Evidence map›Paper›PMID 19828364›Full record

ArticleInternational journal of medical informatics2010

The state of the art in clinical knowledge management: an inventory of tools and techniques.

Dean F Sittig, Adam Wright, Linas Simonaitis, James D Carpenter, George O Allen, Bradley N Doebbeling, Anwar Mohammad Sirajuddin, Joan S Ash, Blackford Middleton

Abstract read
In one paragraph

Article in International journal of medical informatics, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 4 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

41 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Towards public health decision support: a systematic review of bidirectional communication approaches.Journal of the American Medical Informatics Association : JAMIA · 2013
    Pooled it
  5. Article
  6. Article
  7. Article
  8. Reusable Generic Clinical Decision Support System Module for Immunization Recommendations in Resource-Constraint Settings.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2025
    Article
  9. Review
  10. Clinician collaboration to improve clinical decision support: the Clickbusters initiative.Journal of the American Medical Informatics Association : JAMIA · 2022
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Clinical decision support alert malfunctions: analysis and empirically derived taxonomy.Journal of the American Medical Informatics Association : JAMIA · 2018
    Article
  16. Article
  17. Analysis of clinical decision support system malfunctions: a case series and survey.Journal of the American Medical Informatics Association : JAMIA · 2016
    Article
  18. Review
  19. Article
  20. 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

9 authors.

Dean F SittigUT-Memorial Hermann Center for Healthcare Quality and Safety, University of Texas School of Health Information Science, 6410 Fannin Street, Houston, TX 77030, USA. dean.f.sittig@uth.tmc.edu
Adam Wright
Linas Simonaitis
James D Carpenter
George O Allen
Bradley N Doebbeling
Anwar Mohammad Sirajuddin
Joan S Ash
Blackford Middleton

Funding

Unintended Consequences of Physician Order EntryR01LM006942 · NLM · OREGON HEALTH & SCIENCE UNIVERSITY · PI ASH, JOAN S. · 2000 to 2010
$4.0M
Clinical Decision Support in Community Hospitals: Barriers & FacilitatorsR56LM006942 · NLM · OREGON HEALTH & SCIENCE UNIVERSITY · PI ASH, JOAN S. · 2007 to 2007
$461k
NLM NIH HHS R01 LM006942NLM NIH HHS R56 LM006942NLM NIH HHS R56-LM006942
6 · The paper itself

Abstract

purposeTo explore the need for, and use of, high-quality, collaborative, clinical knowledge management (CKM) tools and techniques to manage clinical decision support (CDS) content.

methodsIn order to better understand the current state of the art in CKM, we developed a survey of potential CKM tools and techniques. We conducted an exploratory study by querying a convenience sample of respondents about their use of specific practices in CKM.

resultsThe following tools and techniques should be priorities in organizations interested in developing successful computer-based provider order entry (CPOE) and CDS implementations: (1) a multidisciplinary team responsible for creating and maintaining the clinical content; (2) an external organizational repository of clinical content with web-based viewer that allows anyone in the organization to review it; (3) an online, collaborative, interactive, Internet-based tool to facilitate content development; (4) an enterprise-wide tool to maintain the controlled clinical terminology concepts. Even organizations that have been successfully using computer-based provider order entry with advanced clinical decision support features for well over 15 years are not using all of the CKM tools or practices that we identified.

conclusionsIf we are to further stimulate progress in the area of clinical decision support, we must continue to develop and refine our understanding and use of advanced CKM capabilities.

Indexed as

Interdisciplinary CommunicationDecision Support Systems, ClinicalHealth Care SurveysHospital Information SystemsHumansInformation Storage and RetrievalInternetMedical Records Systems, ComputerizedPatient Care TeamSoftwareTerminology as TopicUnited StatesUser-Computer InterfaceVocabulary, Controlled

Identifiers

PMID19828364
PMCPMC2895508

What OpenQuestion holds

Textmetadata
LicenceTDM
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.