Evidence map›Paper›PMID 17904897›Full record

ArticleInternational journal of medical informatics2008

Integrating evidence into clinical information systems for nursing decision support.

Suzanne Bakken, Leanne M Currie, Nam-Ju Lee, W Dan Roberts, Sarah A Collins, James J Cimino

Abstract read
In one paragraph

Article in International journal of medical informatics, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–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

16 citing papers in PubMed.

  1. Observational
  2. Review
  3. Article
  4. Article
  5. Informatics Solutions for Application of Decision-Making Skills.Critical care nursing clinics of North America · 2018
    Review
  6. Article
  7. Nursing domain of CI governance: recommendations for health IT adoption and optimization.Journal of the American Medical Informatics Association : JAMIA · 2015
    Article
  8. Observational
  9. Article
  10. Article
  11. Article
  12. Article
  13. A prototype system to support evidence-based practice.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2008
    Article
  14. Article
  15. Article
  16. Article
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

6 authors.

Suzanne BakkenColumbia University, School of Nursing, 630 W. 168th Street, Mailbox 6, New York, NY 10032, USA. suzanne.bakken@dbmi.columbia.edu
Leanne M Currie
Nam-Ju Lee
W Dan Roberts
Sarah A Collins
James J Cimino

Funding

Reducing Health Disparities Through Informatics - Genomics SupplementT32NR007969 · NINR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SUZANNE BAKKEN, Rebecca Schnall · 2002 to 2026
$7.9M
Infobuttons to Improve Information Access in Order EntryR01LM007593 · NLM · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI CIMINO, JAMES J. · 2002 to 2007
$2.4M
Mobile Decision Support for Advanced Practice NursingR01NR008903 · NINR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI BAKKEN, SUZANNE · 2005 to 2007
$954k
NINR NIH HHS R01 NR008903NINR NIH HHS R01NR008903NINR NIH HHS T32 NR007969NLM NIH HHS R01 LM007593NLM NIH HHS R01LM07593
6 · The paper itself

Abstract

purposeTo illustrate approaches for providing decision support for evidence-based nursing practice through integration of evidence into clinical information systems (CISs) with examples from our experience at Columbia University Medical Center. ORGANIZING CONSTRUCT: Examples are organized according to three types of decision support functions: information management, focusing attention, and patient-specific consultation.

methodsThree decision support tools that are integrated into three types of CISs are discussed: (1) infobuttons that provide context-specific access to digital sources of evidence; (2) automated Fall-Injury Risk Assessment; and (3) personal digital assistant-based screening reminders, screening assessments, and tailored documentation templates for the identification and management of obesity, depression, and tobacco cessation. The informatics infrastructure for implementing these decision support tools is described from the perspective of components identified in the published literature.

conclusionsEfforts to facilitate application of evidence into nursing practice are unlikely to be successful unless the approaches used are integrated into the clinical workflow. Our approaches use a variety of informatics methods to integrate evidence into CISs as a mechanism for providing decision support for evidence-based practice in a manner consistent with nursing workflow.

Indexed as

Decision Support Systems, ClinicalEvidence-Based MedicineHumansMedical InformaticsNursing CareSystems IntegrationUnited States

Identifiers

PMID17904897
PMCPMC2426954

What OpenQuestion holds

Textmetadata
Read underepoch 390

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 OpenQuestion graph.