Evidence map›Paper›PMID 31722414›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2020

Using REDCap and Apple ResearchKit to integrate patient questionnaires and clinical decision support into the electronic health record to improve sexually transmitted infection testing in the emergency department.

Fahd A Ahmad, Philip R O Payne, Ian Lackey, Rachel Komeshak, Kenneth Kenney, Brianna Magnusen, Christopher Metts, Thomas Bailey

Abstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Impact of risk-based sexually transmitted infection screening in the emergency department.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2022
    Article
  3. Article
  4. Article
  5. Article
  6. 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

8 authors.

Fahd A AhmadDepartment of Pediatrics, Washington University School of Medicine in St. Louis, St. Louis, Missouri, USA.
Philip R O PayneInstitute for Informatics, Washington University School of Medicine in St. Louis, St. Louis, Missouri, USA.
Ian LackeyInstitute for Informatics, Washington University School of Medicine in St. Louis, St. Louis, Missouri, USA.
Rachel KomeshakInstitute for Informatics, Washington University School of Medicine in St. Louis, St. Louis, Missouri, USA.
Kenneth KenneyDepartment of Pediatrics, Washington University School of Medicine in St. Louis, St. Louis, Missouri, USA.
Brianna MagnusenInstitute for Informatics, Washington University School of Medicine in St. Louis, St. Louis, Missouri, USA.
Christopher MettsDepartment of Pathology and Laboratory Medicine, Medical University of South Carolina, Charleston, South Carolina, USA.
Thomas BaileyDepartment of Medicine, Washington School of Medicine University in St. Louis, St. Louis, Missouri, USA.

Funding

Washington University Institute of Clinical and Translational Sciences (KL2) KL2TR002346 · NCATS · WASHINGTON UNIVERSITY · PI Dominic N Reeds · 2017 to 2026
$14.0M
Washington University Institute of Clinical and Translational SciencesKL2TR000450 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$8.8M
NCATS NIH HHS KL2 TR000450NCATS NIH HHS KL2 TR002346
6 · The paper itself

Abstract

objectiveAudio-enhanced computer-assisted self-interviews (ACASIs) are useful adjuncts for clinical care but are rarely integrated into the electronic health record (EHR). We created a flexible framework for integrating an ACASIs with clinical decision support (CDS) into the EHR. We used this program to identify adolescents at risk for sexually transmitted infections (STIs) in the emergency department (ED). We provide an overview of the software platform and qualitative user acceptance. MATERIALS AND

methodsWe created an ACASI with a CDS algorithm to identify adolescents in need of STI testing. We offered it to 15- to 21-year-old patients in our ED, regardless of ED complaint. We collected user feedback via the ACASI. These were programmed into REDCap (Research Electronic Data Capture), and an iOS application utilizing Apple ResearchKit generated a tablet compatible representation of the ACASI for patients. A custom software program created an HL7 (Health Level Seven) message containing a summary of responses, CDS recommendations, and STI test orders, which were transmitted to the EHR.

resultsIn the first year, 1788 of 6227 (28.7%) eligible adolescents completed the survey. Technical issues led to decreased use for several months. Patients rated the system favorably, with 1583 of 1787 (88.9%) indicating that they were "somewhat" or "very comfortable" answering questions electronically and 1291 of 1787 (72.2%) preferring this format over face-to-face interviews or paper questionnaires.

conclusionsWe present a novel use for REDCap to combine patient-answered questionnaires and CDS to improve care for adolescents at risk for STIs. Our program was well received and the platform can be used across disparate patients, topics, and information technology infrastructures.

Indexed as

Decision Support Systems, ClinicalElectronic Health RecordsSurveys and QuestionnairesAdolescentAttitude of Health PersonnelAttitude to ComputersAttitude to HealthEmergency Service, HospitalFemaleHumansMaleSexually Transmitted DiseasesYoung Adultclinical decision supportelectronic health recordemergency careREDCapsexually transmitted diseases

Identifiers

PMID31722414
PMCPMC7025361

What OpenQuestion holds

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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.