Evidence map›Paper›PMID 26744489›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2016

Interactive tools for inpatient medication tracking: a multi-phase study with cardiothoracic surgery patients.

Lauren Wilcox, Janet Woollen, Jennifer Prey, Susan Restaino, Suzanne Bakken, Steven Feiner, Alexander Sackeim, David K Vawdrey

Abstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 5 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

32 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Trial
  7. Review
  8. Articulation of postsurgical patient discharges: coordinating care transitions from hospital to home.Journal of the American Medical Informatics Association : JAMIA · 2022
    Article
  9. Article
  10. A scoping review of qualitative research in JAMIA: past contributions and opportunities for future work.Journal of the American Medical Informatics Association : JAMIA · 2021
    Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Using Priorities of Hospitalized Patients and Their Caregivers to Develop Personas.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2019
    Article
  17. Designing for impact: identifying stakeholder-driven interventions to support recovery after major cancer surgery.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018
    Article
  18. Implementation of acute care patient portals: recommendations on utility and use from six early adopters.Journal of the American Medical Informatics Association : JAMIA · 2018
    Article
  19. A technology-based patient and family engagement consult service for the pediatric hospital setting.Journal of the American Medical Informatics Association : JAMIA · 2018
    Article
  20. Usability evaluation of a commercial inpatient portal.International journal of medical informatics · 2018
    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

8 authors.

Lauren WilcoxSchool of Interactive Computing, Georgia Institute of Technology, Atlanta, GA, USA Department of Computer Science, Columbia University, New York, NY, USA wilcox@cc.gatech.edu.
Janet WoollenDepartment of Biomedical Informatics, Columbia University, New York, NY, USA.
Jennifer PreyDepartment of Biomedical Informatics, Columbia University, New York, NY, USA.
Susan RestainoCollege of Physicians and Surgeons, Columbia University Medical Center, New York, NY, USA.
Suzanne BakkenDepartment of Biomedical Informatics, Columbia University, New York, NY, USA.
Steven FeinerDepartment of Computer Science, Columbia University, New York, NY, USA.
Alexander SackeimCollege of Physicians and Surgeons, Columbia University Medical Center, New York, NY, USA.
David K VawdreyDepartment of Biomedical Informatics, Columbia University, New York, NY, USA New York-Presbyterian Hospital, New York, NY, USA.

Funding

Reducing Health Disparities Through Informatics - Genomics SupplementT32NR007969 · NINR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SUZANNE BAKKEN, Rebecca Schnall · 2002 to 2026
$7.9M
Addressing Hospital Patient Information Needs Using a PHR PortalR01HS021816 · AHRQ · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI VAWDREY, DAVID K. · 2013 to 2016
$2.0M
User Interfaces for Communicating Inpatient Medication TherapiesR36HS021393 · AHRQ · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI WILCOX, LAUREN · 2012 to 2012
$43k
AHRQ HHS R01 HS021816AHRQ HHS R01HS21816AHRQ HHS R36HS021393NINR NIH HHS T32 NR007969NINR NIH HHS T32NR007969NLM NIH HHS T15LM00707
6 · The paper itself

Abstract

objectivePrior studies of computing applications that support patients' medication knowledge and self-management offer valuable insights into effective application design, but do not address inpatient settings. This study is the first to explore the design and usefulness of patient-facing tools supporting inpatient medication management and tracking. MATERIALS AND

methodsWe designed myNYP Inpatient, a custom personal health record application, through an iterative, user-centered approach. Medication-tracking tools in myNYP Inpatient include interactive views of home and hospital medication data and features for commenting on these data. In a two-phase pilot study, patients used the tools during cardiothoracic postoperative care at Columbia University Medical Center. In Phase One, we provided 20 patients with the application for 24-48 h and conducted a closing interview after this period. In Phase Two, we conducted semi-structured interviews with 12 patients and 5 clinical pharmacists who evaluated refinements to the tools based on the feedback received during Phase One.

resultsPatients reported that the medication-tracking tools were useful. During Phase One, 14 of the 20 participants used the tools actively, to review medication lists and log comments and questions about their medications. Patients' interview responses and audit logs revealed that they made frequent use of the hospital medications feature and found electronic reporting of questions and comments useful. We also uncovered important considerations for subsequent design of such tools. In Phase Two, the patients and pharmacists participating in the study confirmed the usability and usefulness of the refined tools.

conclusionsInpatient medication-tracking tools, when designed to meet patients' needs, can play an important role in fostering patient participation in their own care and patient-provider communication during a hospital stay.

Indexed as

Health Records, PersonalHospital Information SystemsMedication Systems, HospitalPostoperative CareSelf CareThoracic Surgical ProceduresAdultAgedAged, 80 and overFemaleHumansInpatientsInterviews as TopicMaleMiddle AgedNew York Citydata displayhospital information systemsinpatientspatient medication knowledgeuser-computer interface

Identifiers

PMID26744489
PMCPMC5009934

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.