Evidence map›Paper›PMID 38029792›Full record

ArticleApplied clinical informatics2024

Dashboarding to Monitor Machine-Learning-Based Clinical Decision Support Interventions.

Daniel J Hekman, Hanna J Barton, Apoorva P Maru, Graham Wills, Amy L Cochran, Corey Fritsch, Douglas A Wiegmann, Frank Liao, Brian W Patterson

Abstract readCase Reports
In one paragraph

Article in Applied clinical informatics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

9 authors.

Daniel J HekmanBerbee-Walsh Department of Emergency Medicine, University of Wisconsin-Madison, School of Medicine and Public Health, Madison, Wisconsin, United States.
Hanna J BartonBerbee-Walsh Department of Emergency Medicine, University of Wisconsin-Madison, School of Medicine and Public Health, Madison, Wisconsin, United States.
Apoorva P MaruBerbee-Walsh Department of Emergency Medicine, University of Wisconsin-Madison, School of Medicine and Public Health, Madison, Wisconsin, United States.
Graham WillsDepartment of Applied Data Science, UWHealth Hospitals and Clinics, Madison, Wisconsin, United States.
Amy L CochranDepartment of Population Health, University of Wisconsin-Madison, School of Medicine and Public Health, Madison, Wisconsin, United States.
Corey FritschDepartment of Applied Data Science, UWHealth Hospitals and Clinics, Madison, Wisconsin, United States.
Douglas A WiegmannDepartment of Industrial and Systems Engineering, University of Wisconsin-Madison, Madison, Wisconsin, United States.
Frank LiaoDepartment of Applied Data Science, UWHealth Hospitals and Clinics, Madison, Wisconsin, United States.
Brian W PattersonBerbee-Walsh Department of Emergency Medicine, University of Wisconsin-Madison, School of Medicine and Public Health, Madison, Wisconsin, United States.

Funding

Preventing Future Falls in Older Adult ED Patients: Evaluating the Implementation and Effectiveness of a Novel Automated Screening and Referral InterventionR18HS027735 · AHRQ · UNIVERSITY OF WISCONSIN-MADISON · PI PATTERSON, BRIAN W · 2021 to 2025
$1.7M
AHRQ HHS R18 HS027735
6 · The paper itself

Abstract

backgroundExisting monitoring of machine-learning-based clinical decision support (ML-CDS) is focused predominantly on the ML outputs and accuracy thereof. Improving patient care requires not only accurate algorithms but also systems of care that enable the output of these algorithms to drive specific actions by care teams, necessitating expanding their monitoring.

objectivesIn this case report, we describe the creation of a dashboard that allows the intervention development team and operational stakeholders to govern and identify potential issues that may require corrective action by bridging the monitoring gap between model outputs and patient outcomes.

methodsWe used an iterative development process to build a dashboard to monitor the performance of our intervention in the broader context of the care system.

resultsOur investigation of best practices elsewhere, iterative design, and expert consultation led us to anchor our dashboard on alluvial charts and control charts. Both the development process and the dashboard itself illuminated areas to improve the broader intervention.

conclusionWe propose that monitoring ML-CDS algorithms with regular dashboards that allow both a context-level view of the system and a drilled down view of specific components is a critical part of implementing these algorithms to ensure that these tools function appropriately within the broader care system.

Indexed as

Decision Support Systems, ClinicalAlgorithmsHumansMachine LearningReferral and ConsultationResearch Report

Identifiers

PMID38029792
PMCPMC10901643

What OpenQuestion holds

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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.