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Randomised controlled trial
Evidence-based clinical decision support improves the appropriate use of antibiotics and rapid strep testing
  1. Jane Brokel
  1. Health Informatics, University of Iowa, Iowa City, Iowa, USA
  1. Correspondence to: Dr Jane Brokel, Health Informatics, University of Iowa, 1420 Willow Brook Ln, Riverside, Iowa City, IA 52327, USA; jane-brokel{at}uiowa.edu

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Context

Various forms of clinical decision support (CDS) involve the use of data entered within the electronic health record (EHR) containing components of clinical documentation and results. This study addresses the clinical impact of CDS for pharyngitis on evidence-based practices and evaluates challenges to achievement of large-scale adoption rates. The research findings include outcome and process measures that can be used to determine the efficacy of clinical prediction rules within the provider work flow.

Methods

A randomised clinical trial evaluated two evidence-based clinical prediction rules (CPR) used in ambulatory primary care clinics by physicians, residents, fellows and nurse practitioners. The study used both clinical outcomes and process measures to determine the efficacy …

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