Stockwell 2015.
Study characteristics | ||
Methods | Cluster Crossover RCT | |
Participants | Community‐based pediatric clinics affiliated with academic medical center, NY, USA (New York–Presbyterian Hospital/ Columbia University Medical Center) 6593 episodes of care, 4 sites |
|
Interventions | Noninterruptive influenza vaccination reminder using real‐time query of hospital and city immunization information system | |
Outcomes | Process adherence (documentation, vaccination) | |
Co‐Interventions | Educational: None Beyond Clinician Education: None |
|
CDSS Features ‐ Acknowledgement of CDSS Required | Yes ‐ required acknowledgement of the CDSS and documentation of action taken | |
CDSS Features ‐ Other | Considered alert fatigue in design, conveyed patient‐specific information, developed in consultation with users, included supporting information on‐screen, makes care recommendation, possible to execute desired action, '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 | Low risk |