User Centered Clinical Decision Support Tools

Abstract

There is variation in adoption of CDS tools across training levels. Attendings tended to accept the tool less but ordered more medications. CDS tools should be tailored to clinicians' training levels.

E-Health Tools to Improve Antibiotic Use and Resistances: A Systematic Review

“…Of the 22 included studies, 8 (36.3%) were randomized controlled trials, which is the gold standard for intervention effect assessment [25,27,32,33,36,41,44,45]. Six other studies were pre-post studies (27.2%) [29][30][31]40,43,46].…”

“…Seven studies had a score of 4/10 or below [28,32,35,38,40,43,46]. More than half of the studies (54.5%) had a total score between five and seven [25][26][27][29][30][31]33,34,36,37,39,47]. Three other studies had a score above seven [41,44,45].…”

“…Most studies (81.8%) took place in the USA [25][26][27][28][29][30][31][32][33][34][36][37][38][39][40][41]46,47]. Three studies (13.6%) were undertaken in the UK [35,44,45], and one was conducted in Australia (4.5%) [43].…”

“…Most of the studies (68.1%) took place in primary care/ambulatory practices [27][28][29][30][31][34][35][36][37]39,41,[44][45][46]. Five of the interventions (22.7%) occurred in the context of hospital care [26,38,40,43,47], and 9.0% occurred in academic medical centers [32,33]. The remaining interventions occurred in a pediatric practice [25].…”

“…Sixteen out of the 22 included studies considered the results obtained based on the entire population [26,[28][29][30][32][33][34][35][36][37][38][39]41,43,46,47]. Four studies only measured the adult population [31,40,44,45].…”