Sequist 2011.
Study characteristics | ||
Methods | Cluster RCT | |
Participants | Primary care practices affiliated with academic medical center, USA (Harvard Vanguard Medical Associates) 7083 patients, 292 providers, 15 health centers |
|
Interventions | Two reminders that triggered when chief complaint of chest pain was coded in EHR during office visit (one recommended ECG and aspirin for high risk patients, a second recommended against cardiac stress testing for low risk patients) | |
Outcomes | Process adherence (prescribing, testing) | |
Co‐Interventions | Educational: None Beyond Clinician Education: None |
|
CDSS Features ‐ Acknowledgement of CDSS Required | Yes ‐ required acknowledgement of the CDSS but not documentation of action taken | |
CDSS Features ‐ Other | Conveyed patient‐specific information, developed by study investigators, included supporting information on‐screen, interruptive, makes care recommendation, possible to execute desired action, 'push' mode of delivery, targeted overuse and underuse | |
Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Allocation concealment (selection bias) | Low risk | N/A |
Incomplete outcome data (attrition bias) All outcomes | Low risk | |
Baseline characteristics similar? | Low risk | |
Unit of analysis error | Low risk |