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The difference among Q&A, MID, and QI (combination of Q&A and MID) is significant in binary sensitivity (P=.02), with a large effect (ε2=0.47). The differences in binary AUC and extent accuracy are close to significant (P=.07 and P=.09, respectively), with large effects (ε2=0.26 and ε2=0.23, respectively). The differences in binary specificity and binary accuracy were not significant and exhibited small effects.
JMIR Form Res 2025;9:e56057
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Chen et al [21] reported a higher alert rate of 3.12% and a lower acceptance rate of 48.88% over 2 years, with only 28.08% of accepted alerts leading to actual prescription changes. This lower modification rate may reflect the broader definition of acceptance used in their study, which included mere acknowledgment of alerts, as well as the absence of embedded diagnostic recommendations that directly address diagnostic omissions.
J Med Internet Res 2025;27:e70731
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