Evidence map›Paper›PMID 27570217›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2017

Identifying collaborative care teams through electronic medical record utilization patterns.

You Chen, Nancy M Lorenzi, Warren S Sandberg, Kelly Wolgast, Bradley A Malin

Abstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Familiarity Among Nurses: The Key to ICU Patient Outcomes?American journal of respiratory and critical care medicine · 2023
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  7. Article
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  11. Review
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  14. Provider Networks in the Neonatal Intensive Care Unit Associate with Length of Stay.... IEEE Conference on Collaboration and Internet Computing. IEEE Conference on Collaboration and Internet Computing · 2019
    Article
  15. Article
  16. Evaluation of multidisciplinary collaboration in pediatric trauma care using EHR data.Journal of the American Medical Informatics Association : JAMIA · 2019
    Article
  17. Obstetric Patients with Repetitious Hospital Location Transfers Have Prolonged Stays.Proceedings. IEEE International Conference on Healthcare Informatics · 2019
    Article
  18. Interaction patterns of trauma providers are associated with length of stay.Journal of the American Medical Informatics Association : JAMIA · 2018
    Article
  19. Article
  20. 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

5 authors.

You ChenDepartment of Biomedical Informatics, Vanderbilt University, Nashville, Tennessee, USA.
Nancy M LorenziDepartment of Biomedical Informatics, Vanderbilt University, Nashville, Tennessee, USA.
Warren S SandbergDepartment of Biomedical Informatics, Vanderbilt University, Nashville, Tennessee, USA.
Kelly WolgastSchool of Nursing, Vanderbilt University.
Bradley A MalinDepartment of Biomedical Informatics, Vanderbilt University, Nashville, Tennessee, USA.

Funding

From GWAS to PheWAS: Scanning the EMR Phenome for Gene-disease AssociationsR01LM010685 · NLM · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BASTARACHE, LISA · 2011 to 2022
$6.3M
Automated Detection of Anomalous Accesses to Electronic Health RecordsR01LM010207 · NLM · VANDERBILT UNIVERSITY MEDICAL CENTER · PI MALIN, BRADLEY A. · 2009 to 2017
$2.4M
Learning Patterns of Collaboration to Optimize the Management of Care ProvidersR00LM011933 · NLM · VANDERBILT UNIVERSITY MEDICAL CENTER · PI CHEN, YOU · 2016 to 2018
$738k
NLM NIH HHS R00 LM011933NLM NIH HHS R01 LM010207NLM NIH HHS R01 LM010685
6 · The paper itself

Abstract

objectiveThe goal of this investigation was to determine whether automated approaches can learn patient-oriented care teams via utilization of an electronic medical record (EMR) system. MATERIALS AND

methodsTo perform this investigation, we designed a data-mining framework that relies on a combination of latent topic modeling and network analysis to infer patterns of collaborative teams. We applied the framework to the EMR utilization records of over 10 000 employees and 17 000 inpatients at a large academic medical center during a 4-month window in 2010. Next, we conducted an extrinsic evaluation of the patterns to determine the plausibility of the inferred care teams via surveys with knowledgeable experts. Finally, we conducted an intrinsic evaluation to contextualize each team in terms of collaboration strength (via a cluster coefficient) and clinical credibility (via associations between teams and patient comorbidities).

resultsThe framework discovered 34 collaborative care teams, 27 (79.4%) of which were confirmed as administratively plausible. Of those, 26 teams depicted strong collaborations, with a cluster coefficient > 0.5. There were 119 diagnostic conditions associated with 34 care teams. Additionally, to provide clarity on how the survey respondents arrived at their determinations, we worked with several oncologists to develop an illustrative example of how a certain team functions in cancer care. DISCUSSION: Inferred collaborative teams are plausible; translating such patterns into optimized collaborative care will require administrative review and integration with management practices.

conclusionsEMR utilization records can be mined for collaborative care patterns in large complex medical centers.

Indexed as

Data MiningPatient Care TeamCooperative BehaviorElectronic Health RecordsHumansInterprofessional RelationsPatient-Centered Carecollaborative networksdata miningelectronic medical recordshealth care organization modeling

Identifiers

PMID27570217
PMCPMC6080725

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.