Evidence map›Paper›PMID 30184559›Full record

ArticleApplied clinical informatics2018

Applying the RE-AIM Framework for the Evaluation of a Clinical Decision Support Tool for Pediatric Head Trauma: A Mixed-Methods Study.

Ruth M Masterson Creber, Peter S Dayan, Nathan Kuppermann, Dustin W Ballard, Leah Tzimenatos, Evaline Alessandrini, Rakesh D Mistry, Jeffrey Hoffman, David R Vinson, Suzanne Bakken and 1 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Applied clinical informatics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01453621 (Implementation of the Pediatric Emergency Care Applied Research Network), which is not on this map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
2.7field-weighted citation impact, top 10% of its field
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.

NCT01453621 phase3completednot on this map

Implementation of the Pediatric Emergency Care Applied Research Network (PECARN) Traumatic Brain Injury Prediction Rules Using Computerized Clinical Decision Support: An Interrupted Time Series Trial

TypeinterventionalSponsorColumbia UniversityRan2011 to 2014Enrolled28,669ConditionsTraumatic Brain InjuryArmsComputerized clinical decision support
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Facilitators and Barriers of the Use of Prognostic Models for Clinical Decision Making in Acute Neurologic Care: A Systematic Review.Medical decision making : an international journal of the Society for Medical Decision Making · 2025
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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

11 authors at 7 institutions in 1 country.

Ruth M Masterson CreberDivision of Health Informatics, Department of Healthcare Policy & Research, Weill Cornell Medicine, New York, New York, United States.
Peter S DayanDivision of Pediatric Emergency Medicine, Columbia University College of Physicians and Surgeons, New York, New York, United States.
Nathan KuppermannDavis School of Medicine, University of California, Sacramento, California, United States.
Dustin W BallardKaiser Permanente, San Rafael Medical Center, San Rafael, California, United States.
Leah TzimenatosDavis School of Medicine, University of California, Sacramento, California, United States.
Evaline AlessandriniDepartment of Pediatrics, James M. Anderson Center for Health Systems Excellence and Emergency Medicine, Cincinnati Children's Hospital and Medical Center, University of Cincinnati College of Medicine, Cincinnati, Ohio, United States.
Rakesh D MistryDepartment of Pediatrics, Children's Hospital Colorado, University of Colorado Denver, Aurora, Colorado, United States.
Jeffrey HoffmanDivision of Emergency Medicine, Department of Pediatrics, Nationwide Children's Hospital, Columbus, Ohio, United States.
David R VinsonKaiser Permanente Division of Research, Oakland, California, United States.
Suzanne BakkenSchool of Nursing, Columbia University, New York, New York, United States.
Pediatric Emergency Care Applied Research Network (PECARN) and the Clinical Research on Emergency Services and Treatments (CREST) Network
Columbia University · USKaiser Permanente · USUniversity of California, Davis · USChildren's Hospital Colorado · USNationwide Children's Hospital · USUniversity of Cincinnati · USWeill Cornell Medicine · US

Funding

Reducing Health Disparities Through Informatics - Genomics SupplementT32NR007969 · NINR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SUZANNE BAKKEN, Rebecca Schnall · 2002 to 2026
$7.9M
Should we return patient reported outcomes to human subjects participants?-exploring ethical obligationsR00NR016275 · NINR · WEILL MEDICAL COLL OF CORNELL UNIV · PI MASTERSON CREBER, RUTH MARIE · 2018 to 2020
$896k
mHealth for Heart Failure Symptom MonitoringK99NR016275 · NINR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MASTERSON CREBER, RUTH MARIE · 2016 to 2017
$182k
NINR NIH HHS K99 NR016275NINR NIH HHS R00 NR016275NINR NIH HHS T32 NR007969
6 · The paper itself

Abstract

backgroundThe overuse of cranial computed tomography (CT) to diagnose potential traumatic brain injuries (TBIs) exposes children with minor blunt head trauma to unnecessary ionizing radiation. The Pediatric Emergency Care Applied Research Network and the Clinical Research on Emergency Services and Treatments Network implemented TBI prediction rules via electronic health record (EHR) clinical decision support (CDS) to decrease use of CTs in children with minor blunt head trauma.

objectiveThis article aims to facilitate implementation and dissemination of a CDS alert into emergency departments around the country.

methodsWe evaluated the EHR CT CDS tool through a mixed-methods analysis of 38 audio-recorded interviews with health care stakeholders and quantitative data sources, using the Reach, Efficacy, Adoption, Implementation, and Maintenance framework.

results

conclusionData from this mixed-methods study complement findings from the efficacy trial and provide critical components for consideration prior to integration and subsequent dissemination of the EHR CT CDS tool.

trial registrationNCT01453621, Registered September 27, 2011.

Indexed as

Craniocerebral TraumaDecision Support Systems, ClinicalChildHumans

Identifiers

PMID30184559
PMCPMC6125135
OpenAlexW2890104839

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.