Dataset Information

Assessing the use of a clinical decision support tool for pain management in primary care.

ABSTRACT:

Objective

Given time constraints, poorly organized information, and complex patients, primary care providers (PCPs) can benefit from clinical decision support (CDS) tools that aggregate and synthesize problem-specific patient information. First, this article describes the design and functionality of a CDS tool for chronic noncancer pain in primary care. Second, we report on the retrospective analysis of real-world usage of the tool in the context of a pragmatic trial.

Materials and methods

The tool known as OneSheet was developed using user-centered principles and built in the Epic electronic health record (EHR) of 2 health systems. For each relevant patient, OneSheet presents pertinent information in a single EHR view to assist PCPs in completing guideline-recommended opioid risk mitigation tasks, review previous and current patient treatments, view patient-reported pain, physical function, and pain-related goals.

Results

Overall, 69 PCPs accessed OneSheet 2411 times (since November 2020). PCP use of OneSheet varied significantly by provider and was highly skewed (site 1: median accesses per provider: 17 [interquartile range (IQR) 9-32]; site 2: median: 8 [IQR 5-16]). Seven "power users" accounted for 70% of the overall access instances across both sites. OneSheet has been accessed an average of 20 times weekly between the 2 sites.

Discussion

Modest OneSheet use was observed relative to the number of eligible patients seen with chronic pain.

Conclusions

Organizations implementing CDS tools are likely to see considerable provider-level variation in usage, suggesting that CDS tools may vary in their utility across PCPs, even for the same condition, because of differences in provider and care team workflows.

SUBMITTER: Apathy NC

PROVIDER: S-EPMC9476612 | biostudies-literature | 2022 Oct

REPOSITORIES: biostudies-literature

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Publications

Assessing the use of a clinical decision support tool for pain management in primary care.

Apathy Nate C NC Sanner Lindsey L Adams Meredith C B MCB Mamlin Burke W BW Grout Randall W RW Fortin Saura S Hillstrom Jennifer J Saha Amit A Teal Evgenia E Vest Joshua R JR Menachemi Nir N Hurley Robert W RW Harle Christopher A CA Mazurenko Olena O

JAMIA open 20220915 3

<h4>Objective</h4>Given time constraints, poorly organized information, and complex patients, primary care providers (PCPs) can benefit from clinical decision support (CDS) tools that aggregate and synthesize problem-specific patient information. First, this article describes the design and functionality of a CDS tool for chronic noncancer pain in primary care. Second, we report on the retrospective analysis of real-world usage of the tool in the context of a pragmatic trial.<h4>Materials and me ...[more]

PMID: 36128342

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Dataset Information

Assessing the use of a clinical decision support tool for pain management in primary care.

Objective

Materials and methods

Results

Discussion

Conclusions

Publications

Assessing the use of a clinical decision support tool for pain management in primary care.

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