{"id":"https://openalex.org/W3117955464","doi":"https://doi.org/10.1055/s-0040-1721398","title":"Reducing Inappropriate Outpatient Medication Prescribing in Older Adults across Electronic Health Record Systems","display_name":"Reducing Inappropriate Outpatient Medication Prescribing in Older Adults across Electronic Health Record Systems","publication_year":2020,"publication_date":"2020-10-01","ids":{"openalex":"https://openalex.org/W3117955464","doi":"https://doi.org/10.1055/s-0040-1721398","mag":"3117955464","pmid":"https://pubmed.ncbi.nlm.nih.gov/33378781"},"language":"en","primary_location":{"id":"doi:10.1055/s-0040-1721398","is_oa":true,"landing_page_url":"https://doi.org/10.1055/s-0040-1721398","pdf_url":"http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0040-1721398.pdf","source":{"id":"https://openalex.org/S187139995","display_name":"Applied Clinical Informatics","issn_l":"1869-0327","issn":["1869-0327"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320000","host_organization_name":"Thieme Medical Publishers (Germany)","host_organization_lineage":["https://openalex.org/P4310320000"],"host_organization_lineage_names":["Thieme Medical Publishers (Germany)"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Applied Clinical Informatics","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0040-1721398.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5006854061","display_name":"Michael Friebe","orcid":"https://orcid.org/0000-0002-8624-0800"},"institutions":[{"id":"https://openalex.org/I192487284","display_name":"Lipscomb University","ror":"https://ror.org/02gdc3814","country_code":"US","type":"education","lineage":["https://openalex.org/I192487284"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Michael P. Friebe","raw_affiliation_strings":["Lipscomb University College of Pharmacy and Health Sciences, Nashville, Tennessee, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Lipscomb University College of Pharmacy and Health Sciences, Nashville, Tennessee, United States","institution_ids":["https://openalex.org/I192487284"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5071452526","display_name":"Joseph LeGrand","orcid":null},"institutions":[{"id":"https://openalex.org/I901861585","display_name":"Vanderbilt University Medical Center","ror":"https://ror.org/05dq2gs74","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210162197","https://openalex.org/I901861585"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Joseph R. LeGrand","raw_affiliation_strings":["HealthIT, Vanderbilt University Medical Center, Nashville, Tennessee, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"HealthIT, Vanderbilt University Medical Center, Nashville, Tennessee, United States","institution_ids":["https://openalex.org/I901861585"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5048891443","display_name":"Bryan E. Shepherd","orcid":"https://orcid.org/0000-0002-3758-5992"},"institutions":[{"id":"https://openalex.org/I901861585","display_name":"Vanderbilt University Medical Center","ror":"https://ror.org/05dq2gs74","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210162197","https://openalex.org/I901861585"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Bryan E. Shepherd","raw_affiliation_strings":["Department of Biostatistics, Vanderbilt University Medical Center, Nashville, Tennessee, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Biostatistics, Vanderbilt University Medical Center, Nashville, Tennessee, United States","institution_ids":["https://openalex.org/I901861585"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5037557520","display_name":"Elizabeth A. Breeden","orcid":"https://orcid.org/0000-0003-3276-4016"},"institutions":[{"id":"https://openalex.org/I192487284","display_name":"Lipscomb University","ror":"https://ror.org/02gdc3814","country_code":"US","type":"education","lineage":["https://openalex.org/I192487284"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Elizabeth A. Breeden","raw_affiliation_strings":["Lipscomb University College of Pharmacy and Health Sciences, Nashville, Tennessee, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Lipscomb University College of Pharmacy and Health Sciences, Nashville, Tennessee, United States","institution_ids":["https://openalex.org/I192487284"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5102721316","display_name":"Scott D. Nelson","orcid":"https://orcid.org/0000-0002-1941-1817"},"institutions":[{"id":"https://openalex.org/I901861585","display_name":"Vanderbilt University Medical