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Are asynchronous or synchronous clinical decision support more likely to change provider behavior? A case study in dementia

Year: 2025

Type: article

Abstract: OBJECTIVE: Describe the impact of synchronous vs asynchronous clinical decision support (CDS) on clinician behavior in a single-site randomized, controlled environment. MATERIALS AND METHODS: Mixed effects binomial logistic regression was used to compare the impact of synchronous against asynchronous messaging on neurology orders in a three-arm study. RESULTS: Asynchronous messaging resulted in a significant increase in patient neurology orders for evaluation (Odds ratio, alert-only arm: 1.88; 95% CI: 1.39, 2.55; alert and questionnaire arm: 1.99; 95% CI: 1.52, 2.62). DISCUSSION: Alerts sometimes generate little action on the part of clinicians. In this case, asynchronous inbox messaging significantly increased neurology orders. CONCLUSION: Depending on context, asynchronous messaging may be superior to synchronous messaging when recommending a referral in an outpatient setting.

Source: Journal of the American Medical Informatics Association

DOI: 10.1093/jamia/ocaf194

Authors: Eric Matthew Puster, Randall W Grout, Paul R Dexter, Zina Ben-Miled, Arthur Owora, Malaz A Boustani

Institutions: Regenstrief Institute, Eskenazi Health, Lamar University, Indiana University Indianapolis

Language: English

Topic: Electronic Health Records Systems

Subfield: Health Information Management

Field: Health Professions

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $4,332