Evidence map›Paper›PMID 35022741›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2022

Applying requisite imagination to safeguard electronic health record transitions.

Dean F Sittig, Priti Lakhani, Hardeep Singh

Registry-linked trialAbstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04166240 (Measuring and Improving the Safety of Test Result Follow-Up), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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.

NCT04166240 nacompletednot on this map

Measuring and Improving the Safety of Test Result Follow-Up

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2018 to 2023Enrolled46ConditionsLung Cancer, Breast Cancer, Colon Cancer, Bladder CancerArmsSAFER TRACKS Intervention
3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Article
  2. Evaluation of Health Professions Trainee Experiences Transitioning to New VHA Electronic Health Record.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. What can you do with an electronic health record?Journal of the American Medical Informatics Association : JAMIA · 2022
    Article
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

3 authors.

Dean F SittigUniversity of Texas/Memorial Hermann Center for Healthcare Quality & Safety, School of Biomedical Informatics, University of Texas Health Science Center, Houston, TX, USA.ORCID 0000-0001-5811-8915
Priti LakhaniFormerly at Office of Electronic Health Record Modernization, U.S. Department of Veterans Affairs, Washington, DC, USA.
Hardeep SinghCenter for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey Veterans Affairs Medical Center and Baylor College of Medicine, Houston, TX, USA.ORCID 0000-0002-4419-8974

Funding

Application of a Machine Learning to Enhance e-Triggers to Detect and Learn from Diagnostic Safety EventsR01HS027363 · AHRQ · BAYLOR COLLEGE OF MEDICINE · PI SINGH, HARDEEP · 2019 to 2021
$1.5M
AHRQ HHS R01 HS027363Center for Innovations in Quality, Effectiveness, and Safety CIN13-413Gordon and Betty Moore FoundationPresidential Early Career Award for Scientists and Engineers USA 14-274Presidential Early Career Award for Scientists and Engineers USA 14-274Veterans Administration (VA) Health Services Research and Development (HSR&D) Service IIR17-127
6 · The paper itself

Abstract

Over the next decade, many health care organizations (HCOs) will transition from one electronic health record (EHR) to another; some forced by hospital acquisition and others by choice in search of better EHRs. Herein, we apply principles of Requisite Imagination, or the ability to imagine key aspects of the future one is planning, to offer 6 recommendations on how to proactively safeguard these transitions. First, HCOs should implement a proactive leadership structure that values communication. Second, HCOs should implement proactive risk assessment and testing processes. Third, HCOs should anticipate and reduce unwarranted variation in their EHR and clinical processes. Fourth, HCOs should establish a culture of conscious inquiry with routine system monitoring. Fifth, HCOs should foresee and reduce information access problems. Sixth, HCOs should support their workforce through difficult EHR transitions. Proactive approaches using Requisite Imagination principles outlined here can help ensure safe, effective, and economically sound EHR transitions.

Indexed as

Electronic Health RecordsHospitalsCommunicationImaginationchange managementelectronic health recordspatient safetyRequisite Imagination

Identifiers

PMID35022741
PMCPMC9006683

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.