Increased the proportion of patients receiving desired care by 5.8% (95% CI, 4.0% to 7.6%) | Top quartile ranged from 10% to 62%
Increased the proportion of patients achieving guideline-based targets (e.g., blood pressure or lipid control) by a median of 0.3% (IQR −0.7% to 1.9%)
The following two study characteristics were associated with significantly larger effects
The use of clinical support systems may achieve small to moderate improvements in clinical care although due to heterogeneity, reasons for improvements occur remain undefined
The authors conclude that
Achieving small improvements in care with only a presumptive connection to patient outcomes may not be worth the risk of contributing to alert fatigue or the growing concern of physician burnout attributable to EHR
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