Center","ror":"https://ror.org/05dq2gs74","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210162197","https://openalex.org/I901861585"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Scott D. Nelson","raw_affiliation_strings":["Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, Tennessee, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, Tennessee, United States","institution_ids":["https://openalex.org/I901861585"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":5,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.9201,"has_fulltext":true,"cited_by_count":14,"citation_normalized_percentile":{"value":0.73047354,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":90,"max":98},"biblio":{"volume":"11","issue":"05","first_page":"865","last_page":"872"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10496","display_name":"Pharmaceutical Practices and Patient Outcomes","score":0.7770000100135803,"subfield":{"id":"https://openalex.org/subfields/2717","display_name":"Geriatrics and Gerontology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10496","display_name":"Pharmaceutical Practices and Patient Outcomes","score":0.7770000100135803,"subfield":{"id":"https://openalex.org/subfields/2717","display_name":"Geriatrics and Gerontology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11620","display_name":"Medication Adherence and Compliance","score":0.05460000038146973,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10897","display_name":"Antibiotic Use and Resistance","score":0.033900000154972076,"subfield":{"id":"https://openalex.org/subfields/2402","display_name":"Applied Microbiology and Biotechnology"},"field":{"id":"https://openalex.org/fields/24","display_name":"Immunology and Microbiology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.8073264360427856},{"id":"https://openalex.org/keywords/medical-prescription","display_name":"Medical prescription","score":0.7582612633705139},{"id":"https://openalex.org/keywords/electronic-health-record","display_name":"Electronic health record","score":0.6134152412414551},{"id":"https://openalex.org/keywords/poisson-regression","display_name":"Poisson regression","score":0.5924206972122192},{"id":"https://openalex.org/keywords/polypharmacy","display_name":"Polypharmacy","score":0.5146445035934448},{"id":"https://openalex.org/keywords/medical-record","display_name":"Medical record","score":0.511244535446167},{"id":"https://openalex.org/keywords/geriatrics","display_name":"Geriatrics","score":0.4764866232872009},{"id":"https://openalex.org/keywords/electronic-medical-record","display_name":"Electronic medical record","score":0.457016259431839},{"id":"https://openalex.org/keywords/electronic-prescribing","display_name":"Electronic prescribing","score":0.45630496740341187},{"id":"https://openalex.org/keywords/clinical-decision-support-system","display_name":"Clinical decision support system","score":0.4459025263786316},{"id":"https://openalex.org/keywords/family-medicine","display_name":"Family medicine","score":0.43975159525871277},{"id":"https://openalex.org/keywords/emergency-medicine","display_name":"Emergency medicine","score":0.3643571734428406},{"id":"https://openalex.org/keywords/medical-emergency","display_name":"Medical emergency","score":0.3558090031147003},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.28507447242736816},{"id":"https://openalex.org/keywords/environmental-health","display_name":"Environmental health","score":0.12920376658439636},{"id":"https://openalex.org/keywords/population","display_name":"Population","score":0.12257170677185059},{"id":"https://openalex.org/keywords/nursing","display_name":"Nursing","score":0.11624786257743835},{"id":"https://openalex.org/keywords/intensive-care-medicine","display_name":"Intensive care medicine","score":0.11385956406593323},{"id":"https://openalex.org/keywords/internal-medicine","display_name":"Internal medicine","score":0.1038753092288971}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8073264360427856},{"id":"https://openalex.org/C2426938","wikidata":"https://www.wikidata.org/wiki/Q3355478","display_name":"Medical prescription","level":2,"score":0.7582612633705139},{"id":"https://openalex.org/C3020144179","wikidata":"https://www.wikidata.org/wiki/Q10871684","display_name":"Electronic health record","level":3,"score":0.6134152412414551},{"id":"https://openalex.org/C73269764","wikidata":"https://www.wikidata.org/wiki/Q954529","display_name":"Poisson