Evidence map›Paper›PMID 37575955›Full record

ArticleJAMIA open2023

Examining primary care provider experiences with using a clinical decision support tool for pain management.

Olena Mazurenko, Emma McCord, Cara McDonnell, Nate C Apathy, Lindsey Sanner, Meredith C B Adams, Burke W Mamlin, Joshua R Vest, Robert W Hurley, Christopher A Harle

Abstract read
In one paragraph

Article in JAMIA open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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.

Olena MazurenkoDepartment of Health Policy and Management, Indiana University Richard M. Fairbanks School of Public Health, Indianapolis, Indiana, USA.ORCID https://orcid.org/0000-0002-1003-9262
Emma McCordDepartment of Health Policy and Management, Indiana University Richard M. Fairbanks School of Public Health, Indianapolis, Indiana, USA.
Cara McDonnellAnesthesiology, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.
Nate C ApathyClem McDonald Center for Biomedical Informatics, Regenstrief Institute, Indianapolis, Indiana, USA.ORCID https://orcid.org/0000-0002-7775-8544
Lindsey SannerDepartment of Health Policy and Management, Indiana University Richard M. Fairbanks School of Public Health, Indianapolis, Indiana, USA.
Meredith C B AdamsAnesthesiology, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.ORCID https://orcid.org/0000-0002-3969-4279
Burke W MamlinClem McDonald Center for Biomedical Informatics, Regenstrief Institute, Indianapolis, Indiana, USA.
Joshua R VestDepartment of Health Policy and Management, Indiana University Richard M. Fairbanks School of Public Health, Indianapolis, Indiana, USA.ORCID https://orcid.org/0000-0002-7226-9688
Robert W HurleyAnesthesiology, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.
Christopher A HarleDepartment of Health Policy and Management, Indiana University Richard M. Fairbanks School of Public Health, Indianapolis, Indiana, USA.

Funding

Nudging Primary Care Providers toward Guideline-Recommended Opioid Prescribing through Easier and More Convenient EHR Information DesignR33DA046085 · NIDA · INDIANA UNIVERSITY INDIANAPOLIS · PI HARLE, CHRISTOPHER ALBERT, MAZURENKO, OLENA · 2019 to 2021
$1.7M
Nudging Primary Care Providers toward Guideline-Recommended Opioid Prescribing through Easier and More Convenient EHR Information DesignR21DA046085 · NIDA · INDIANA UNIVERSITY INDIANAPOLIS · PI HARLE, CHRISTOPHER ALBERT · 2017 to 2018
$402k
NIDA NIH HHS R21 DA046085NIDA NIH HHS R33 DA046085
6 · The paper itself

Abstract

Objective: To evaluate primary care provider (PCP) experiences using a clinical decision support (CDS) tool over 16 months following a user-centered design process and implementation. Materials and Methods: We conducted a qualitative evaluation of the Chronic Pain OneSheet (OneSheet), a chronic pain CDS tool. OneSheet provides pain- and opioid-related risks, benefits, and treatment information for patients with chronic pain to PCPs. Using the 5 Rights of CDS framework, we conducted and analyzed semi-structured interviews with 19 PCPs across 2 academic health systems. Results: PCPs stated that OneSheet mostly contained the right information required to treat patients with chronic pain and was correctly located in the electronic health record. PCPs used OneSheet for distinct subgroups of patients with chronic pain, including patients prescribed opioids, with poorly controlled pain, or new to a provider or clinic. PCPs reported variable workflow integration and selective use of certain OneSheet features driven by their preferences and patient population. PCPs recommended broadening OneSheet access to clinical staff and patients for data entry to address clinician time constraints. Discussion: Differences in patient subpopulations and workflow preferences had an outsized effect on CDS tool use even when the CDS contained the right information identified in a user-centered design process. Conclusions: To increase adoption and use, CDS design and implementation processes may benefit from increased tailoring that accommodates variation and dynamics among patients, visits, and providers.

Indexed as

chronic painclinical decision support toolprimary careuser experiences

Identifiers

PMID37575955
PMCPMC10412405

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.