Evidence map›Paper›PMID 37414544›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2023

A lifecycle framework illustrates eight stages necessary for realizing the benefits of patient-centered clinical decision support.

Dean F Sittig, Aziz Boxwala, Adam Wright, Courtney Zott, Priyanka Desai, Rina Dhopeshwarkar, James Swiger, Edwin A Lomotan, Angela Dobes, Prashila Dullabh

Abstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

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

  1. Pooled it
  2. Article
  3. Review
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  6. Article
  7. Article
  8. Observational
  9. Article
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  11. Review
  12. Toward a responsible future: recommendations for AI-enabled clinical decision support.Journal of the American Medical Informatics Association : JAMIA · 2024
    Article
  13. Article
  14. Article
  15. Enhancing Large Language Models for Clinical Decision Support by Incorporating Clinical Practice Guidelines.Proceedings. IEEE International Conference on Healthcare Informatics · 2024
    Article
  16. Perspectives on implementing models for decision support in clinical care.Journal of the American Medical Informatics Association : JAMIA · 2023
    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

10 authors.

Dean F SittigMcWilliams School of Biomedical Informatics, University of Texas Health Science Center at Houston, Houston, Texas, USA.ORCID 0000-0001-5811-8915
Aziz BoxwalaElimu Informatics, El Cerrito, California, USA.
Adam WrightDepartment of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, Tennessee, USA.ORCID 0000-0001-6844-145X
Courtney ZottNORC at the University of Chicago, Bethesda, Maryland, USA.
Priyanka DesaiNORC at the University of Chicago, Bethesda, Maryland, USA.ORCID 0000-0002-1573-4790
Rina DhopeshwarkarNORC at the University of Chicago, Bethesda, Maryland, USA.
James SwigerCenter for Evidence and Practice Improvement, Agency for Healthcare Research and Quality, Rockville, Maryland, USA.
Edwin A LomotanCenter for Evidence and Practice Improvement, Agency for Healthcare Research and Quality, Rockville, Maryland, USA.
Angela DobesCrohn's & Colitis Foundation, New York, New York, USA.
Prashila DullabhNORC at the University of Chicago, Bethesda, Maryland, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The design, development, implementation, use, and evaluation of high-quality, patient-centered clinical decision support (PC CDS) is necessary if we are to achieve the quintuple aim in healthcare. We developed a PC CDS lifecycle framework to promote a common understanding and language for communication among researchers, patients, clinicians, and policymakers. The framework puts the patient, and/or their caregiver at the center and illustrates how they are involved in all the following stages: Computable Clinical Knowledge, Patient-specific Inference, Information Delivery, Clinical Decision, Patient Behaviors, Health Outcomes, Aggregate Data, and patient-centered outcomes research (PCOR) Evidence. Using this idealized framework reminds key stakeholders that developing, deploying, and evaluating PC-CDS is a complex, sociotechnical challenge that requires consideration of all 8 stages. In addition, we need to ensure that patients, their caregivers, and the clinicians caring for them are explicitly involved at each stage to help us achieve the quintuple aim.

Indexed as

Decision Support Systems, ClinicalCommunicationDelivery of Health CareHumansPatient-Centered CarePatientsclinical decision supportmedical informatics applicationspatient-centered careshared decision making

Identifiers

PMID37414544
PMCPMC10436138

What OpenQuestion holds

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LicenceCC BY
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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.