Evidence map›Paper›PMID 39505008›Full record

ArticleApplied clinical informatics2024

Impact of a Disease-Focused Electronic Health Record Dashboard on Clinical Staff Efficiency in Previsit Patient Review in an Ambulatory Pulmonary Hypertension Care Clinic.

Tapendra Koirala, Charles D Burger, Rajeev Chaudhry, Patricia Benitez, Heather A Heaton, Nilaa Gopikrishnan, Scott A Helgeson

Abstract read
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 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.

Tapendra KoiralaDepartment of Pulmonary and Critical Care Medicine, Mayo Clinic, Jacksonville, Florida, United States.
Charles D BurgerDepartment of Pulmonary and Critical Care Medicine, Mayo Clinic, Jacksonville, Florida, United States.
Rajeev ChaudhryDepartment of Community Internal Medicine, Mayo Clinic, Rochester, Minnesota, United States.
Patricia BenitezDepartment of Information Technology, Mayo Clinic, Rochester Minnesota, United States.
Heather A HeatonDepartment of Emergency Medicine, Mayo Clinic, Rochester, Minnesota, United States.
Nilaa GopikrishnanDepartment of Pulmonary and Critical Care Medicine, Mayo Clinic, Jacksonville, Florida, United States.
Scott A HelgesonDepartment of Pulmonary and Critical Care Medicine, Mayo Clinic, Jacksonville, Florida, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe aimed to improve the operational efficiency of clinical staff, including physicians and allied health professionals, in the previsit review of patients by implementing a disease-focused dashboard within the electronic health record system. The dashboard was tailored to the unique requirements of the clinic and patient population.

methodsA prospective quality improvement study was conducted at an accredited pulmonary hypertension (PH) clinic within a large academic center, staffed by two full time physicians and two allied health professionals. Physicians' review time before and after implementation of the PH dashboard was measured using activity log data derived from an EHR database. The review time for clinic staff was measured through direct observation, with review method-either conventional or newly implemented dashboard-randomly assigned.

resultsOver the study period, the median number of patients reviewed by physicians per day increased slightly from 5.50 (interquartile range [IQR]: 1.35) before to 5.95 (IQR: 0.85) after the implementation of the PH dashboard (

conclusionA disease-focused dashboard significantly reduced physician previsit review time while that for clinic staff remained unchanged. Validation studies are necessary with our patient populations to explore further qualitative impacts on patient care efficiency and long-term benefits on workflow.

Indexed as

Electronic Health RecordsHypertension, PulmonaryAmbulatory CareAmbulatory Care FacilitiesHumansQuality Improvement

Identifiers

PMID39505008
PMCPMC11540472

What OpenQuestion holds

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Registered trials

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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.