Evidence map›Paper›PMID 32159774›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2020

"How did you get to this number?" Stakeholder needs for implementing predictive analytics: a pre-implementation qualitative study.

Natalie C Benda, Lala Tanmoy Das, Erika L Abramson, Katherine Blackburn, Amy Thoman, Rainu Kaushal, Yongkang Zhang, Jessica S Ancker

Abstract readMulticenter Study
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 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
–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

29 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  9. Nurses' perceptions of the design, implementation, and adoption of machine learning clinical decision support: A descriptive qualitative study.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2024
    Article
  10. Visualizing machine learning-based predictions of postpartum depression risk for lay audiences.Journal of the American Medical Informatics Association : JAMIA · 2024
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  13. Inpatient nurses' preferences and decisions with risk information visualization.Journal of the American Medical Informatics Association : JAMIA · 2023
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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

8 authors.

Natalie C BendaDepartment of Healthcare Policy & Research, Weill Cornell Medicine, New York, NY, USA.
Lala Tanmoy DasWeill Cornell/Rockefeller/Sloan Kettering Tri-Institutional MD-PhD Program, New York, NY, USA.
Erika L AbramsonDepartment of Healthcare Policy & Research, Weill Cornell Medicine, New York, NY, USA.
Katherine BlackburnDepartment of Health Outcomes and Biomedical Informatics, University of Florida, Gainesville, FL, USA.
Amy ThomanDepartment of Healthcare Policy & Research, Weill Cornell Medicine, New York, NY, USA.
Rainu KaushalDepartment of Healthcare Policy & Research, Weill Cornell Medicine, New York, NY, USA.
Yongkang ZhangDepartment of Healthcare Policy & Research, Weill Cornell Medicine, New York, NY, USA.
Jessica S AnckerDepartment of Healthcare Policy & Research, Weill Cornell Medicine, New York, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePredictive analytics are potentially powerful tools, but to improve healthcare delivery, they must be carefully integrated into healthcare organizations. Our objective was to identify facilitators, challenges, and recommendations for implementing a novel predictive algorithm which aims to prospectively identify patients with high preventable utilization to proactively involve them in preventative interventions. MATERIALS AND

methodsIn preparation for implementing the predictive algorithm in 3 organizations, we interviewed 3 stakeholder groups: health systems operations (eg, chief medical officers, department chairs), informatics personnel, and potential end users (eg, physicians, nurses, social workers). We applied thematic analysis to derive key themes and categorize them into the dimensions of Sittig and Singh's original sociotechnical model for studying health information technology in complex adaptive healthcare systems. Recruiting and analysis were conducted iteratively until thematic saturation was achieved.

resultsForty-nine interviews were conducted in 3 healthcare organizations. Technical components of the implementation (hardware and software) raised fewer concerns than alignment with sociotechnical factors. Stakeholders wanted decision support based on the algorithm to be clear and actionable and incorporated into current workflows. However, how to make this disease-independent classification tool actionable was perceived as a challenge, and appropriate patient interventions informed by the algorithm appeared likely to require substantial external and institutional resources. Stakeholders also described the criticality of trust, credibility, and interpretability of the predictive algorithm.

conclusionsAlthough predictive analytics can classify patients with high accuracy, they cannot advance healthcare processes and outcomes without careful implementation that takes into account the sociotechnical system. Key stakeholders have strong perceptions about facilitators and challenges to shape successful implementation.

Indexed as

AlgorithmsDecision Support TechniquesElectronic Health RecordsForecastingHealth PersonnelHumansInterviews as TopicQualitative ResearchRisk Assessmenthealthcare utilizationimplementationpredictive analyticsqualityuser-centered design

Identifiers

PMID32159774
PMCPMC7647269

What OpenQuestion holds

Textmetadata
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.