of an Electronic Health Record-Enabled, Team-Based, and Scalable Population Health Strategy Based on the Chronic Care Model.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2016Article
- Impact of a computerized system for evidence-based diabetes care on completeness of records: a before-after study.BMC medical informatics and decision making · 2012Article
- A national clinical decision support infrastructure to enable the widespread and consistent practice of genomic and personalized medicine.BMC medical informatics and decision making · 2009Article
- Article
- What do we know about how to do audit and feedback? Pitfalls in applying evidence from a systematic review.BMC health services research · 2005Article
- Does continuing medical education in general practice make a difference?BMJ (Clinical research ed.) · 1999Review
- Hypertextual navigation operationalizing generic clinical practice guidelines for patient-specific therapeutic decisions.Proceedings. AMIA Symposium · 1998Article
- Electronic medical records and diabetes quality of care: results from a sample of family medicine practices.Annals of family medicineArticle
- Automating complex guidelines for chronic disease: lessons learned.Journal of the American Medical Informatics Association : JAMIAArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Clinical guidelines have been developed to assist with the management of patient care; however, these guidelines are frequently neglected in clinical practice. Computer-generated reminders enhance guideline use, but these systems often fail to achieve high rates of guideline utilization. This study was designed to test the hypothesis that computer-generated, individualized feedback regarding adherence to care guidelines will significantly improve clinician compliance with guideline recommendations presented through a computer-assisted management protocol. Half of the 45 primary care clinicians employed at a primary care clinic affiliated with an academic medical center, were randomized to receive a biweekly electronic mail message consisting of a computer-generated report summarizing his/her response to care guideline recommendations for the diabetic patients seen during the previous 2 weeks. Clinician compliance with guideline recommendations was the primary outcome measure. This study demonstrated that the intervention significantly increased clinician compliance with the guideline recommendations without incurring high maintenance expenses. Median compliance among the intervention group was 35% versus 6.1% among the control group (p < 0.01). Electronically distributed, computer-generated, individualized feedback regarding clinician use of care guideline recommendations is an effective way to enhance compliance with a care guideline.
Indexed as
Identifiers
8947715PMC2233009What 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.