Evidence map›Paper›PMID 26290891›Full record

ArticleEGEMS (Washington, DC)2015

EHR-based Visualization Tool: Adoption Rates, Satisfaction, and Patient Outcomes.

Randi E Foraker, Bobbie Kite, Marjorie M Kelley, Albert M Lai, Caryn Roth, Marcelo A Lopetegui, Abigail B Shoben, Michael Langan, Nicole L Rutledge, Philip R O Payne

2 registry-linked trialsAbstract read
In one paragraph

Article in EGEMS (Washington, DC), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 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.

NCT03935282 nacompletednot on this mapstarted 2020, after this paper: background citation

Assessing Effectiveness and Implementation of an EHR Tool to Assess Heart Health Among Survivors (AH-HA)

TypeinterventionalSponsorWake Forest University Health SciencesRan2020 to 2025Enrolled645ConditionsBreast Neoplasm, Prostatic Neoplasm, Colorectal Neoplasms, Endometrial NeoplasmsArmsAH-HA Tool in the EPIC EHR
NCT04640090 nacompletednot on this mapstarted 2020, after this paper: background citation

Effectiveness of a Smartphone Wellness App to Improve Mental Well-being: A Pilot Study

TypeinterventionalSponsorWashington University School of MedicineRan2020 to 2021Enrolled60ConditionsMusculoskeletal Diseases, Chronic Pain, Anxiety Disorders, DepressionArmsSmartphone app (Wysa)
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

10 authors.

Randi E ForakerThe Ohio State University.
Bobbie KiteThe Ohio State University.
Marjorie M KelleyThe Ohio State University.
Albert M LaiThe Ohio State University.
Caryn RothThe Ohio State University.
Marcelo A LopeteguiThe Ohio State University.
Abigail B ShobenThe Ohio State University.
Michael LanganThe Ohio State University.
Nicole L RutledgeThe Ohio State University.
Philip R O PayneThe Ohio State University.

Funding

The Ohio State University Center for clinical and Translational ScienceUL1TR001070 · NCATS · OHIO STATE UNIVERSITY · PI JACKSON, REBECCA D · 2013 to 2017
$22.6M
NCATS NIH HHS UL1 TR001070
6 · The paper itself

Abstract

backgroundElectronic health records (EHRs) have the potential to enhance patient-provider communication and improve patient outcomes. However, in order to impact patient care, clinical decision support (CDS) and communication tools targeting such needs must be integrated into clinical workflow and be flexible with regard to the changing health care landscape.

designThe Stroke Prevention in Healthcare Delivery Environments (SPHERE) team developed and implemented the SPHERE tool, an EHR-based CDS visualization, to enhance patient-provider communication around cardiovascular health (CVH) within an outpatient primary care setting of a large academic medical center. IMPLEMENTATION: We describe our successful CDS alert implementation strategy and report adoption rates. We also present results of a provider satisfaction survey showing that the SPHERE tool delivers appropriate content in a timely manner. Patient outcomes following implementation of the tool indicate one-year improvements in some CVH metrics, such as body mass index and diabetes. DISCUSSION: Clinical decision-making and practices change rapidly and in parallel to simultaneous changes in the health care landscape and EHR usage. Based on these observations and our preliminary results, we have found that an integrated, extensible, and workflow-aware CDS tool is critical to enhancing patient-provider communications and influencing patient outcomes.

Indexed as

Data visualizationHealth information technologyPatient involvement

Identifiers

PMID26290891
PMCPMC4537147

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.