Randomized Trial of a Clinical Decision Support System: Impact on the Management of Children with Fever without Apparent Source

Journal of the American Medical Informatics Association

Volumn 15, Issue 1, 2008, Pages 107-113

  Roukema, Jolt ^a   Steyerberg, Ewout W ^b   van der Lei, Johan ^b   Moll, Henriëtte A ^a  

^a SOPHIA CHILDREN S HOSPITAL   (Netherlands)

^b ERASMUS MEDICAL CENTER   (Netherlands)

Author keywords

[No Author keywords available]

Indexed keywords

ADOLESCENT; ARTICLE; BACTERIAL INFECTION; CHILD; CLINICAL DECISION MAKING; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; EMERGENCY WARD; FEMALE; FEVER; HEALTH CARE MANAGEMENT; HIGH RISK PATIENT; HUMAN; LABORATORY TEST; LENGTH OF STAY; MALE; OUTCOME ASSESSMENT; RANDOMIZED CONTROLLED TRIAL; REGISTRATION;

CHI-SQUARE DISTRIBUTION; CHILD, PRESCHOOL; DECISION SUPPORT SYSTEMS, CLINICAL; EMERGENCY SERVICE, HOSPITAL; FEMALE; FEVER OF UNKNOWN ORIGIN; GUIDELINE ADHERENCE; HUMANS; INFANT; INSERVICE TRAINING; LABORATORY TECHNIQUES AND PROCEDURES; LENGTH OF STAY; MALE; NURSING STAFF, HOSPITAL; PATIENT CARE MANAGEMENT; PRACTICE GUIDELINES AS TOPIC; REGISTRIES; RISK ASSESSMENT; ROC CURVE; USER-COMPUTER INTERFACE;

EID: 36749043052     PISSN: 10675027     EISSN: None     Source Type: Journal    
DOI: 10.1197/jamia.M2164     Document Type: Article

References (25)

1. Brook I. Unexplained fever in young children: how to manage severe bacterial infection. Br Med J 327 7423 (2003) 1094-1097
2. Baker M.D., Bell L.M., and Avner J.R. Outpatient Management without Antibiotics of Fever in Selected Infants. N Engl J Med 329 20 (1993) 1437-1441
3. Lee G.M., and Harper M.B. Risk of bacteremia for febrile young children in the post-Haemophilus influenzae type b era. Arch Ped Adolesc Med 152 7 (1998) 624-628
4. Baraff L.J. Management of fever without source in infants and children. Ann Emerg Med 36 6 (2000) 602-614
5. Kucher N., Koo S., Quiroz R., Cooper J.M., Paterno M.D., Soukonnikov B., et al. Electronic Alerts to Prevent Venous Thromboembolism among Hospitalized Patients. N Engl J Med 352 10 (2005) 969-977
6. Armon K., MacFaul R., Hemingway P., Werneke U., and Stephenson T. The impact of presenting problem based guidelines for children with medical problems in an accident and emergency department. Arch Dis Child 89 2 (2004) 159-164
7. Gorelick M.H., and Shaw K.N. Clinical decision rule to identify febrile young girls at risk for urinary tract infection. Arch Pediatr Adolesc Med 154 4 (2000) 386-390
8. Haydel M.J., and Shembekar A.D. Prediction of intracranial injury in children aged five years and older with loss of consciousness after minor head injury due to nontrivial mechanisms. Ann Emerg Med 42 4 (2003) 507-514
9. Holmes J.F., Sokolove P.E., Brant W.E., and Kuppermann N. A clinical decision rule for identifying children with thoracic injuries after blunt torso trauma. Ann Emerg Med 39 5 (2002) 492-499
10. Lynch T., Platt R., Gouin S., Larson C., and Patenaude Y. Can we predict which children with clinically suspected pneumonia will have the presence of focal infiltrates on chest radiographs?. Pediatrics 113 3 Pt 1 (2004) e186-e189
11. Reilly B.M., and Evans A.T. Translating Clinical Research into Clinical Practice: Impact of Using Prediction Rules To Make Decisions. Ann Intern Med 144 3 (2006) 201-209
12. Wyatt J., and Spiegelhalter D. Field trials of medical decision-aids: potential problems and solutions. Proc Annu Symp Comput Appl Med Care (1991) 3-7
13. Kawamoto K., Houlihan C.A., Balas E.A., and Lobach D.F. Improving clinical practice using clinical decision support systems: a systematic review of trials to identify features critical to success. BMJ 330 7494 (2005) 765
14. Garg A.X., Adhikari N.K.J., McDonald H., Rosas-Arellano M.P., Devereaux P.J., Beyene J., et al. Effects of Computerized Clinical Decision Support Systems on Practitioner Performance and Patient Outcomes: A Systematic Review. JAMA 293 10 (2005) 1223-1238
15. Hunt D.L., Haynes R.B., Hanna S.E., and Smith K. Effects of Computer-Based Clinical Decision Support Systems on Physician Performance and Patient Outcomes: A Systematic Review. JAMA 280 15 (1998) 1339-1346
16. Roukema J., Los R.K., Bleeker S.E., van Ginneken A.M., van der Lei J., and Moll H.A. Paper Versus Computer: Feasibility of an Electronic Medical Record in General Pediatrics. Pediatrics 117 1 (2006) 15-21
17. Bleeker S.E., Moons K.G.M., Derksen-Lubsen G., Grobbee D.E., and Moll H.A. Predicting serious bacterial infection in young children with fever without apparent source. Acta Paediatrica 90 11 (2001) 1226-1232
18. Bleeker S.E. Children with fever without apparent source: diagnosis and dilemmas (Dissertation) (2002), Erasmus University Rotterdam
19. Bleeker S.E., Derksen-Lubsen G., Grobbee D.E., Donders A.R.T., Moons K.G.M., and Moll H.A. Validating and updating a prediction rule for serious bacterial infection in patients with fever without source. Acta Paediatrica 96 1 (2007) 100-104
20. Oostenbrink R.M., Moons K.G.M.P., Theunissen C.C.W.M., Derksen-Lubsen G.M.D.P., Grobbee D.E.M.D.P., and Moll H.A.M.D.P. Signs of meningeal irritation at the emergency department: How often bacterial meningitis?. [Article]. Ped Emerg Care 17 3 (2001) 161-164
21. Kuppermann N., Fleisher G.R., and Jaffe D.M. Predictors of occult pneumococcal bacteremia in young febrile children. Ann Emerg Med 31 6 (1998) 679-687
22. Slater M., and Krug S.E. Evaluation of the infant with fever without source: An evidence based approach. Emerg Med Clin North Am 17 1 (1999) 97
23. Brehaut J.C., Stiell I.G., Visentin L., and Graham I.D. Clinical decision rules "in the real world": how a widely disseminated rule is used in everyday practice. Acad Emerg Med 12 10 (2005) 948-956
24. Sim I., Gorman P., Greenes R.A., Haynes R.B., Kaplan B., Lehmann H., et al. Clinical Decision Support Systems for the Practice of Evidence-based Medicine. J Am Med Inform Assoc 8 6 (2001) 527-534
25. Steyerberg E.W., Borsboom G.J., van Houwelingen H.C., Eijkemans M.J., and Habbema J.D. Validation and updating of predictive logistic regression models: a study on sample size and shrinkage. Stat Med 23 16 (2004) 2567-2586 Aug 30