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

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