Evidence map›Paper›PMID 32483587›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2020

Enabling health information exchange at a US Poison Control Center.

Mollie R Cummins, Guilherme Del Fiol, Barbara I Crouch, Pallavi Ranade-Kharkar, Aly Khalifa, Andrew Iskander, Darren Mann, Matt Hoffman, Sid Thornton, Todd L Allen and 1 more

Open access · hybridAbstract 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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.0field-weighted citation impact, top 16% of its field
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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. 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

11 authors at 3 institutions in 1 country.

Mollie R CumminsUniversity of Utah College of Nursing, Salt Lake City, Utah, USA.
Guilherme Del FiolDepartment of Biomedical Informatics, University of Utah, Salt Lake City, Utah, USA.
Barbara I CrouchUtah Poison Control Center, University of Utah, Salt Lake City, Utah, USA.
Pallavi Ranade-KharkarIntermountain Healthcare, Salt Lake City, Utah, USA.
Aly KhalifaDepartment of Biomedical Informatics, University of Utah, Salt Lake City, Utah, USA.
Andrew IskanderDepartment of Biomedical Informatics, University of Utah, Salt Lake City, Utah, USA.
Darren MannIntermountain Healthcare, Salt Lake City, Utah, USA.
Matt HoffmanMedical Informatics, Utah Health Information Network, Murray, Utah, USA.
Sid ThorntonIntermountain Healthcare, Salt Lake City, Utah, USA.
Todd L AllenIntermountain Healthcare, Salt Lake City, Utah, USA.
Heather BennettUtah Poison Control Center, University of Utah, Salt Lake City, Utah, USA.
University of Utah · USIntermountain Healthcare · USHealth Net · US

Funding

Utah Center for Clinical and Translational ScienceUL1TR002538 · NCATS · UNIVERSITY OF UTAH · PI HESS, RACHEL, MAJERSIK, JENNIFER JUHL · 2018 to 2022
$26.0M
University of Utah Center for Clinical and Translational ScienceUL1TR001067 · NCATS · UNIVERSITY OF UTAH · PI DERE, WILLARD H., HESS, RACHEL · 2013 to 2017
$19.8M
UNIVERSITY OF UTAH CENTER FOR CLINICAL AND TRANSLATIONAL SCIENCE-UL1: BPCAUL1RR025764 · NCRR · UNIVERSITY OF UTAH · PI MCCLAIN, DONALD A. · 2008 to 2011
$19.4M
University of Utah Center for Clinical and Translational Science-UL1UL1TR000105 · NCATS · UNIVERSITY OF UTAH · PI MCCLAIN, DONALD A. · 2012 to 2013
$5.1M
Electronic Exchange of Poisoning InformationR01HS021472 · AHRQ · UNIVERSITY OF UTAH · PI CUMMINS, MOLLIE R. · 2013 to 2017
$1.2M
From genomics to natural language processing: A protected environment for research computing in the health scienceS10OD021644 · OD · UNIVERSITY OF UTAH · PI CHEATHAM, THOMAS E. · 2017 to 2017
$494k
AHRQ HHS R01 HS021472NCATS NIH HHS UL1 TR000105NCATS NIH HHS UL1 TR001067NCATS NIH HHS UL1 TR002538NCRR NIH HHS UL1 RR025764NIH HHS S10 OD021644
6 · The paper itself

Abstract

objectiveThe objective of this project was to enable poison control center (PCC) participation in standards-based health information exchange (HIE). Previously, PCC participation was not possible due to software noncompliance with HIE standards, lack of informatics infrastructure, and the need to integrate HIE processes into workflow. MATERIALS AND

methodsWe adapted the Health Level Seven Consolidated Clinical Document Architecture (C-CDA) consultation note for the PCC use case. We used rapid prototyping to determine requirements for an HIE dashboard for use by PCCs and developed software called SNOWHITE that enables poison center HIE in tandem with a poisoning information system.

resultsWe successfully implemented the process and software at the PCC and began sending outbound C-CDAs from the Utah PCC on February 15, 2017; we began receiving inbound C-CDAs on October 30, 2018. DISCUSSION: With the creation of SNOWHITE and initiation of an HIE process for sending outgoing C-CDA consultation notes from the Utah Poison Control Center, we accomplished the first participation of PCCs in standards-based HIE in the US. We faced several challenges that are also likely to be present at PCCs in other states, including the lack of a robust set of patient identifiers to support automated patient identity matching, challenges in emergency department computerized workflow integration, and the need to build HIE software for PCCs.

conclusionAs a multi-disciplinary, multi-organizational team, we successfully developed both a process and the informatics tools necessary to enable PCC participation in standards-based HIE and implemented the process at the Utah PCC.

Indexed as

Health Information ExchangeEmergency Service, HospitalHealth Level SevenHumansPoison Control CentersReferral and ConsultationUtahWorkflowHealth information exchangehealth information interoperabilitypatient carepoison control centersworkflow

Identifiers

PMID32483587
PMCPMC7647288
OpenAlexW3032620456

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.