Evidence map›Paper›PMID 41169652›Full record

ArticleLearning health systems2025

Learning Health System study designs for the evaluation of workforce interventions to cultivate eudaimonia (flourishing).

Michael R Cauley, Anna E Berry, Carolyn M Porta, Rachel K Apple, Sunil Kripalani, Mark Linzer, Emily C O'Brien, Russell L Rothman, Christianne L Roumie

Abstract read
In one paragraph

Article in Learning health systems, 2025. 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.

Michael R CauleyDepartments of Biomedical Informatics Vanderbilt University Medical Center Nashville Tennessee USA.
Anna E BerryDepartment of Medicine Vanderbilt University Medical Center Nashville Tennessee USA.
Carolyn M PortaSchool of Nursing University of Minnesota Minneapolis Minnesota USA.
Rachel K AppleDepartment of Medicine Vanderbilt University Medical Center Nashville Tennessee USA.
Sunil KripalaniDepartment of Medicine Vanderbilt University Medical Center Nashville Tennessee USA.
Mark LinzerDepartment of Medicine Hennepin Healthcare Minneapolis Minnesota USA.
Emily C O'BrienDepartment of Population Health Sciences Duke University Durham North Carolina USA.
Russell L RothmanDepartment of Medicine Vanderbilt University Medical Center Nashville Tennessee USA.
Christianne L RoumieDepartment of Medicine Vanderbilt University Medical Center Nashville Tennessee USA.ORCID https://orcid.org/0000-0002-6555-2055

Funding

AHRQ HHS P30 HS029767AHRQ HHS R13 HS029436AHRQ HHS T32 HS026122
6 · The paper itself

Abstract

Background: The Learning Health System (LHS) framework is designed to enhance healthcare by systematically integrating internal data and external evidence to promote quality, safety, and efficiency, aligning science, informatics, incentives, and culture for continuous improvement, innovation, and equity. Methods: The Agency for Healthcare Research and Quality (AHRQ) also outlined key LHS learning goals structured around four interconnected approaches: (1) evidence generation to create new knowledge, (2) evidence adoption to translate findings into practice, (3) evidence dissemination to share best practices across systems, and (4) evidence management to integrate internal and external insights using technology and informatics. We propose this model can also enhance workforce well-being (also termed "flourishing" or Findings: Healthcare workers who Contribution: Together, the application of the AHRQ learning goals forms a continuous feedback loop that facilitates mutual enhancement between healthcare delivery and research, advancing clinician well-being and system-wide improvement. This change in focus offers a new method for the design and evaluation of workforce well-being interventions, can restore excellence in patient care, and contributes to creating sustainable, human-centered healthcare systems.

Indexed as

flourishingLHSstudy designwell‐being

Identifiers

PMID41169652
PMCPMC12569452

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.