Table H-7Factors/Features: treatment adherence

StudyRR (95% CI)Integration with charting or order entry systemAutomatic provision of decision supportNo need for additional data entryRequest documentation of the reason for not followingProvision of decision support at time and location of decisionmakingRecommendations executed by noting agreementProvision of a recommendation, not just an assessmentPromotion of action rather than inactionJustification of decision support via provision of reasoningJustification of decision support via provision of research evidenceLocal user involvement in development processProvision of decision support results to patients as well as providersCDSS accompanied by periodic performance feedbackCDSS accompanied by conventional education
Rossi et al., 19979745.570
(6.635, 312.900)
[check][check][check][check][check][check][check]
Feldstein et al., 20069816.78
(6.743 to 41.770)
[check][check][check][check][check][check][check][check][check]
Strom et al., 2010998.559
(4.936 to 14.842)
[check][check][check][check][check][check][check]
van Wyk et al., 2008707.309
(5.979 to 8.936)
[check][check][check][check][check][check]
Vissers et al., 1996100 and Vissers et al., 19951014.247
(1.398 to 12.900
[check][check]
Terrell et al., 20101023.839
(1.716 to 8.589)
[check][check][check][check][check][check][check][check]
Krall et al., 20041033.417
(2.637 to 4.428)
[check][check][check][check][check][check][check][check]
Zanetti et al., 2003113.113
(1.896 to 5.111)
[check][check][check][check][check][check]
Overhage et al., 199723.074
(1.280, 7.380)
[check][check][check][check][check][check][check][check][check]
Bell et al., 2010712.675
(2.098 to 3.410)
0.876
(0.723 to 1.062)
[check][check][check][check][check][check][check][check][check]
McGregor et al., 200632.389
(1.959 to 2.913)
[check][check][check][check][check][check][check]
Cobos et al., 20051042.100
(1.641 to 2.686)
[check][check][check][check][check][check][check]
Co et al., 20101052.083
(1.384 to 3.133)
[check][check][check][check][check][check]
Rood et al., 20051061.904
(1.679 to 2.159)
[check][check][check][check][check][check]
Linder et al., 20091071.864
(1.208 to 2.874)
[check][check][check][check]
McCowan et al., 200181.684
(1.078 to 2.632)
[check][check][check][check][check]
Fretheim et al., 200644 and Fretheim et al., 2006451.680
(1.405 to 2.010)
[check][check][check][check][check][check][check][check][check]
Field et al., 20091081.548
(1.095 to 2.188)
[check][check][check][check][check][check]
Paul et al., 200611.470
(1.030 to 2.098)
[check][check][check][check][check][check]
Tamblyn et al., 20091091.461
(1.162 to 1.836)
[check][check][check][check]
Heidenreich et al., 2007191.457
(1.145 to 1.855)
[check][check][check][check]
Bourgeois et al., 20101101.430
(1.161 to 1.761)
[check][check][check][check][check]
Hicks et al., 20081111.441
(0.975 to 2.130)
[check][check][check][check][check][check]
Gill et al., 2009591.386
(1.002 to 1.918)
[check][check][check][check]
Filippi et al., 20031121.356
(1.207 to 1.523)
[check][check][check][check][check][check]
Montgomery et al., 20001131.324
(0.885 to 1.979)
[check][check][check]
Smith et al., 20081141.277
(0.696 to 2.342)
[check][check][check][check][check][check][check][check][check]
Gilutz et al., 2009221.246
(1.137, 1.366)
[check]
Tamblyn et al., 20031151.202
(1.089 to 1.327)
[check][check][check][check][check]
Subramanian et al., 2004281.137
(0.833 to 1.552)
[check][check][check][check][check]
Strom et al., 20101161.160
(0.877 to 1.535)
[check][check][check][check][check][check][check]
Player et al., 2010821.110
(0.861 to 1.431)
[check][check][check][check][check][check]
Davis et al., 20071171.086
(0.464, 2.541)
[check][check][check][check][check][check]
Tierney et al., 2005201.082
(0.829 to 1.412)
[check][check][check][check][check][check][check][check][check][check]
Tierney et al., 2003211.059
(0.604, 1.856)
[check][check][check][check][check][check][check][check]
Bertoni et al., 2009501.041
(0.6555 to 1.653)
[check][check][check][check][check][check][check]
Weir et al., 20031180.984
(0.512 to 1.893)
[check][check]
Brier et al., 2010230.977
(0.552 to 1.729)
[check]
Murray et al., 2004260.867
(0.518, 1.452)
[check][check][check][check][check][check][check][check][check]
Roumie et al., 2006130.844
(0.626, 1.137)
[check][check][check][check][check]
Raebel et al., 20071190.830
(0.739 to 0.9314)
[check][check][check][check][check][check][check]
Apkon et al., 2005430.790
(0.554 to 1.126)
[check][check][check][check][check]
Locatelli et al., 20091200.723
(0.511 to 1.021)
[check][check][check][check]
Terrell et al., 20091210.6296
(0.4672 to 0.8486)
[check][check][check][check][check][check][check][check][check]
Ansari et al., 2003140.490
(0.197 to 1.219)
[check][check][check][check][check][check][check]
Mc Donald, 1976730.426
(0.2211 to 0.8203)
[check][check][check]
Christakis et al., 2001122NA[check][check][check][check][check][check][check]
Fihn et al., 199431NA[check][check][check][check][check]
Fitzmaurice et al., 2000123NA[check][check]
Flottorp et al., 200285NA[check][check][check]
Fortuna et al., 2009124NA[check][check][check][check][check][check][check][check][check]
Goud et al., 2009125NA[check][check][check][check][check][check][check][check][check][check]
Kuperman et al., 199929NA[check][check][check][check][check][check][check]
Manotti et al., 2001126NA[check][check][check][check]
Marco et al., 2003127NA[check][check][check]
Martens et al., 2006128 and Martens et al., 2007129NA[check][check][check][check][check]
Peterson et al., 2007130NA[check][check][check][check][check][check]
Phillips et al., 2005131 and Ziemer et al., 2006132NA[check][check][check][check][check][check]
Rothschild et al., 2007133NA[check][check][check][check][check][check]
Samore et al., 2005134NA[check][check][check]
Sequist et al., 200568NA[check][check][check][check][check]
Shojania et al., 1998135NA[check][check][check][check][check]
Simon et al., 2006136NA[check][check][check][check][check][check][check]
Tamblyn et al, 2008137NA[check][check][check][check][check][check]
Vadher et al, 1997138NA[check][check][check]
Vadher et al, 1997139NA[check][check]
White et al., 1984140NA[check][check][check][check][check]

Abbreviations: CDSS = clinical decision support system, CI = confidence interval, NA= not available (study did not provide sufficient data to calculate common endpoint), RR = relative risk

From: Appendix H, Summary Tables for Key Question 2

Cover of Enabling Health Care Decisionmaking Through Clinical Decision Support and Knowledge Management
Enabling Health Care Decisionmaking Through Clinical Decision Support and Knowledge Management.
Evidence Report/Technology Assessments, No. 203.
Lobach D, Sanders GD, Bright TJ, et al.

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