Evidence map›Paper›PMID 20077156›Full record

ReviewJournal of general internal medicine2010

Strategies from a nationwide health information technology implementation: the VA CART story.

Tamára L Box, Mary McDonell, Christian D Helfrich, Robert L Jesse, Stephan D Fihn, John S Rumsfeld

Open access · bronzeAbstract readReview
In one paragraph

Review in Journal of general internal medicine, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
7.3field-weighted citation impact, top 3% of its field
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

19 citing papers in PubMed, 62 citations in OpenAlex.

  1. Article
  2. Cardiovascular Disease Prevention: The Role of Policy Interventions.Current treatment options in cardiovascular medicine · 2017
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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

6 authors at 3 institutions in 1 country.

Tamára L BoxVA Eastern Colorado Health Care System, Cardiovascular Outcomes Research, 1055 Clermont Street, Denver, CO 80220, USA. tamara.box@va.gov
Mary McDonell
Christian D Helfrich
Robert L Jesse
Stephan D Fihn
John S Rumsfeld
VA Puget Sound Health Care System · USVA Eastern Colorado Health Care System · USHunter Holmes McGuire VA Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The VA Cardiovascular Assessment, Reporting, and Tracking (CART) system is a customized electronic medical record system which provides standardized report generation for cardiac catheterization procedures, serves as a national data repository, and is the centerpiece of a national quality improvement program. Like many health information technology projects, CART implementation did not proceed without some barriers and resistance. We describe the nationwide implementation of CART at the 77 VA hospitals which perform cardiac catheterizations in three phases: (1) strategic collaborations; (2) installation; and (3) adoption. Throughout implementation, success required a careful balance of technical, clinical, and organizational factors. We offer strategies developed through CART implementation which are broadly applicable to technology projects aimed at improving the quality, reliability, and efficiency of health care.

Indexed as

Cardiac CatheterizationBiomedical TechnologyHealth Plan ImplementationHospital Information SystemsHumansMedical Records Systems, ComputerizedUnited StatesUnited States Department of Veterans Affairs

Identifiers

PMID20077156
PMCPMC2806964
OpenAlexW2086123648

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.