ArticleLearning health systems2017
Building the learning health system: Describing an organizational infrastructure to support continuous learning.
Article in Learning health systems, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
35 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Learning health systems using data to drive healthcare improvement and impact: a systematic review.BMC health services research · 2021Pooled it
- Toward a Smart Learning Health System: An Ontology-Based Framework.Learning health systems · 2026Article
- Learning Health System Implementation: Building a Hub-and-Spoke Model for Hypertension Management Through the QI Hub.Journal of general internal medicine · 2026Article
- Guiding Healthcare Organizations in Strategic Pathways: Assessing a Dynamic Adaptive Model.The International journal of health planning and management · 2026Article
- From Concept to Claim: An Integrated Lifecycle Roadmap (ILR) for Patient-Centric Endpoints in Clinical Trials and Real-World Evidence.Healthcare (Basel, Switzerland) · 2026Review
- Implementation factors of group antenatal care in low-resource settings in Tanzania: A qualitative study using the Consolidated Framework for Implementation Research.PLOS global public health · 2026Article
- Utilization of Lung Cancer Registries in Learning Health Systems for Health Care Improvement.JCO clinical cancer informatics · 2025Review
- Ten Reasons Why Learning Health Systems Will Have a Transformational Effect on Health and Health Care.Learning health systems · 2025Article
- A national curriculum and community of practice for health services and policy research training: Insights from the Health System Impact Fellowship National Cohort Training Program (HSIF NCTP).Learning health systems · 2025Article
- Advancing environmentally sustainable learning health systems: Perspectives from a Canadian health center.Learning health systems · 2025Article
- Operationalizing a learning health system: A self-assessment tool for interprofessional teams.Learning health systems · 2025Article
- Moving from a registry to a learning health system: A case study of a Dutch prostate cancer registry.Learning health systems · 2025Article
- Towards a shared understanding of the learning health system in a large academic-based health system: A qualitative analysis.Health services management research · 2025Article
- The role of patients, caregivers, and communities in Learning Health Systems: a narrative review.Frontiers in health services · 2025Review
- Leveraging Patients' Creative Ideas for Innovation in Health Care.The Milbank quarterly · 2024Article
- Implementing the learning health system paradigm within academic health centers.Learning health systems · 2024Article
- Frameworks, guidelines, and tools to develop a learning health system for Indigenous health: An environmental scan for Canada.Learning health systems · 2024Article
- Feasibility of implementing a rapid-learning methodology to inform radiotherapy treatments: key professional stakeholders' views.BMJ oncology · 2024Article
- Deployment of Real-time Natural Language Processing and Deep Learning Clinical Decision Support in the Electronic Health Record: Pipeline Implementation for an Opioid Misuse Screener in Hospitalized Adults.JMIR medical informatics · 2023Article
- Evolving a national clinical trials learning health system.Learning health systems · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
introductionAcademic health centers are reorganizing in response to dramatic changes in the health-care environment. To improve value, they and other health systems must become a learning health system, specifically one that has the capacity to understand performance across the continuum of care and use that information to achieve continuous improvements in efficiency and effectiveness. While learning health system concepts have been well described, the practical steps to create such a system are not well defined. Establishing the necessary infrastructure is particularly challenging at academic health centers due to their tripartite missions and complex organizational structures.
methodsUsing an evidence-based framework, this article describes a series of organizational-level interventions implemented at an academic health center to create the structures and processes to support the functions of a learning health system.
resultsFollowing implementation of changes from 2008 to 2013, system-level performance improved in multiple domains: patient satisfaction, population health screenings, improvement education, and patient engagement.
conclusionsThis experience can be applied to health systems that wrestle with making system-level change when existing cultures, structures, and processes vary. Using an evidence -based framework is useful when developing the structures and processes that support the functions of a learning health system.
Indexed as
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What OpenQuestion holds
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.