Evidence map›Paper›PMID 41042751›Full record

ArticlePLOS digital health2025

A case study on barriers to the research implementation of a novel technology in an academic medical center.

Mechelle Sanders, Kevin Fiscella, Jack Chang, Alain LeBlanc, Peter Veazie

Abstract read
In one paragraph

Article in PLOS digital health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Mechelle SandersDepartment of Family Medicine, University of Rochester, Rochester, New York, United States of America.ORCID https://orcid.org/0000-0002-0340-0179
Kevin FiscellaDepartment of Family Medicine, University of Rochester, Rochester, New York, United States of America.
Jack ChangClinical and Translational Science Institute, University of Rochester, Rochester, New York, United States of America.
Alain LeBlancDepartment of Public Health Sciences, University of Rochester, Rochester, New York, United States of America.
Peter VeazieDepartment of Public Health Sciences, University of Rochester, Rochester, New York, United States of America.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Natural Language Processing allows extracting unstructured text data from electronic health records (EHR), but historically required extensive coding and expertise. Amazon Comprehend Medical (ACM) offers a scalable solution for mining EHR data without extensive natural language processing expertise. This case study examined barriers and facilitators to implementing ACM in an academic medical center. We reviewed correspondence regarding ACM implementation between study investigators and respective experts within the medical center. We qualitatively coded the correspondence for barriers and facilitators using the Consolidated Framework for Implementation Research (CFIR) framework as a guide. Key findings included the involvement of non-traditional stakeholders in the approval process and unexpected limitations of anticipated facilitators. The study revealed that implementing novel technologies like ACM in academic medical settings requires careful consideration of safety protocols, which may slow adoption. Our findings can guide research teams in navigating the implementation of similar technologies, balancing innovation with necessary safeguards.

Identifiers

PMID41042751
PMCPMC12494264

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.