Evidence map›Paper›PMID 31984344›Full record

ArticleJAMIA open2019

Testing and improving the acceptability of a web-based platform for collective intelligence to improve diagnostic accuracy in primary care clinics.

Valy Fontil, Kate Radcliffe, Helena C Lyson, Neda Ratanawongsa, Courtney Lyles, Delphine Tuot, Kaeli Yuen, Urmimala Sarkar

Abstract read
In one paragraph

Article in JAMIA open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Trial
  2. Experimental evidence for structured information-sharing networks reducing medical errors.Proceedings of the National Academy of Sciences of the United States of America · 2023
    Article
  3. Article
  4. 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.

Valy FontilUCSF Division of General Internal Medicine, San Francisco, California, USA.ORCID 0000-0003-0795-3237
Kate RadcliffeUCSF Division of General Internal Medicine, San Francisco, California, USA.
Helena C LysonUCSF Division of General Internal Medicine, San Francisco, California, USA.ORCID 0000-0001-8880-3470
Neda RatanawongsaUCSF Division of General Internal Medicine, San Francisco, California, USA.
Courtney LylesUCSF Division of General Internal Medicine, San Francisco, California, USA.
Delphine TuotUCSF Center for Vulnerable Populations, Zuckerberg San Francisco General Hospital, San Francisco, California, USA.
Kaeli YuenKeck School of Medicine, University of Southern California, Los Angeles, California, USA.
Urmimala SarkarUCSF Division of General Internal Medicine, San Francisco, California, USA.

Funding

Building an Ambulatory Patient Safety Learning Laboratory for Diverse PopulationsP30HS023558 · AHRQ · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SARKAR, URMIMALA · 2014 to 2017
$3.9M
Bring it Down San Francisco: Harnessing cloud-based technology to improve hypertension management in a low-income underserved populationK23HL136899 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI FONTIL, VALY · 2018 to 2022
$887k
Integrating Adherence into a Safety Net EHR Tool to Improve Decision-makingK08HS022561 · AHRQ · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI RATANAWONGSA, NEDA · 2014 to 2017
$621k
AHRQ HHS K08 HS022561AHRQ HHS P30 HS023558NHLBI NIH HHS K23 HL136899
6 · The paper itself

Abstract

objectivesUsable tools to support individual primary care clinicians in their diagnostic processes could help to reduce preventable harm from diagnostic errors. We conducted a formative study with primary care providers to identify key requisites to optimize the acceptability of 1 online collective intelligence platform (Human Diagnosis Project; Human Dx). MATERIALS AND

methodsWe conducted semistructured interviews with practicing primary care clinicians in a sample of the US community-based clinics to examine the acceptability and early usability of the collective intelligence online platform using standardized clinical cases and real-world clinical cases from the participants' own practice. We used an integrated inductive-deductive qualitative analysis approach to analyze the interview transcripts. RESULTS AND DISCUSSION: Perceived usefulness, perceived accuracy, quality assurance, trust, and ease of use emerged as essential domains of acceptability required for providers to use a collective intelligence tool in clinical practice. Participants conveyed that the collective opinion should: (1) contribute to their clinical reasoning, (2) boost their confidence, (3) be generated in a timely manner, and (4) be relevant to their clinical settings and use cases. Trust in the technology platform and the clinical accuracy of its collective intelligence output emerged as an incontrovertible requirement for user acceptance and engagement.

conclusionWe documented key requisites to building a collective intelligence technology platform that is trustworthy, useful, and acceptable to target end users for assistance in the diagnostic process. These key lessons may be applicable to other provider-facing decision support platforms.

Indexed as

clinical reasoningcollective intelligencediagnostic accuracydiagnostic errorhuman diagnosis project

Identifiers

PMID31984344
PMCPMC6952011

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.