Evidence map›Paper›PMID 32477627›Full record

ArticleAMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science2020

Physician Usage and Acceptance of a Machine Learning Recommender System for Simulated Clinical Order Entry.

Jonathan Chiang, Andre Kumar, David Morales, Divya Saini, Jason Hom, Lisa Shieh, Mark Musen, Mary K Goldstein, Jonathan H Chen

Abstract read
In one paragraph

Article in AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 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.

Jonathan ChiangCenter for Biomedical Informatics Research, Department of Medicine, Stanford University, Stanford, CA.
Andre KumarDivision of Hospital Medicine, Department of Medicine, Stanford University, Stanford, CA.
David MoralesDepartment of Computer Science, Stanford University, Stanford, CA.
Divya SainiDepartment of Computer Science, Stanford University, Stanford, CA.
Jason HomDivision of Hospital Medicine, Department of Medicine, Stanford University, Stanford, CA.
Lisa ShiehDivision of Hospital Medicine, Department of Medicine, Stanford University, Stanford, CA.
Mark MusenCenter for Biomedical Informatics Research, Department of Medicine, Stanford University, Stanford, CA.
Mary K GoldsteinGeriatrics Research Education and Clinical Center, Veteran Affairs Palo Alto Health Care System, Palo Alto, CA.
Jonathan H ChenCenter for Biomedical Informatics Research, Department of Medicine, Stanford University, Stanford, CA.

Funding

Data-Mining Clinical Decision Support from Electronic Health RecordsK01ES026837 · NIEHS · STANFORD UNIVERSITY · PI CHEN, JONATHAN H. · 2015 to 2019
$893k
NIEHS NIH HHS K01 ES026837
6 · The paper itself

Abstract

Clinical decision support tools that automatically disseminate patterns of clinical orders have the potential to improve patient care by reducing errors of omission and streamlining physician workflows. However, it is unknown if physicians will accept such tools or how their behavior will be affected. In this randomized controlled study, we exposed 34 licensed physicians to a clinical order entry interface and five simulated emergency cases, with randomized availability of a previously developed clinical order recommender system. With the recommender available, physicians spent similar time per case (6.7 minutes), but placed more total orders (17.1 vs. 15.8). The recommender demonstrated superior recall (59% vs 41%) and precision (25% vs 17%) compared to manual search results, and was positively received by physicians recognizing workflow benefits. Further studies must assess the potential clinical impact towards a future where electronic health records automatically anticipate clinical needs.

Identifiers

PMID32477627
PMCPMC7233080

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.