Evidence map›Paper›PMID 33325504›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2021

Clinician involvement in research on machine learning-based predictive clinical decision support for the hospital setting: A scoping review.

Jessica M Schwartz, Amanda J Moy, Sarah C Rossetti, Noémie Elhadad, Kenrick D Cato

Erratum issuedAbstract readScoping Review
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 47 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 3 pooled it
–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

47 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Jessica M SchwartzSchool of Nursing, Columbia University, New York, New York, USA.
Amanda J MoyDepartment of Biomedical Informatics, Columbia University, New York, New York, USA.
Sarah C RossettiSchool of Nursing, Columbia University, New York, New York, USA.
Noémie ElhadadDepartment of Biomedical Informatics, Columbia University, New York, New York, USA.
Kenrick D CatoSchool of Nursing, Columbia University, New York, New York, USA.

Funding

Training in Biomedical Informatics at Columbia UniversityT15LM007079 · NLM · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI NOEMIE ELHADAD, GEORGE M HRIPCSAK · 1992 to 2026
$28.9M
Reducing Health Disparities Through Informatics - Genomics SupplementT32NR007969 · NINR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SUZANNE BAKKEN, Rebecca Schnall · 2002 to 2026
$7.9M
Communicating Narrative Concerns Entered by RNs (CONCERN)R01NR016941 · NINR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Kenrick Dwain Cato, Sarah Collins Rossetti · 2017 to 2026
$6.7M
Reaching Communities through the Design of Information Visualizations (ReDIVis) Toolbox to Address COVID-19 Vaccine Hesitancy and Uptake.P30NR016587 · NINR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI BAKKEN, SUZANNE, SMALDONE, ARLENE M · 2016 to 2022
$4.3M
NINR NIH HHS P30 NR016587NINR NIH HHS R01 NR016941NINR NIH HHS T32 NR007969NLM NIH HHS T15 LM007079
6 · The paper itself

Abstract

objectiveThe study sought to describe the prevalence and nature of clinical expert involvement in the development, evaluation, and implementation of clinical decision support systems (CDSSs) that utilize machine learning to analyze electronic health record data to assist nurses and physicians in prognostic and treatment decision making (ie, predictive CDSSs) in the hospital. MATERIALS AND

methodsA systematic search of PubMed, CINAHL, and IEEE Xplore and hand-searching of relevant conference proceedings were conducted to identify eligible articles. Empirical studies of predictive CDSSs using electronic health record data for nurses or physicians in the hospital setting published in the last 5 years in peer-reviewed journals or conference proceedings were eligible for synthesis. Data from eligible studies regarding clinician involvement, stage in system design, predictive CDSS intention, and target clinician were charted and summarized.

resultsEighty studies met eligibility criteria. Clinical expert involvement was most prevalent at the beginning and late stages of system design. Most articles (95%) described developing and evaluating machine learning models, 28% of which described involving clinical experts, with nearly half functioning to verify the clinical correctness or relevance of the model (47%). DISCUSSION: Involvement of clinical experts in predictive CDSS design should be explicitly reported in publications and evaluated for the potential to overcome predictive CDSS adoption challenges.

conclusionsIf present, clinical expert involvement is most prevalent when predictive CDSS specifications are made or when system implementations are evaluated. However, clinical experts are less prevalent in developmental stages to verify clinical correctness, select model features, preprocess data, or serve as a gold standard.

Indexed as

Decision Support Systems, ClinicalElectronic Health RecordsMachine LearningMedical Staff, HospitalNursing Staff, HospitalDecision Making, Computer-AssistedHospital AdministrationHumansResearchSoftware Designclinical decision supportelectronic health recordshospitalsmachine learningnursesphysicians

Identifiers

PMID33325504
PMCPMC7936403

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.