TY - JOUR T1 - Evidence-based clinical decision support improves the appropriate use of antibiotics and rapid strep testing JF - Evidence Based Medicine JO - Evid Based Med SP - 118 LP - 118 DO - 10.1136/eb-2013-101625 VL - 19 IS - 3 AU - Jane Brokel Y1 - 2014/06/01 UR - http://ebm.bmj.com/content/19/3/118.abstract N2 - Commentary on: McGinn TG, McCullagh L, Kannry J, et al. Efficacy of an evidence-based clinical decision support in primary care practices: a randomised clinical trial. JAMA Intern Med 2013;173:1584–91.OpenUrlCrossRefPubMedWeb of Science 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. 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 and … ER -