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 |