Direct effects of digital learning on patient outcomes are rarely studied and not consistently detected¶
Claim · All claims
Evidence · 1 study · reviewr3·q3
Currency · newest study 2019 · not yet checked against its sources · not reviewed by a person
Subclaims¶
Reading the evidence codes
q is the design tier, i the impact, n the sample, and the kind with its r
the rigour judged within that kind: what each code means.
This claim: no standardized effect is recorded in observations/ for it yet, so no benchmark reading is possible.
q3 i? In six articles studying patient-level outcomes, two cluster-randomized trials of online training found reduced patient preference for antibiotics (relative risk 0.48 and, for combined interventions, 0.38), while three found no effects on prescribing errors. → Bakkum 2019
Evidence¶
Bakkum 2019¶
Bakkum, M.J., Tichelaar, J., Wellink, A., Richir, M.C. & van Agtmael, M.A. (2019). Digital Learning to Improve Safe and Effective Prescribing: A Systematic Review. Clinical Pharmacology and Therapeutics. https://doi.org/10.1002/cpt.1549
q3 · i? · review · r3
Review synthesis of six articles reporting patient-level outcomes (Kirkpatrick level IV). A cluster-randomized trial of online shared decision-making training found "a relative risk of antibiotics being preferred by the patient of 0.48 (95% confidence interval 0.34–0.68)"; a combined CRP-test and communication-training trial reported RR 0.38 (95% CI 0.25–0.55).
"One found a relative risk of antibiotics being preferred by the patient of 0.48 (95% confidence interval 0.34–0.68) after an online training on shared decision making."
Discussion¶
Related Claims¶
- Emotion regulation may reduce inappropriate prescriptions, while empathy shows no significant correlation with prescription volume or quality — related
- The review suggests current observational evidence may overestimate simulation's impact, since more rigorous cluster-RCTs showed only time-limited mortality reductions or nonsignificant results — a broader claim this one bears on
- Frequent brief on-site Helping Babies Breathe simulation training was associated with a significant decrease in 24-hour neonatal mortality in a Tanzanian before–after study — related
- Digital learning resources increase prescribing-related knowledge test scores compared with preintervention testing or no education — related
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