Evidence map›Paper›PMID 38883874›Full record

ArticleLearning health systems2024

Patient care in complex Sociotechnological ecosystems and learning health systems.

Shin-Ping Tu, Brittany Garcia, Xi Zhu, Daniel Sewell, Vimal Mishra, Khalid Matin, Alan Dow

Abstract read
In one paragraph

Article in Learning health systems, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

7 authors.

Shin-Ping TuDepartment of Internal Medicine University of California, Davis Sacramento California USA.
Brittany GarciaDepartment of Internal Medicine University of California, Davis Sacramento California USA.ORCID https://orcid.org/0000-0001-5351-3545
Xi ZhuDepartment of Health Policy and Management University of California, Los Angeles Los Angeles California USA.
Daniel SewellDepartment of Biostatistics University of Iowa Iowa City Iowa USA.
Vimal MishraDepartment of Internal Medicine University of California, Davis Sacramento California USA.
Khalid MatinDepartment of Internal Medicine Virginia Commonwealth University Richmond Virginia USA.
Alan DowDepartment of Internal Medicine Virginia Commonwealth University Richmond Virginia USA.

Funding

SMART Cancer Care Teams: Enhancing EHR Communication to Improve Interprofessional Teamwork - Diversity SupplementR01CA273058 · NCI · UNIVERSITY OF CALIFORNIA AT DAVIS · PI Kwan-Liu Ma, Daniel Sewell · 2022 to 2026
$3.6M
SCH: Smart EHR Data Analytics to Enhance Cancer Care Multiteam SystemsR01CA270454 · NCI · UNIVERSITY OF CALIFORNIA AT DAVIS · PI MA, KWAN-LIU, TU, SHIN-PING · 2022 to 2024
$791k
AHRQ HHS R21 HS026075NCI NIH HHS R01 CA270454NCI NIH HHS R01 CA273058
6 · The paper itself

Abstract

The learning health system (LHS) model was proposed to provide real-time, bi-directional flow of learning using data captured in health information technology systems to deliver rapid learning in healthcare delivery. As highlighted by the landmark National Academy of Medicine report "Crossing the Quality Chasm," the U.S. healthcare delivery industry represents complex adaptive systems, and there is an urgent need to develop innovative methods to identify efficient team structures by harnessing real-world care delivery data found in the electronic health record (EHR). We offer a discussion surrounding the complexities of team communication and how solutions may be guided by theories such as the Multiteam System (MTS) framework and the Multitheoretical Multilevel Framework of Communication Networks. To advance healthcare delivery science and promote LHSs, our team has been building a new line of research using EHR data to study MTS in the complex real world of cancer care delivery. We are developing new network metrics to study MTSs and will be analyzing the impact of EHR communication network structures on patient outcomes. As this research leads to patient care delivery interventions/tools, healthcare leaders and healthcare professionals can effectively use health IT data to implement the most evidence-based collaboration approaches in order to achieve the optimal LHS and patient outcomes.

Indexed as

learning health systemmultiteam systemsteam communication

Identifiers

PMID38883874
PMCPMC11176594

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.