Evidence map›Paper›PMID 34617009›Full record

ArticleJAMIA open2021

Predicting inpatient pharmacy order interventions using provider action data.

Martina Balestra, Ji Chen, Eduardo Iturrate, Yindalon Aphinyanaphongs, Oded Nov

Abstract read
In one paragraph

Article in JAMIA open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Artificial intelligence in the field of pharmacy practice: A literature review.Exploratory research in clinical and social pharmacy · 2023
    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

5 authors.

Martina BalestraNYU Center for Urban Science and Progress, Brooklyn, New York, USA.ORCID https://orcid.org/0000-0003-4246-3719
Ji ChenDepartment of Population Health, NYU Grossman School of Medicine, New York, New York, USA.
Eduardo IturrateDepartment of Medicine, NYU Langone Health, New York, New York, USA.
Yindalon AphinyanaphongsDepartment of Population Health, NYU Grossman School of Medicine, New York, New York, USA.
Oded NovNYU Center for Urban Science and Progress, Brooklyn, New York, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe widespread deployment of electronic health records (EHRs) has introduced new sources of error and inefficiencies to the process of ordering medications in the hospital setting. Existing work identifies orders that require pharmacy intervention by comparing them to a patient's medical records. In this work, we develop a machine learning model for identifying medication orders requiring intervention using only provider behavior and other contextual features that may reflect these new sources of inefficiencies. MATERIALS AND

methodsData on providers' actions in the EHR system and pharmacy orders were collected over a 2-week period in a major metropolitan hospital system. A classification model was then built to identify orders requiring pharmacist intervention. We tune the model to the context in which it would be deployed and evaluate global and local feature importance.

resultsThe resultant model had an area under the receiver-operator characteristic curve of 0.91 and an area under the precision-recall curve of 0.44.

conclusionsProviders' actions can serve as useful predictors in identifying medication orders that require pharmacy intervention. Careful model tuning for the clinical context in which the model is deployed can help to create an effective tool for improving health outcomes without using sensitive patient data.

Indexed as

electronic health recordsmachine learningmedical order entry systemsprescribing errors

Identifiers

PMID34617009
PMCPMC8490931

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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.