Evidence map›Paper›PMID 26958249›Full record

ArticleAMIA ... Annual Symposium proceedings. AMIA Symposium2015

Validating free-text order entry for a note-centric EHR.

Adam Rule, Steven Rick, Michael Chiu, Phillip Rios, Shazia Ashfaq, Alan Calvitti, Wesley Chan, Nadir Weibel, Zia Agha

Abstract read
In one paragraph

Article in AMIA ... Annual Symposium proceedings. AMIA Symposium, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Digital Health Data Quality Issues: Systematic Review.Journal of medical Internet research · 2023
    Pooled it
  2. Article
  3. Clinical Documentation as End-User Programming.Proceedings of the SIGCHI conference on human factors in computing systems. CHI Conference · 2020
    Article
  4. Article
  5. 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.

Adam RuleUC San Diego, La Jolla, CA.
Steven RickUC San Diego, La Jolla, CA; Veteran's Medical Research Foundation, San Diego, CA.
Michael ChiuUC San Diego, La Jolla, CA.
Phillip RiosUC San Diego, La Jolla, CA.
Shazia AshfaqVeteran's Medical Research Foundation, San Diego, CA.
Alan CalvittiVeteran's Medical Research Foundation, San Diego, CA.
Wesley ChanUC San Diego, La Jolla, CA.
Nadir WeibelUC San Diego, La Jolla, CA; Veteran's Medical Research Foundation, San Diego, CA.
Zia AghaUC San Diego, La Jolla, CA; West Health, La Jolla, CA.

Funding

San Diego Biomedical Informatics Education & Research (SABER)T15LM011271 · NLM · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI SHAMIM NEMATI · 2012 to 2026
$9.7M
NLM NIH HHS T15 LM011271
6 · The paper itself

Abstract

Electronic Health Records (EHRs) have increased the utility and portability of health information by storing it in structured formats. However, EHRs separate this structured data from the rich, free-text descriptions of clinical notes. The ultimate objective of our research is to develop an interactive progress note that unifies entry, access, and retrieval of structured and unstructured health information. In this study we present the design and subsequent testing with eight clinicians of a core element of this envisioned note: free-text order entry. Clinicians saw this new order-entry paradigm as a way to save time and preserve data quality by reducing double-documentation. However, they wanted the prototype to recognize more diverse types of shorthand and apply default values to fields that remain fairly constant across orders, such as number of refills and pickup location. Future work will test more complex orders, such as cascading orders, with a broader range of clinicians.

Indexed as

DocumentationElectronic Health RecordsData AccuracyHumansNarration

Identifiers

PMID26958249
PMCPMC4765684

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.