Randomized controlled trial evaluating the benefit of the app-based clinical decision support system for the management of venous thromboembolism
Abstract Introduction Anticoagulant prescription and management are crucial steps of management of venous thromboembolism (VTE). The Clinical decision support systems (CDSS) are designed and developed to aid healthcare professionals in making informed decisions. Objectives To develop and assess the...
Saved in:
| Main Authors: | , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2025-03-01
|
| Series: | BMC Medical Education |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12909-025-07014-z |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850258565775753216 |
|---|---|
| author | Pajaree Chairat Piangrawee Niprapan Nonthakorn Hantrakun Adisak Tantiworawit Teerachat Punnachet Pokpong Piriyakhuntorn Thanawat Rattanathammethee Sasinee Hantrakool Ekarat Rattarittamrong Lalita Norasetthada Chatree Chai-Adisaksopha |
| author_facet | Pajaree Chairat Piangrawee Niprapan Nonthakorn Hantrakun Adisak Tantiworawit Teerachat Punnachet Pokpong Piriyakhuntorn Thanawat Rattanathammethee Sasinee Hantrakool Ekarat Rattarittamrong Lalita Norasetthada Chatree Chai-Adisaksopha |
| author_sort | Pajaree Chairat |
| collection | DOAJ |
| description | Abstract Introduction Anticoagulant prescription and management are crucial steps of management of venous thromboembolism (VTE). The Clinical decision support systems (CDSS) are designed and developed to aid healthcare professionals in making informed decisions. Objectives To develop and assess the efficacy the mobile app-based CDSS for the management of VTE. Methods A randomized controlled trial was conducted, enrolling participants aged ≥ 20 years who were one of the following categories: medical student, intern, internal medicine resident, or hematology fellow. Participants were randomly assigned to either app-based CDSS (DECIDE-COAG®) or control groups. Participants were tasked with prescribing or planning the management of 15 clinical vignettes covering four domains: anticoagulant dosing, perioperative management, management of anticoagulant associated bleeding and diagnosis of VTE. The primary outcome was the mean percentage of accuracy score. Results From September 2023 through November 2023, a total of 126 participants were enrolled. The mean percentage of accuracy score was significantly higher (95.6%) in participants using app-based CDSS compared with those in control group (41.3%), a mean difference of 54.5%, 95% CI 49.8–59.2, p < 0.001. The satisfaction mean score was 4.57 ± 0.49 for accessibility, 4.73 ± 0.45 for app stability, 4.94 ± 0.25 for user interface, 4.78 ± 0.42 for simplicity, 4.98 ± 0.13 for assistance in decision-making and 4.90 ± 0.30 for overall satisfaction. Conclusions App-based CDSS (DECIDE-COAG®) demonstrates a significant improvement in the accuracy of anticoagulant prescriptions and VTE management. Further studies that specifically investigate the clinical benefits of app-based CDSS in real-world clinical practice are warranted. Clinical trial number TCTR20241117004. |
| format | Article |
| id | doaj-art-48cf52b488f2468c8072d77f761092b7 |
| institution | OA Journals |
| issn | 1472-6920 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Medical Education |
| spelling | doaj-art-48cf52b488f2468c8072d77f761092b72025-08-20T01:56:06ZengBMCBMC Medical Education1472-69202025-03-012511810.1186/s12909-025-07014-zRandomized controlled trial evaluating the benefit of the app-based clinical decision support system for the management of venous thromboembolismPajaree Chairat0Piangrawee Niprapan1Nonthakorn Hantrakun2Adisak Tantiworawit3Teerachat Punnachet4Pokpong Piriyakhuntorn5Thanawat Rattanathammethee6Sasinee Hantrakool7Ekarat Rattarittamrong8Lalita Norasetthada9Chatree Chai-Adisaksopha10Division of Hematology, Department of Internal Medicine, Faculty of Medicine, Chiang Mai UniversityDivision of Hematology, Department of Internal Medicine, Faculty of Medicine, Chiang Mai UniversityDivision of Hematology, Department of Internal Medicine, Faculty of Medicine, Chiang Mai UniversityDivision of Hematology, Department of Internal Medicine, Faculty of Medicine, Chiang Mai UniversityDivision of Hematology, Department of Internal Medicine, Faculty of Medicine, Chiang Mai UniversityDivision of Hematology, Department of Internal Medicine, Faculty of Medicine, Chiang Mai UniversityDivision of Hematology, Department of Internal Medicine, Faculty of Medicine, Chiang Mai UniversityDivision of Hematology, Department of Internal Medicine, Faculty of Medicine, Chiang Mai UniversityDivision of Hematology, Department of Internal Medicine, Faculty of Medicine, Chiang Mai UniversityDivision of Hematology, Department of Internal Medicine, Faculty of Medicine, Chiang Mai UniversityDivision of Hematology, Department of Internal Medicine, Faculty of Medicine, Chiang Mai UniversityAbstract Introduction Anticoagulant prescription and management are crucial steps of management of venous thromboembolism (VTE). The Clinical