Evidence map›Paper›PMID 27864833›Full record

ArticleEpilepsia2017

Structured clinical documentation in the electronic medical record to improve quality and to support practice-based research in epilepsy.

Jaishree Narayanan, Sofia Dobrin, Janet Choi, Susan Rubin, Anna Pham, Vimal Patel, Roberta Frigerio, Darryck Maurer, Payal Gupta, Lourdes Link and 4 more

Registry-linked trialAbstract read
In one paragraph

Article in Epilepsia, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02670161 (Quality Improvement and Practice Based Research in Neurology Using the Electronic Medical Record), which is not on this map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
–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.

NCT02670161 phase4enrolling by invitationnot on this map

Quality Improvement and Practice Based Research in Neurology Using the Electronic Medical Record

TypeinterventionalSponsorEndeavor HealthRan2016 to 2027Enrolled3,300ConditionsBrain Tumors, Epilepsy, Migraine, Mild Cognitive ImpairmentArmsListed for each disorder below, up to three drugs per disorder (too many characters to list in this field, see Intervention Description)
3 · Its place in the literature

Who cites it

24 citing papers in PubMed.

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  4. Review
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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

14 authors.

Jaishree NarayananNorthShore Neurological Institute, NorthShore University HealthSystem, Evanston, Illinois, U.S.A.
Sofia DobrinNorthShore Neurological Institute, NorthShore University HealthSystem, Evanston, Illinois, U.S.A.
Janet ChoiNorthShore Neurological Institute, NorthShore University HealthSystem, Evanston, Illinois, U.S.A.
Susan RubinNorthShore Neurological Institute, NorthShore University HealthSystem, Evanston, Illinois, U.S.A.
Anna PhamNorthShore Neurological Institute, NorthShore University HealthSystem, Evanston, Illinois, U.S.A.
Vimal PatelNorthShore Neurological Institute, NorthShore University HealthSystem, Evanston, Illinois, U.S.A.
Roberta FrigerioNorthShore Neurological Institute, NorthShore University HealthSystem, Evanston, Illinois, U.S.A.
Darryck MaurerHealth Information Technology, NorthShore University HealthSystem, Evanston, Illinois, U.S.A.
Payal GuptaHealth Information Technology, NorthShore University HealthSystem, Evanston, Illinois, U.S.A.
Lourdes LinkHealth Information Technology, NorthShore University HealthSystem, Evanston, Illinois, U.S.A.
Shaun WaltersResearch Institute, NorthShore University HealthSystem, Evanston, Illinois, U.S.A.
Chi WangResearch Institute, NorthShore University HealthSystem, Evanston, Illinois, U.S.A.
Yuan JiResearch Institute, NorthShore University HealthSystem, Evanston, Illinois, U.S.A.
Demetrius M MaraganoreNorthShore Neurological Institute, NorthShore University HealthSystem, Evanston, Illinois, U.S.A.

Funding

Bayesian models for cancer prognosis by integrating diverse types of dataR01CA132897 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI JI, YUAN, MUELLER, PETER · 2008 to 2019
$2.1M
Quality Improvement and Practice Based Research in Neurology Using the EMRR01HS024057 · AHRQ · UNIVERSITY OF FLORIDA · PI MARAGANORE, DEMETRIUS MICHAEL · 2015 to 2019
$1.1M
AHRQ HHS R01 HS024057NCI NIH HHS R01 CA132897
6 · The paper itself

Abstract

objectiveUsing the electronic medical record (EMR) to capture structured clinical data at the point of care would be a practical way to support quality improvement and practice-based research in epilepsy.

methodsWe describe our stepwise process for building structured clinical documentation support tools in the EMR that define best practices in epilepsy, and we describe how we incorporated these toolkits into our clinical workflow.

resultsThese tools write notes and capture hundreds of fields of data including several score tests: Generalized Anxiety Disorder-7 items, Neurological Disorders Depression Inventory for Epilepsy, Epworth Sleepiness Scale, Quality of Life in Epilepsy-10 items, Montreal Cognitive Assessment/Short Test of Mental Status, and Medical Research Council Prognostic Index. The tools summarize brain imaging, blood laboratory, and electroencephalography results, and document neuromodulation treatments. The tools provide Best Practices Advisories and other clinical decision support when appropriate. The tools prompt enrollment in a DNA biobanking study. We have thus far enrolled 231 patients for initial visits and are starting our first annual follow-up visits and provide a brief description of our cohort. SIGNIFICANCE: We are sharing these EMR tools and captured data with other epilepsy clinics as part of a Neurology Practice Based Research Network, and are using the tools to conduct pragmatic trials using subgroup-based adaptive designs.

Indexed as

EpilepsyAnxietyDocumentationElectronic Health RecordsFemaleHumansMaleNervous System DiseasesBest practicesClinical decision supportElectronic medical recordEpilepsyOutcomesPragmatic trialsStructured clinical documentation support

Identifiers

PMID27864833
PMCPMC5245120

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.