ArticleInternational journal of medical informatics2021
Dissemination of child abuse clinical decision support: Moving beyond a single electronic health record.
Article in International journal of medical informatics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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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.
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Who cites it
8 citing papers in PubMed, 18 citations in OpenAlex.
- Evaluation of a Child Abuse Screen Performed by Nurses Among Young Children with Fractures Seen in a Pediatric Emergency Department.Rhode Island medical journal (2013) · 2024Observational
- Stressful life events in electronic health records: a scoping review.Journal of the American Medical Informatics Association : JAMIA · 2024Article
- Developing and Testing the Usability of a Novel Child Abuse Clinical Decision Support System: Mixed Methods Study.Journal of medical Internet research · 2024Article
- Stressful life events in electronic health records: a scoping review.Research square · 2023Article
- Integrating Clinical Decision Support Into Electronic Health Record Systems Using a Novel Platform (EvidencePoint): Developmental Study.JMIR formative research · 2023Article
- Disseminating child abuse clinical decision support among commercial electronic health records: Effects on clinical practice.JAMIA open · 2023Article
- Electronic Health Record Tools to Identify Child Maltreatment: Scoping Literature Review and Key Informant Interviews.Academic pediatrics · 2022Article
- Developing machine learning-based models to help identify child abuse and neglect: key ethical challenges and recommended solutions.Journal of the American Medical Informatics Association : JAMIA · 2022Article
Corrections and comments
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Authors and funding
15 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundChild maltreatment is a leading cause of pediatric morbidity and mortality. We previously reported on development and implementation of a child abuse clinical decision support system (CA-CDSS) in the Cerner electronic health record (EHR). Our objective was to develop a CA-CDSS in two different EHRs.
methodsUsing the CA-CDSS in Cerner as a template, CA-CDSSs were developed for use in four hospitals in the Northwell Health system who use Allscripts and two hospitals in the University of Wisconsin health system who use Epic. Each system had a combination of triggers, alerts and child abuse-specific order sets. Usability evaluation was done prior to launch of the CA-CDSS.
resultsOver an 18-month period, a CA-CDSS was embedded into Epic and Allscripts at two hospital systems. The CA-CDSSs vary significantly from each other in terms of the type of triggers which were able to be used, the type of alert, the ability of the alert to link directly to child abuse-specific order sets and the order sets themselves.
conclusionsDissemination of CA-CDSS from one EHR into the EHR in other health care systems is possible but time-consuming and needs to be adapted to the strengths and limitations of the specific EHR. Site-specific usability evaluation, buy-in of multiple stakeholder groups and significant information technology support are needed. These barriers limit scalability and widespread dissemination of CA-CDSS.
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Registered trials
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.