Evidence map›Paper›PMID 31277082›Full record

ArticleMethods of information in medicine2019

Translating Research into Agile Development (TRIAD): Development of Electronic Health Record Tools for Primary Care Settings.

K D Clark, T T Woodson, R J Holden, R Gunn, D J Cohen

Abstract read
In one paragraph

Article in Methods of information in medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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.

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

7 citing papers in PubMed.

  1. Review
  2. Clinical Information Retrieval: A Literature Review.Journal of healthcare informatics research · 2024
    Article
  3. Article
  4. Article
  5. Article
  6. Observational
  7. 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.

K D ClarkDepartment of Family Medicine, Oregon Health & Science University, Portland, Oregon, United States.
T T WoodsonDepartment of Family Medicine, Oregon Health & Science University, Portland, Oregon, United States.
R J HoldenIndiana University School of Informatics and Computing, Indianapolis, Indiana, United States.
R GunnOregon Rural Practice-based Research Network, Oregon Health & Science University, Portland, Oregon, United States.
D J CohenDepartment of Family Medicine, Oregon Health & Science University, Portland, Oregon, United States.

Funding

Turning EHRs into Assets for Mental Health and Uniting Practice (Team Up)R34MH100371 · NIMH · OREGON HEALTH & SCIENCE UNIVERSITY · PI COHEN, DEBORAH JILL · 2013 to 2015
$701k
NIMH NIH HHS R34 MH100371
6 · The paper itself

Abstract

objectivesThis article describes a method for developing electronic health record (EHR) tools for use in primary care settings.

methodsThe "Translating Research into Agile Development" (TRIAD) method relies on the close collaboration of researchers, end users, and development teams. This five-step method for designing a tailored EHR tool includes (1) assessment, observation, and documentation; (2) structured engagement for collaboration and iterative data collection; (3) data distillation; (4) developmental feedback from clinical team members on high-priority EHR needs and input on design prototypes and EHR functionality; and (5) agile scrum sprint cycles for prototype development.

resultsThe TRIAD method was used to modify an existing EHR for behavioral health clinicians (BHCs) embedded with primary care teams, called the BH e-Suite. The structured engagement processes stimulated discussions on how best to automate BHC screening tools and provide goal tracking functionality over time. Data distillation procedures rendered technical documents, with information on workflow steps, tasks, and associated challenges. In the developmental feedback phase, BHCs gave input on screening assessments, scoring needs, and other functionality to inform prototype feature development. Six 2-week sprint cycles were conducted to address three domains of prototype development: assessment and documentation needs, information retrieval, and monitoring and tracking. The BH e-Suite tool resulted with eight new EHR features to accommodate BHCs' needs.

conclusionThe TRIAD method can be used to develop EHR functionality to address the evolving needs of health professionals in primary care and other settings. The BH e-Suite was developed through TRIAD and was found to be acceptable, easy to use, and improved care delivery during pilot testing. The BH e-Suite was later adopted by OCHIN Inc., which provided the tool to its 640 community health centers. This suggests that the TRIAD method is a promising research and development approach.

Indexed as

Electronic Health RecordsPrimary Health CareTranslational Research, BiomedicalBehaviorDocumentationFeedbackHealth PersonnelHumansMedical Informatics

Identifiers

PMID31277082
PMCPMC6823924

What OpenQuestion holds

Textmetadata
LicenceTDM
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.