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. 2009 Jul 8;2009(3):CD001096. doi: 10.1002/14651858.CD001096.pub2

Beeler 2014.

Study characteristics
Methods Cluster RCT
Participants Academic medical center, Switzerland (University Hospital Zurich)
15 736 patients, 6 departments
Interventions CDSS displayed for patients who did not receive a thromboprophylaxis order within the first 6h of admission or transfer. To improve specificity, he algorithm checked for thromboprophylaxis orders that were active within the 0–30h time frame after admission or transfer.
Outcomes Process adherence (prescribing), clinical endpoint (four outcomes pertaining to bleeding, heparin‐induced thrombocytopenia, venous thromboembolism)
Co‐Interventions Educational: None
Beyond Clinician Education: None
CDSS Features ‐ Acknowledgement of CDSS Required No
CDSS Features ‐ Other Considered alert fatigue in design, conveyed patient‐specific information, makes care recommendation, other concurrent CDSS, 'push' mode of delivery, targeted underuse, user workflow considered in design
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment (selection bias) Unclear risk N/A
Incomplete outcome data (attrition bias)
All outcomes Low risk  
Baseline characteristics similar? Low risk  
Unit of analysis error High risk