Table 6.
Author | Population | CCDS provided | Measured outcomes/results | Authors' conclusion |
Christakis* et al, 200145 | Outpatient academic pediatric clinic | Provided evidence-based information about antibiotic selection and duration at the time of prescribing an antibiotic for AOM | Overall increase from 50.7 to 69.7% in antibiotics ordered for <10 days. A 44% greater increase in frequency of ordering antibiotics for <10 days from baseline in prescribers exposed to literature evidence vs a 10% change in frequency in the control group (p<0.01). Prescription of any antibiotic increased from baseline | Presenting pertinent information to providers during decision-making improved prescribing patterns |
Davis* et al, 200746 | Two outpatient academic pediatric clinics | Provided evidence-based treatment information at the time of prescribing medications for AOM, allergic rhinitis, sinusitis, constipation, pharyngitis, croup, and urticaria | Increased prescribing in accordance with treatment evidence by 4% (38% to 42%) in the intervention versus 1% in the control group (39% to 40%) (weighted 8% difference with a CI of 1% to 15% difference) | Significant improvement in provider prescribing practices for a given indication when evidence was provided during prescribing |
Randomized controlled trial.
AOM, acute otitis media; CCDS, computerized clinical decision support.