decision support systems (CDSS) are designed and developed to aid healthcare professionals in making informed decisions. Objectives To develop and assess the efficacy the mobile app-based CDSS for the management of VTE. Methods A randomized controlled trial was conducted, enrolling participants aged ≥ 20 years who were one of the following categories: medical student, intern, internal medicine resident, or hematology fellow. Participants were randomly assigned to either app-based CDSS (DECIDE-COAG®) or control groups. Participants were tasked with prescribing or planning the management of 15 clinical vignettes covering four domains: anticoagulant dosing, perioperative management, management of anticoagulant associated bleeding and diagnosis of VTE. The primary outcome was the mean percentage of accuracy score. Results From September 2023 through November 2023, a total of 126 participants were enrolled. The mean percentage of accuracy score was significantly higher (95.6%) in participants using app-based CDSS compared with those in control group (41.3%), a mean difference of 54.5%, 95% CI 49.8–59.2, p < 0.001. The satisfaction mean score was 4.57 ± 0.49 for accessibility, 4.73 ± 0.45 for app stability, 4.94 ± 0.25 for user interface, 4.78 ± 0.42 for simplicity, 4.98 ± 0.13 for assistance in decision-making and 4.90 ± 0.30 for overall satisfaction. Conclusions App-based CDSS (DECIDE-COAG®) demonstrates a significant improvement in the accuracy of anticoagulant prescriptions and VTE management. Further studies that specifically investigate the clinical benefits of app-based CDSS in real-world clinical practice are warranted. Clinical trial number TCTR20241117004.https://doi.org/10.1186/s12909-025-07014-zVenous thromboembolismCDSSAnticoagulantPrescription errorWarfarin |
| spellingShingle | Pajaree Chairat Piangrawee Niprapan Nonthakorn Hantrakun Adisak Tantiworawit Teerachat Punnachet Pokpong Piriyakhuntorn Thanawat Rattanathammethee Sasinee Hantrakool Ekarat Rattarittamrong Lalita Norasetthada Chatree Chai-Adisaksopha Randomized controlled trial evaluating the benefit of the app-based clinical decision support system for the management of venous thromboembolism BMC Medical Education Venous thromboembolism CDSS Anticoagulant Prescription error Warfarin |
| title | Randomized controlled trial evaluating the benefit of the app-based clinical decision support system for the management of venous thromboembolism |
| title_full | Randomized controlled trial evaluating the benefit of the app-based clinical decision support system for the management of venous thromboembolism |
| title_fullStr | Randomized controlled trial evaluating the benefit of the app-based clinical decision support system for the management of venous thromboembolism |
| title_full_unstemmed | Randomized controlled trial evaluating the benefit of the app-based clinical decision support system for the management of venous thromboembolism |
| title_short | Randomized controlled trial evaluating the benefit of the app-based clinical decision support system for the management of venous thromboembolism |
| title_sort | randomized controlled trial evaluating the benefit of the app based clinical decision support system for the management of venous thromboembolism |
| topic | Venous thromboembolism CDSS Anticoagulant Prescription error Warfarin |
| url | https://doi.org/10.1186/s12909-025-07014-z |
| work_keys_str_mv | AT pajareechairat randomizedcontrolledtrialevaluatingthebenefitoftheappbasedclinicaldecisionsupportsystemforthemanagementofvenousthromboembolism AT piangraweeniprapan randomizedcontrolledtrialevaluatingthebenefitoftheappbasedclinicaldecisionsupportsystemforthemanagementofvenousthromboembolism AT nonthakornhantrakun randomizedcontrolledtrialevaluatingthebenefitoftheappbasedclinicaldecisionsupportsystemforthemanagementofvenousthromboembolism AT adisaktantiworawit randomizedcontrolledtrialevaluatingthebenefitoftheappbasedclinicaldecisionsupportsystemforthemanagementofvenousthromboembolism AT teerachatpunnachet randomizedcontrolledtrialevaluatingthebenefitoftheappbasedclinicaldecisionsupportsystemforthemanagementofvenousthromboembolism AT pokpongpiriyakhuntorn randomizedcontrolledtrialevaluatingthebenefitoftheappbasedclinicaldecisionsupportsystemforthemanagementofvenousthromboembolism AT thanawatrattanathammethee randomizedcontrolledtrialevaluatingthebenefitoftheappbasedclinicaldecisionsupportsystemforthemanagementofvenousthromboembolism AT sasineehantrakool randomizedcontrolledtrialevaluatingthebenefitoftheappbasedclinicaldecisionsupportsystemforthemanagementofvenousthromboembolism AT ekaratrattarittamrong randomizedcontrolledtrialevaluatingthebenefitoftheappbasedclinicaldecisionsupportsystemforthemanagementofvenousthromboembolism AT lalitanorasetthada randomizedcontrolledtrialevaluatingthebenefitoftheappbasedclinicaldecisionsupportsystemforthemanagementofvenousthromboembolism AT chatreechaiadisaksopha randomizedcontrolledtrialevaluatingthebenefitoftheappbasedclinicaldecisionsupportsystemforthemanagementofvenousthromboembolism |