Evidence map›Paper›PMID 22865671›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2013

Key principles for a national clinical decision support knowledge sharing framework: synthesis of insights from leading subject matter experts.

Kensaku Kawamoto, Tonya Hongsermeier, Adam Wright, Janet Lewis, Douglas S Bell, Blackford Middleton

Abstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. FHIRChain: Applying Blockchain to Securely and Scalably Share Clinical Data.Computational and structural biotechnology journal · 2018
    Article
  6. Article
  7. Review
  8. Evaluating Terminologies to Enable Imaging-Related Decision Rule Sharing.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2016
    Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. 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.

Kensaku KawamotoDepartment of Biomedical Informatics, University of Utah, Salt Lake City, UT 84092, USA. kensaku.kawamoto@utah.edu
Tonya Hongsermeier
Adam Wright
Janet Lewis
Douglas S Bell
Blackford Middleton

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo identify key principles for establishing a national clinical decision support (CDS) knowledge sharing framework. MATERIALS AND

methodsAs part of an initiative by the US Office of the National Coordinator for Health IT (ONC) to establish a framework for national CDS knowledge sharing, key stakeholders were identified. Stakeholders' viewpoints were obtained through surveys and in-depth interviews, and findings and relevant insights were summarized. Based on these insights, key principles were formulated for establishing a national CDS knowledge sharing framework.

resultsNineteen key stakeholders were recruited, including six executives from electronic health record system vendors, seven executives from knowledge content producers, three executives from healthcare provider organizations, and three additional experts in clinical informatics. Based on these stakeholders' insights, five key principles were identified for effectively sharing CDS knowledge nationally. These principles are (1) prioritize and support the creation and maintenance of a national CDS knowledge sharing framework; (2) facilitate the development of high-value content and tooling, preferably in an open-source manner; (3) accelerate the development or licensing of required, pragmatic standards; (4) acknowledge and address medicolegal liability concerns; and (5) establish a self-sustaining business model. DISCUSSION: Based on the principles identified, a roadmap for national CDS knowledge sharing was developed through the ONC's Advancing CDS initiative.

conclusionThe study findings may serve as a useful guide for ongoing activities by the ONC and others to establish a national framework for sharing CDS knowledge and improving clinical care.

Indexed as

Diffusion of InnovationInformation DisseminationDecision Support Systems, ClinicalHumansModels, OrganizationalUnited States

Identifiers

PMID22865671
PMCPMC3555314

What OpenQuestion holds

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Registered trials

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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.