Evidence map›Paper›PMID 33064106›Full record

ArticleJMIR medical informatics2020

Clinical Decision Support May Link Multiple Domains to Improve Patient Care: Viewpoint.

David Kao, Cynthia Larson, Dana Fletcher, Kris Stegner

Abstract read
In one paragraph

Article in JMIR medical informatics, 2020. 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. Article
  2. Article
  3. Article
  4. Review
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

4 authors.

David KaoDepartment of Cardiology, University of Colorado School of Medicine, Aurora, CO, United States.ORCID https://orcid.org/0000-0002-2832-9348
Cynthia LarsonUCHealth, Aurora, CO, United States.ORCID https://orcid.org/0000-0002-1770-9724
Dana FletcherEvida Clinical Consulting, Inc, Golden, CO, United States.ORCID https://orcid.org/0000-0002-7874-2966
Kris StegnerG(x)P Advisors, Inc, Thornton, CO, United States.ORCID https://orcid.org/0000-0001-6143-2892

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Integrating clinical decision support (CDS) across the continuum of population-, encounter-, and precision-level care domains may improve hospital and clinic workflow efficiency. Due to the diversity and volume of electronic health record data, complexity of medical and operational knowledge, and specifics of target user workflows, the development and implementation of comprehensive CDS is challenging. Additionally, many providers have an incomplete understanding of the full capabilities of current CDS to potentially improve the quality and efficiency of care delivery. These varied requirements necessitate a multidisciplinary team approach to CDS development for successful integration. Here, we present a practical overview of current and evolving applications of CDS approaches in a large academic setting and discuss the successes and challenges. We demonstrate that implementing CDS tools in the context of linked population-, encounter-, and precision-level care provides an opportunity to integrate complex algorithms at each level into a unified mechanism to improve patient management.

Indexed as

care managementclinical decision supportelectronic health recordsevidence-based medicinepopulation medicineprecision medicine

Identifiers

PMID33064106
PMCPMC7600021

What OpenQuestion holds

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LicenceCC BY
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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.