Evidence map›Paper›PMID 26973441›Full record

ArticleJournal of cognitive engineering and decision making2016

Designing Colorectal Cancer Screening Decision Support: A Cognitive Engineering Enterprise.

Laura G Militello, Jason J Saleem, Morgan R Borders, Christen E Sushereba, Donald Haverkamp, Steven P Wolf, Bradley N Doebbeling

Abstract read
In one paragraph

Article in Journal of cognitive engineering and decision making, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing 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.

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

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

  1. Why aren't they used? Systematic review of barriers to implementation of clinical decision support systems for early cancer detection in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026
    Pooled it
  2. Pooled it
  3. Trial
  4. Using human factors methods to mitigate bias in artificial intelligence-based clinical decision support.Journal of the American Medical Informatics Association : JAMIA · 2025
    Article
  5. Human-centered design of team health IT for pediatric trauma care transitions.International journal of medical informatics · 2022
    Article
  6. Article
  7. Article
  8. Healthcare information systems: the cognitive challenge.BMC medical informatics and decision making · 2018
    Article
  9. 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

7 authors.

Laura G MilitelloApplied Decision Science, Dayton, Ohio.
Jason J SaleemUniversity of Louisville, Louisville, Kentucky.
Morgan R BordersApplied Decision Science, Dayton, Ohio.
Christen E SusherebaApplied Decision Science, Dayton, Ohio.
Donald HaverkampCenters for Disease Control and Prevention, Albuquerque, New Mexico.
Steven P WolfApplied Decision Science, Cincinnati, Ohio.
Bradley N DoebbelingArizona State University, Phoenix.

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

Adoption of clinical decision support has been limited. Important barriers include an emphasis on algorithmic approaches to decision support that do not align well with clinical work flow and human decision strategies, and the expense and challenge of developing, implementing, and refining decision support features in existing electronic health records (EHRs). We applied decision-centered design to create a modular software application to support physicians in managing and tracking colorectal cancer screening. Using decision-centered design facilitates a thorough understanding of cognitive support requirements from an end user perspective as a foundation for design. In this project, we used an iterative design process, including ethnographic observation and cognitive task analysis, to move from an initial design concept to a working modular software application called the Screening & Surveillance App. The beta version is tailored to work with the Veterans Health Administration's EHR Computerized Patient Record System (CPRS). Primary care providers using the beta version Screening & Surveillance App more accurately answered questions about patients and found relevant information more quickly compared to those using CPRS alone. Primary care providers also reported reduced mental effort and rated the Screening & Surveillance App positively for usability.

Indexed as

agile software developmentcancer preventioncognitive task analysisethnographic observationhealth promotion

Identifiers

PMID26973441
PMCPMC4784691

What OpenQuestion holds

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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.