Structured Abstract

Contents

• Preface
• Acknowledgments
• Technical Expert Panel
• Peer Reviewers
• Executive Summary
• Introduction
  • Background
  • Scope and Key Questions
• Methods
  • Role of the Technical Expert Panel
  • Topic Development and Refinement
  • Analytic Framework
  • Literature Search Strategy
  • Process for Study Selection
  • Data Extraction and Data Management
  • Individual Study Quality Assessment
  • Data Synthesis
  • Grading the Body of Evidence for Each Key Question
  • Peer Review and Public Commentary
• Results
  • Literature Search Results
  • Key Question 1
  • Key Question 2
  • Key Question 3
  • Key Question 4
• Summary and Discussion
  • Limitations of This Review
  • Conclusions
• Future Research
• References
• Abbreviations
• Appendixes
  • Appendix A List of Included Studies in Alphabetical Order
  • Appendix B Exact Search Strings
  • Appendix C Sample Data Abstraction Form (Key Questions 2–4)
  • Appendix D Data Abstraction Guidance
  • Appendix E Evidence Table
  • Appendix F List of Excluded Studies
  • Appendix G Summary Tables for Key Question 1
  • Appendix H Summary Tables for Key Question 2
  • Appendix I Summary Tables for Key Question 3
  • Appendix J Analyses of Potential Publication Bias
  • Appendix K Summary Tables for Key Question 4

Prepared for: Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services¹, Contract No. 290-2007-10066-I, Prepared by: Duke Evidence-based Practice Center, Durham, North Carolina

Suggested citation:

Lobach D, Sanders GD, Bright TJ, Wong A, Dhurjati R, Bristow E, Bastian L, Coeytaux R, Samsa G, Hasselblad V, Williams JW, Wing L, Musty M, Kendrick AS. Enabling Health Care Decisionmaking Through Clinical Decision Support and Knowledge Management. Evidence Report No. 203. (Prepared by the Duke Evidence-based Practice Center under Contract No. 290-2007-10066-I.) AHRQ Publication No. 12-E001-EF. Rockville, MD: Agency for Healthcare Research and Quality. April 2012.

This report is based on research conducted by the Duke Evidence-based Practice Center (EPC) under contract to the Agency for Healthcare Research and Quality (AHRQ), Rockville, MD (Contract No. 290-2007-10066-I). The findings and conclusions in this document are those of the authors, who are responsible for its contents; the findings and conclusions do not necessarily represent the views of AHRQ. Therefore, no statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services.

The information in this report is intended to help health care decisionmakers—patients and clinicians, health system leaders, and policymakers, among others—make well-informed decisions and thereby improve the quality of health care services. This report is not intended to be a substitute for the application of clinical judgment. Anyone who makes decisions concerning the provision of clinical care should consider this report in the same way as any medical reference and in conjunction with all other pertinent information, i.e., in the context of available resources and circumstances presented by individual patients.

This report may be used, in whole or in part, as the basis for development of clinical practice guidelines and other quality enhancement tools, or as a basis for reimbursement and coverage policies. AHRQ or U.S. Department of Health and Human Services endorsement of such derivative products may not be stated or implied.

None of the investigators has any affiliations or financial involvement that conflicts with the material presented in this report.

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