regression","level":3,"score":0.5924206972122192},{"id":"https://openalex.org/C36434225","wikidata":"https://www.wikidata.org/wiki/Q1895998","display_name":"Polypharmacy","level":2,"score":0.5146445035934448},{"id":"https://openalex.org/C195910791","wikidata":"https://www.wikidata.org/wiki/Q1324077","display_name":"Medical record","level":2,"score":0.511244535446167},{"id":"https://openalex.org/C54183767","wikidata":"https://www.wikidata.org/wiki/Q10384","display_name":"Geriatrics","level":2,"score":0.4764866232872009},{"id":"https://openalex.org/C3018060332","wikidata":"https://www.wikidata.org/wiki/Q10871684","display_name":"Electronic medical record","level":2,"score":0.457016259431839},{"id":"https://openalex.org/C2777519982","wikidata":"https://www.wikidata.org/wiki/Q3560776","display_name":"Electronic prescribing","level":3,"score":0.45630496740341187},{"id":"https://openalex.org/C63527458","wikidata":"https://www.wikidata.org/wiki/Q5133829","display_name":"Clinical decision support system","level":3,"score":0.4459025263786316},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.43975159525871277},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.3643571734428406},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.3558090031147003},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.28507447242736816},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.12920376658439636},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.12257170677185059},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.11624786257743835},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.11385956406593323},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.1038753092288971},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000067561","descriptor_name":"Potentially Inappropriate Medication List","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000067561","descriptor_name":"Potentially Inappropriate Medication List","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000067561","descriptor_name":"Potentially Inappropriate Medication List","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010045","descriptor_name":"Outpatients","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D010045","descriptor_name":"Outpatients","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D010045","descriptor_name":"Outpatients","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D020000","descriptor_name":"Decision Support Systems, Clinical","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D020000","descriptor_name":"Decision Support Systems, Clinical","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D020000","descriptor_name":"Decision Support Systems, Clinical","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D057970","descriptor_name":"Inappropriate Prescribing","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057970","descriptor_name":"Inappropriate Prescribing","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057970","descriptor_name":"Inappropriate Prescribing","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.1055/s-0040-1721398","is_oa":true,"landing_page_url":"https://doi.org/10.1055/s-0040-1721398","pdf_url":"http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0040-1721398.pdf","source":{"id":"https://openalex.org/S187139995","display_name":"Applied Clinical Informatics","issn_l":"1869-0327","issn":["1869-0327"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320000","host_organization_name":"Thieme Medical Publishers (Germany)","host_organization_lineage":["https://openalex.org/P4310320000"],"host_organization_lineage_names":["Thieme Medical Publishers (Germany)"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Applied Clinical Informatics","raw_type":"journal-article"},{"id":"pmid:33378781","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/33378781","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Applied clinical informatics","raw_type":null},{"id":"pmh:oai:pubmedcentral.nih.gov:7773492","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/7773492","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Appl Clin Inform","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1055/s-0040-1721398","is_oa":true,"landing_page_url":"https://doi.org/10.1055/s-0040-1721398","pdf_url":"http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0040-1721398.pdf","source":{"id":"https://openalex.org/S187139995","display_name":"Applied Clinical Informatics","issn_l":"1869-0327","issn":["1869-0327"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320000","host_organization_name":"Thieme Medical Publishers (Germany)","host_organization_lineage":["https://openalex.org/P4310320000"],"host_organization_lineage_names":["Thieme Medical Publishers (Germany)"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Applied Clinical Informatics","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.7300000190734863}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W3117955464.pdf","grobid_xml":"https://content.openalex.org/works/W3117955464.grobid-xml"},"referenced_works_count":23,"referenced_works":["https://openalex.org/W180050948","https://openalex.org/W1931878258","https://openalex.org/W2026790068","https://openalex.org/W2044241529","https://openalex.org/W2054898116","https://openalex.org/W2073154373","https://openalex.org/W2098415242","https://openalex.org/W2129141980","https://openalex.org/W2225022024","https://openalex.org/W2257575319","https://openalex.org/W2559732081","https://openalex.org/W2605252697","https://openalex.org/W2748150666","https://openalex.org/W2800949251","https://openalex.org/W2913059989","https://openalex.org/W2922387261","https://openalex.org/W2950987055","https://openalex.org/W2960195478","https://openalex.org/W2981267608","https://openalex.org/W3029192982","https://openalex.org/W3031142821","https://openalex.org/W3044720599","https://openalex.org/W4241984066"],"related_works":["https://openalex.org/W2391441194","https://openalex.org/W2034489805","https://openalex.org/W2123607824","https://openalex.org/W2171004512","https://openalex.org/W2182132744","https://openalex.org/W2319754990","https://openalex.org/W4214779231","https://openalex.org/W2421931440","https://openalex.org/W2956025696","https://openalex.org/W2604895876"],"abstract_inverted_index":{"Abstract":[0],"Background":[1],"The":[2,59,115,222],"American":[3],"Geriatrics":[4],"Society":[5],"recommends":[6],"against":[7],"the":[8,78,101,140,147,171,177,183,187,190,211,238,252],"use":[9],"of":[10,20,27,61,87,142,153,173,182,210,225,240],"certain":[11],"potentially":[12],"inappropriate":[13],"medications":[14,22],"(PIMs)":[15],"in":[16,89,146,176,227],"older":[17,71,233],"adults.":[18],"Prescribing":[19,151],"these":[21],"correlates":[23],"with":[24,237],"higher":[25],"rates":[26,69,86,118,145,152,196,209],"hospital":[28],"readmissions,":[29],"morbidity,":[30],"and":[31,74,93,103,111,120,132,232],"mortality.":[32],"Vanderbilt":[33],"University":[34],"Medical":[35],"Center":[36],"previously":[37],"deployed":[38],"clinical":[39],"decision":[40],"support":[41],"(CDS)":[42],"to":[43,51,65,77,161,170,189,254],"decrease":[44,244],"PIM":[45,67,116,194],"prescribing":[46,68,85,117,195,223,241],"rates,":[47],"but":[48,249],"recently":[49],"transitioned":[50],"a":[52,130,255],"new":[53,79,104,148,191,256],"electronic":[54],"health":[55],"record":[56],"(EHR).":[57],"Objective":[58],"goal":[60],"this":[62],"study":[63],"was":[64,216,234,245],"evaluate":[66],"for":[70,214],"adults":[72,90,228],"before":[73,119],"after":[75,121],"migration":[76,123,181],"EHR":[80,105,122,192,257],"system.":[81,258],"Methods":[82],"We":[83],"reviewed":[84],"PIMs":[88,154,215,226],"65":[91,230],"years":[92,231],"older,":[94],"normalized":[95],"per":[96,158,163,202],"100":[97,159,164,203],"total":[98],"prescriptions":[99,160],"from":[100,186],"legacy":[102,178,188],"systems":[106],"between":[107],"July":[108],"1,":[109],"2014":[110],"December":[112],"31,":[113],"2019.":[114],"during":[124],"November":[125],"2017":[126],"were":[127],"compared":[128],"using":[129],"U-chart":[131],"Poisson":[133],"regression":[134],"model.":[135],"Secondary":[136],"analysis":[137],"descriptively":[138],"evaluated":[139],"frequency":[141],"prescriber":[143],"acceptance":[144],"EHR.":[149,179],"Results":[150],"decreased":[155,236],"5.2%":[156],"(13.5":[157],"12.8":[162],"prescriptions;":[165,204],"p":[166,205],"<":[167,206],"0.0001)":[168],"corresponding":[169],"implementation":[172,239],"alternatives":[174],"CDS":[175,185],"After":[180],"alternative":[184,212],"system,":[193],"dropped":[197],"an":[198],"additional":[199],"18.8%":[200],"(10.4":[201],"0.0001).":[207],"Acceptance":[208],"recommendations":[213],"low":[217],"overall":[218],"at":[219],"11.1%.":[220],"Conclusion":[221],"rate":[224],"aged":[229],"successfully":[235],"CDS.":[242],"This":[243],"not":[246],"only":[247],"maintained":[248],"strengthened":[250],"by":[251],"transition":[253]},"counts_by_year":[{"year":2025,"cited_by_count":5},{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":2},{"year":2022,"cited_by_count":4},{"year":2021,"cited_by_count":2}],"updated_date":"2026-06-11T09:08:48.828518","created_date":"2025-10-10T00:00:00"}