Evidence map›Paper›PMID 40206620›Full record

ArticleMayo Clinic proceedings. Digital health2023

Transforming Home Dialysis Management of Patients with Advanced Kidney Disease Using an Intelligent Automated Application in Practice.

Ziad M Zoghby, Andrea G Kattah, Kelsey Havlovic, Dennis Stacy, Margaret d'Uscio, Kirk P Balderes, John Seelman, Karen F Johnson, John J Dillon, Alyssa Bishop and 3 more

Abstract read
In one paragraph

Article in Mayo Clinic proceedings. Digital health, 2023. 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

13 authors.

Ziad M ZoghbyDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, MN.
Andrea G KattahDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, MN.
Kelsey HavlovicDepartment of Nursing, Medical Nephrology, Home Dialysis Program and Vascular Access Clinic, Mayo Clinic, Rochester, MN.
Dennis StacyDepartment of Nursing, Medical Nephrology, Home Dialysis Program and Vascular Access Clinic, Mayo Clinic, Rochester, MN.
Margaret d'UscioDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, MN.
Kirk P BalderesInformation Technology, Mayo Clinic Health System, SW MN.
John SeelmanInformation Technology, Mayo Clinic Health System, SW MN.
Karen F JohnsonInformation Technology, Mayo Clinic Health System, SW MN.
John J DillonDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, MN.
Alyssa BishopInformation Technology, Mayo Clinic Health System, SW MN.
Jackie VaughnInformation Technology, Mayo Clinic Health System, SW MN.
Amy W WilliamsDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, MN.
Rajeev ChaudhryDivision of Community Internal Medicine, Mayo Clinic, Rochester, MN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To describe the design, development, and deployment of an electronic health record (EHR)-based application to manage the Mayo Clinic home dialysis program, improve staff efficiency, and ensure delivery of high-quality clinical care. Patients and Methods: At Mayo Clinic, the Cohort Knowledge Intelligence Solutions (CKIS) team develops innovative patient cohort management solutions using the Epic Healthy Planet module. The CKIS team uses a collaborative and agile approach that incorporates feedback from clinical stakeholders and informatics to create these solutions that improve and automate processes for clinical staff, all managed within the EHR. Over several months (September 1, 2019, to December 30, 2020), the clinical nephrology and CKIS teams met regularly to develop in an iterative fashion 2 home dialysis applications. Time spent on various EHR-related home dialysis tasks was compared before and after the implementation of the applications based on the Nursing Efficiency Assessment Tool (NEAT). Results: Two EHR applications were developed for managing home dialysis referrals and enrollments or monitoring, respectively. The applications consolidate all needed information and provide real-time data to manage patients at the individual or population level. Time saved for the 2 dialysis nurses who worked before and after the implementation was 25 and 20.4 minutes per 8-hour shift, respectively. Conclusion: We developed and implemented 2 EHR applications that proved useful and increased efficiency in managing a home dialysis program. These digital tools can facilitate quality metrics reporting, scale the home dialysis program, and improve care delivery.

Identifiers

PMID40206620
PMCPMC11975736

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.