Evidence map›Paper›PMID 18518945›Full record

ArticleBMC medical informatics and decision making2008

Design of a graphical and interactive interface for facilitating access to drug contraindications, cautions for use, interactions and adverse effects.

Jean-Baptiste Lamy, Alain Venot, Avner Bar-Hen, Patrick Ouvrard, Catherine Duclos

Abstract readEvaluation Study
In one paragraph

Article in BMC medical informatics and decision making, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  11. An iconic language for the graphical representation of medical concepts.BMC medical informatics and decision making · 2008
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Jean-Baptiste LamyLaboratoire d'Informatique Médicale et de Bioinformatique (LIM&BIO), UFR SMBH, Université Paris 13, 74 rue Marcel Cachin, 93017 Bobigny cedex, France. jibalamy@free.fr
Alain Venot
Avner Bar-Hen
Patrick Ouvrard
Catherine Duclos

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDrug iatrogeny is important but could be decreased if contraindications, cautions for use, drug interactions and adverse effects of drugs described in drug monographs were taken into account. However, the physician's time is limited during consultations, and this information is often not consulted. We describe here the design of "Mister VCM", a graphical interface based on the VCM graphical language, facilitating access to drug monographs. We also provide an assessment of the usability of this interface.

methodsThe "Mister VCM" interface was designed by dividing the screen into two parts: a graphical interactive one including VCM icons and synthetizing drug properties, a textual one presenting on demand drug monograph excerpts. The interface was evaluated over 11 volunteer general practitioners, trained in the use of "Mister VCM". They were asked to answer clinical questions related to fictitious randomly generated drug monographs, using a textual interface or "Mister VCM". When answering the questions, correctness of the responses and response time were recorded.

results"Mister VCM" is an interactive interface that displays VCM icons organized around an anatomical diagram of the human body with additional mental, etiological and physiological areas. Textual excerpts of the drug monograph can be displayed by clicking on the VCM icons. The interface can explicitly represent information implicit in the drug monograph, such as the absence of a given contraindication. Physicians made fewer errors with "Mister VCM" than with text (factor of 1.7; p = 0.034) and responded to questions 2.2 times faster (p < 0.001). The time gain with "Mister VCM" was greater for long monographs and questions with implicit replies.

conclusion"Mister VCM" seems to be a promising interface for accessing drug monographs. Similar interfaces could be developed for other medical domains, such as electronic patient records.

Indexed as

Computer GraphicsDrug InteractionsDrug-Related Side Effects and Adverse ReactionsDrug Therapy, Computer-AssistedUser-Computer InterfaceContraindicationsHumansMedical Order Entry SystemsMedication ErrorsPharmaceutical PreparationsProgramming LanguagesPharmaceutical Preparations

Identifiers

PMID18518945
PMCPMC2442832

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.