Evidence map›Paper›PMID 33118943›Full record

ArticleJournal of medical Internet research2020

Integrating the Practical Robust Implementation and Sustainability Model With Best Practices in Clinical Decision Support Design: Implementation Science Approach.

Katy E Trinkley, Michael G Kahn, Tellen D Bennett, Russell E Glasgow, Heather Haugen, David P Kao, Miranda E Kroehl, Chen-Tan Lin, Daniel C Malone, Daniel D Matlock

Abstract readCase Reports
In one paragraph

Article in Journal of medical Internet research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing 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

38 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

10 authors.

Katy E TrinkleyDepartment of Clinical Pharmacy, Skaggs School of Pharmacy and Pharmaceutical Sciences, University of Colorado Anschutz Medical Campus, Aurora, CO, United States.ORCID 0000-0003-2041-7404
Michael G KahnSection of Informatics and Data Science, Department of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, CO, United States.ORCID 0000-0003-4786-6875
Tellen D BennettAdult and Child Consortium for Outcomes Research and Delivery Science, Aurora, CO, United States.ORCID 0000-0003-1483-4236
Russell E GlasgowAdult and Child Consortium for Outcomes Research and Delivery Science, Aurora, CO, United States.ORCID 0000-0003-4218-3231
Heather HaugenColorado Clinical and Translational Sciences Institute, University of Colorado Anschutz Medical Campus, Aurora, CO, United States.ORCID 0000-0002-0214-9656
David P KaoDepartment of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, United States.ORCID 0000-0002-2832-9348
Miranda E KroehlCharter Communications Corporation, Greenwood Village, CO, United States.ORCID 0000-0002-3840-3660
Chen-Tan LinDepartment of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, United States.ORCID 0000-0002-8678-7945
Daniel C MaloneDepartment of Pharmacotherapy, Skaggs College of Pharmacy, University of Utah, Salt Lake City, UT, United States.ORCID 0000-0002-5006-9394
Daniel D MatlockDepartment of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, United States.ORCID 0000-0001-9597-9642

Funding

NIH Prior Approval Process ProfessionalUL1TR002535 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2018 to 2022
$51.1M
Pragmatic Implementation Science Approaches to Assess and Enhance Value of Cancer Prevention and Control in Rural Primary CareP50CA244688 · NCI · UNIVERSITY OF COLORADO DENVER · PI GLASGOW, RUSSELL E · 2019 to 2023
$4.9M
IMPlementation to Achieve Clinical Transformation (IMPACT): The Colorado Training ProgramK12HL137862 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI GLASGOW, RUSSELL E, HAVRANEK, EDWARD PAUL · 2017 to 2021
$2.9M
NCATS NIH HHS UL1 TR002535NCI NIH HHS P50 CA244688NHLBI NIH HHS K12 HL137862
6 · The paper itself

Abstract

backgroundClinical decision support (CDS) design best practices are intended to provide a narrative representation of factors that influence the success of CDS tools. However, they provide incomplete direction on evidence-based implementation principles.

objectiveThis study aims to describe an integrated approach toward applying an existing implementation science (IS) framework with CDS design best practices to improve the effectiveness, sustainability, and reproducibility of CDS implementations.

methodsWe selected the Practical Robust Implementation and Sustainability Model (PRISM) IS framework. We identified areas where PRISM and CDS design best practices complemented each other and defined methods to address each. Lessons learned from applying these methods were then used to further refine the integrated approach.

resultsOur integrated approach to applying PRISM with CDS design best practices consists of 5 key phases that iteratively interact and inform each other: multilevel stakeholder engagement, designing the CDS, design and usability testing, thoughtful deployment, and performance evaluation and maintenance. The approach is led by a dedicated implementation team that includes clinical informatics and analyst builder expertise.

conclusionsIntegrating PRISM with CDS design best practices extends user-centered design and accounts for the multilevel, interacting, and dynamic factors that influence CDS implementation in health care. Integrating PRISM with CDS design best practices synthesizes the many known contextual factors that can influence the success of CDS tools, thereby enhancing the reproducibility and sustainability of CDS implementations. Others can adapt this approach to their situation to maximize and sustain CDS implementation success.

Indexed as

Implementation ScienceDecision Support Systems, ClinicalHumansReproducibility of Resultsclinical decision supportimplementation sciencePRISM

Identifiers

PMID33118943
PMCPMC7661234

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.