0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
The Medical Literature |

Users' Guides to the Medical Literature:  XVIII. How to Use an Article Evaluating the Clinical Impact of a Computer-Based Clinical Decision Support System

Adrienne G. Randolph, MD, MSc; R. Brian Haynes, MD, PhD; Jeremy C. Wyatt, MD; Deborah J. Cook, MD, MSc; Gordon H. Guyatt, MD, MSc
JAMA. 1999;282(1):67-74. doi:10.1001/jama.282.1.67.
Text Size: A A A
Published online

Extract

Overhage JM, Tierney WM, Zhou XH, McDonald CJ.A randomized trial of "corollary orders" to prevent errors of omission. J Am Med Inform Assoc.1997;4:364-375.
Johnston ME, Langton KB, Haynes RB, Mathieu A.Effects of computer-based clinical decision support systems on clinician performance and patient outcome: a critical appraisal of research. Ann Intern Med.1994;120:135-142.
Pryor TA.Development of decision support systems. Int J Clin Monitoring Computing.1990;7:137-146.
Friedman CP, Wyatt JC.Evaluation Methods in Medical Informatics.New York, NY: Springer-Verlag; 1997.
Lepage EF, Gardner RM, Laub RM, Golubjatnikov OK.Improving blood transfusion practice: role of a computerized hospital information system. Transfusion.1992;32:253-259.
Weinfurt PT.Electrocardiographic monitoring: an overview. J Clin Monitoring.1990;6:132-138.
Knaus WA, Wagner DP, Draper EA.  et al. The APACHE III prognostic system: risk prediction of hospital mortality for critically ill hospitalized adults. Chest.1991;100:1619-1636.
Berner ES, Webster GD, Shugerman AA.  et al. Performance of four computer-based diagnostic systems. N Engl J Med.1994;330:1792-1796.
Kennedy RL, Harrison RF, Burton AM.  et al. An artificial neural network system for diagnosis of acute myocardial infarction (AMI) in the accident and emergency department: evaluation and comparison with serum myoglobin measurements. Comput Methods Programs Biomed.1997;52:93-103.
Evans RS, Pestotnik SL, Classen DC.  et al. A computer-assisted management program for antibiotics and other antiinfective agents. N Engl J Med.1998;338:232-238.
Morris AH, Wallace CJ, Menlove RL.  et al. Randomized clinical trial of pressure-controlled inverse ratio ventilation and extracorporeal CO2 removal for adult respiratory distress syndrome. Am J Respir Crit Care Med.1994;149(2 pt 1):295-305.
Spiegelhalter DJ.Evaluation of clinical decision-aids, with an application to a system for dyspepsia. Stat Med.1983;2:207-216.
Guyatt GH, Sackett DL, Cook DJ.for the Evidence-Based Medicine Working Group. Users' guides to the medical literature, II: how to use an article about therapy or prevention, A: are the results of the study valid? JAMA.1993;270:2598-2601.
Sacks H, Chalmers TC, Smith Jr H.Randomized versus historical controls for clinical trials. Am J Med.1982;72:233-240.
Shea S, DuMouchel W, Bahamonde L.A meta-analysis of 16 randomized controlled trials to evaluate computer-based clinical reminder systems for preventive care in the ambulatory setting. J Am Med Inform Assoc.1996;3:399-409.
Balas EA, Austin SM, Mitchell JA, Ewigman BG, Bopp KD, Brown GD.The clinical value of computerized information services: a review of 98 randomized clinical trials. Arch Fam Med.1996;5:271-278.
Hunt DL, Haynes RB, Hanna SE, Smith K.Effects of computer-based clinical decision support systems on physician performance and patient outcomes: a systematic review. JAMA.1998;280:1339-1346.
Cornfield J.Randomization by group: a formal analysis. Am J Epidemiol.1978;108:100-102.
Whiting-O'Keefe QE, Henke C, Simborg DW.Choosing the correct unit of analysis in medical care experiments. Med Care.1984;22:1101-1114.
Klar N, Donner A.The merits of matching in community intervention trials: a cautionary tale. Stat Med.1997;16:1753-1764.
Thompson SG, Pyke SD, Hardy RJ.The design and analysis of paired cluster randomised trials: an application of meta-analysis techniques. Stat Med.1997;16:2063-2079.
Strickland Jr JH, Hasson JH.A computer-controlled ventilator weaning system: a clinical trial. Chest.1993;103:1220-1226.
Guyatt GH, Pugsley SO, Sullivan MJ.  et al. Effect of encouragement on walking test performance. Thorax.1984;39:818-822.
Morris AH, East TD, Wallace CJ.  et al. Standardization of clinical decision making for the conduct of credible clinical research in complicated medical environments. Proc AMIA Annu Fall Symp.October 1996:418-422.
Adams ID, Chan M, Clifford PC.  et al. Computer aided diagnosis of acute abdominal pain: a multicentre study. BMJ.1986;293:800-804.
Salvemini AV.Improving the human-computer interface: a human factors engineering approach. MD Comput.1998;15:311-315.
Bradshaw KE, Gardner RM, Pryor TA.Development of a computerized laboratory alerting system. Comput Biomed Res.1989;22:575-587.
Tate KE, Gardner RM, Scherting K.Nurses, pagers, and patient-specific criteria: three keys to improved critical value reporting. Proc Annu Symp Comput Applications Med Care.October 1995:164-168.
Guyatt GH, Sackett DL, Sinclair JC.  et al. Users' guides to the medical literature, IX: a method for grading health care recommendations. JAMA.1995;274:1800-1804.
Roethligsburger FJ, Dickson WJ.Management and the Worker.Cambridge, Mass: Harvard University Press; 1939.
Mant J, Hicks N.Detecting differences in quality of care: the sensitivity of measures of process and outcome in treating acute myocardial infarction. BMJ.1995;311:793-796.
Oxman AD, Cook DJ, Guyatt GH.for the Evidence-Based Medicine Working Group. Users' guides to the medical literature, VI: how to use an overview. JAMA.1994;272:1367-1371.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Letters

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Web of Science® Times Cited: 66

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles
Jobs
brightcove.createExperiences();