Evidence map›Paper›PMID 31556075›Full record

ArticleApplied clinical informatics2019

Decision-Centered Design of Patient Information Visualizations to Support Chronic Pain Care.

Christopher A Harle, Julie DiIulio, Sarah M Downs, Elizabeth C Danielson, Shilo Anders, Robert L Cook, Robert W Hurley, Burke W Mamlin, Laura G Militello

Abstract 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. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 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

9 authors.

Christopher A HarleDepartment of Health Policy and Management, Indiana University Richard M. Fairbanks School of Public Health, Indianapolis, Indiana, United States.
Julie DiIulioApplied Decision Science, LLC, Dayton, Ohio, United States.
Sarah M DownsDepartment of Health Policy and Management, Indiana University Richard M. Fairbanks School of Public Health, Indianapolis, Indiana, United States.
Elizabeth C DanielsonDepartment of Health Policy and Management, Indiana University Richard M. Fairbanks School of Public Health, Indianapolis, Indiana, United States.
Shilo AndersDepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, Tennessee, United States.
Robert L CookDepartment of Epidemiology, University of Florida, Gainesville, Florida, United States.
Robert W HurleyDepartment of Anesthesiology, Wake Forest University School of Medicine, Wake Forest University, Winston-Salem, North Carolina, United States.
Burke W MamlinRegenstrief Institute, Indianapolis, Indiana, United States.
Laura G MilitelloApplied Decision Science, LLC, Dayton, Ohio, United States.

Funding

Designing User-Centered Decision Support Tools for Chronic Pain in Primary CareR01HS023306 · AHRQ · INDIANA UNIVERSITY INDIANAPOLIS · PI HARLE, CHRISTOPHER ALBERT · 2015 to 2018
$2.0M
6 · The paper itself

Abstract

backgroundFor complex patients with chronic conditions, electronic health records (EHRs) contain large amounts of relevant historical patient data. To use this information effectively, clinicians may benefit from visual information displays that organize and help them make sense of information on past and current treatments, outcomes, and new treatment options. Unfortunately, few clinical decision support tools are designed to support clinical sensemaking.

objectiveThe objective of this study was to describe a decision-centered design process, and resultant interactive patient information displays, to support key clinical decision requirements in chronic noncancer pain care.

methodsTo identify key clinical decision requirements, we conducted critical decision method interviews with 10 adult primary care clinicians. Next, to identify key information needs and decision support design seeds, we conducted a half-day multidisciplinary design workshop. Finally, we designed an interactive prototype to support the key clinical decision requirements and information needs uncovered during the previous research activities.

resultsThe resulting Chronic Pain Treatment Tracker prototype summarizes the current treatment plan, past treatment history, potential future treatments, and treatment options to be cautious about. Clinicians can access additional details about each treatment, current or past, through modal views. Additional decision support for potential future treatments and treatments to be cautious about is also provided through modal views.

conclusionThis study designed the Chronic Pain Treatment Tracker, a novel approach to decision support that presents clinicians with the information they need in a structure that promotes quick uptake, understanding, and action.

Indexed as

Clinical Decision-MakingElectronic Health RecordsUser-Computer InterfaceChronic PainHumans

Identifiers

PMID31556075
PMCPMC6760988

What OpenQuestion holds

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Registered trials

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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.