Evidence map›Paper›PMID 31141830›Full record

ArticleApplied clinical informatics2019

Potential of an Electronic Health Record-Integrated Patient Portal for Improving Care Plan Concordance during Acute Care.

Anuj K Dalal, Patricia Dykes, Lipika Samal, Kelly McNally, Eli Mlaver, Cathy S Yoon, Stuart R Lipsitz, David W Bates

Registry-linked trialAbstract read
In one paragraph

Article in Applied clinical informatics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02258594 (Transforming the Acute Care Environment), which is not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing 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.

NCT02258594 nacompletednot on this map

Transforming the Acute Care Environment: BWH PROSPECT Framework

TypeinterventionalSponsorBrigham and Women's HospitalRan2013 to 2015Enrolled4,368ConditionsMedical Intensive Care Unit (MICU) Patients, Oncology Unit PatientsArmsWeb-Based Patient Centered Toolkit (PCTK), The Patient-SatisfActive® Model
3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

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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

8 authors.

Anuj K DalalDivision of General Medicine and Primary Care, Brigham and Women's Hospital, Boston, Massachusetts, United States.
Patricia DykesDivision of General Medicine and Primary Care, Brigham and Women's Hospital, Boston, Massachusetts, United States.
Lipika SamalDivision of General Medicine and Primary Care, Brigham and Women's Hospital, Boston, Massachusetts, United States.
Kelly McNallyDivision of General Medicine and Primary Care, Brigham and Women's Hospital, Boston, Massachusetts, United States.
Eli MlaverDivision of General Medicine and Primary Care, Brigham and Women's Hospital, Boston, Massachusetts, United States.
Cathy S YoonDivision of General Medicine and Primary Care, Brigham and Women's Hospital, Boston, Massachusetts, United States.
Stuart R LipsitzDivision of General Medicine and Primary Care, Brigham and Women's Hospital, Boston, Massachusetts, United States.
David W BatesDivision of General Medicine and Primary Care, Brigham and Women's Hospital, Boston, Massachusetts, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCare plan concordance among patients and clinicians during hospitalization is suboptimal.

objectiveThis article determines whether an electronic health record (EHR)-integrated patient portal was associated with increased understanding of the care plan, including the key recovery goal, among patients and clinicians in acute care setting.

methodsThe intervention included (1) a patient portal configured to solicit a single patient-designated recovery goal and display the care plan from the EHR for participating patients; and (2) an electronic care plan for all unit-based nurses that displays patient-inputted information, accessible to all clinicians via the EHR. Patients admitted to an oncology unit, including their nurses and physicians, were enrolled before and after implementation. Main outcomes included mean concordance scores for the overall care plan and individual care plan elements.

resultsOf 457 and 283 eligible patients approached during pre- and postintervention periods, 55 and 46 participated in interviews, respectively, including their clinicians. Of 46 postintervention patients, 27 (58.7%) enrolled in the patient portal. The intention-to-treat analysis demonstrated a nonsignificant increase in the mean concordance score for the overall care plan (62.0-67.1, adjusted

conclusionImplementation of an EHR-integrated patient portal was associated with increased concordance for key care plan components. Future efforts should be directed at improving concordance for other care plan components and conducting larger, randomized studies to evaluate the impact on key outcomes during transitions of care. CLINICAL TRIALS IDENTIFIER: NCT02258594.

Indexed as

Electronic Health RecordsPatient PortalsDelivery of Health CareFemaleGoalsHospitalizationHumansMaleMiddle Aged

Identifiers

PMID31141830
PMCPMC6541475

What OpenQuestion holds

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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.