Evidence map›Paper›PMID 32308858›Full record

ArticleAMIA ... Annual Symposium proceedings. AMIA Symposium2019

Barriers, Facilitators, and Potential Solutions to Advancing Interoperable Clinical Decision Support: Multi-Stakeholder Consensus Recommendations for the Opioid Use Case.

Laura Haak Marcial, Barry Blumenfeld, Christopher Harle, Xia Jing, Michelle S Keller, Victor Lee, Zhen Lin, Anna Dover, Amanda M Midboe, Shafa Al-Showk and 10 more

Abstract readConsensus Statement
In one paragraph

Article in AMIA ... Annual Symposium proceedings. AMIA Symposium, 2019. 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
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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

20 authors.

Laura Haak MarcialRTI International, Rockville, MD.
Barry BlumenfeldRTI International, Waltham, MA.
Christopher HarleRegenstrief Institute, Indianapolis, IN.
Xia JingOhio University, Athens, Ohio.
Michelle S KellerCedars-Sinai Medical Center, Los Angeles, California.
Victor LeeClinical Architecture.
Zhen LinZhen Research, Houston, TX.
Anna DoverFirst Databank, Inc.
Amanda M MidboeVA Palo Alto Health Care System, Stanford University, San Francisco, CA.
Shafa Al-ShowkAgency for Healthcare Research and Quality, Rockville, MD.
Victoria BradleyLexington, KY.
James BreenFirst Databank, Inc.
Michael FaddenCerner Corporation, Kansas City, MO.
Edwin LomotanAgency for Healthcare Research and Quality, Rockville, MD.
Luis Marco-RuizNorwegian Centre for E-Health Research, Tromsø, Norway.
Reem MohamedFirst Databank, Inc.
Patrick O'ConnorHealth Partners Institute, Bloomington, MN.
Douglas RosendaleDeloitte Consulting, Arlington, VA.
Harry SolomonUniversity of Utah, Salt Lake City, UT.
Kensaku KawamotoUniversity of Utah, Salt Lake City, UT.

Funding

AHRQ HHS U18 HS024849
6 · The paper itself

Abstract

With the advent of interoperability standards such as FHIR, SMART, CDS Hooks, and CQL, interoperable clinical decision support (CDS) holds great promise for improving healthcare. In 2018, the Agency for Healthcare Research and Quality (AHRQ)-sponsored Patient-Centered CDS Learning Network (PCCDS LN) chartered a Technical Framework Working Group (TechFWG) to identify barriers, facilitators, and potential solutions for interoperable CDS, with a specific focus on addressing the opioid epidemic. Through an open, multi-stakeholder process that engaged 54 representatives from healthcare, industry, and academia, the TechFWG identified barriers in 6 categories: regulatory environment, data integration, scalability, business case, effective and useful CDS, and care planning and coordination. Facilitators and key recommendations were also identified for overcoming these barriers. The key insights were also extrapolated to CDS-facilitated care improvement outside of the specific opioid use case. If applied broadly, the recommendations should help advance the availability and impact of interoperable CDS delivered at scale.

Indexed as

Decision Support Systems, ClinicalHealth Information InteroperabilityPain ManagementPatient-Centered CareAnalgesics, OpioidDecision MakingGovernment RegulationHumansOpioid EpidemicOpioid-Related DisordersUnited StatesUnited States Agency for Healthcare Research and QualityAnalgesics, Opioid

Identifiers

PMID32308858
PMCPMC7153100

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.