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The Kaplan-Meier estimator is a non-parametric method used to estimate the survival function from time-to-event data. In medical research, it is frequently employed to measure the proportion of patients surviving for a certain period after treatment. This estimator is fundamental in analyzing time-to-event data, making it indispensable in clinical trials, epidemiological studies, and reliability engineering. By estimating survival probabilities, researchers can evaluate treatment effectiveness,...
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EHR-based Visualization Tool: Adoption Rates, Satisfaction, and Patient Outcomes.

Randi E Foraker1, Bobbie Kite1, Marjorie M Kelley1

  • 1The Ohio State University.

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Summary

The Stroke Prevention in Healthcare Delivery Environments (SPHERE) tool, an electronic health record (EHR)-based clinical decision support (CDS) system, improved cardiovascular health metrics in primary care. This EHR-integrated CDS enhances patient-provider communication and patient outcomes.

Keywords:
Data visualizationHealth information technologyPatient involvement

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Area of Science:

  • Health Informatics
  • Clinical Decision Support Systems
  • Cardiovascular Health

Background:

  • Electronic health records (EHRs) offer potential for improved patient-provider communication and outcomes.
  • Effective clinical decision support (CDS) and communication tools require seamless integration into clinical workflows and adaptability to healthcare changes.

Purpose of the Study:

  • To develop and implement the SPHERE tool, an EHR-based CDS visualization, to enhance patient-provider communication regarding cardiovascular health (CVH).
  • To evaluate the implementation strategy, adoption rates, provider satisfaction, and patient outcomes associated with the SPHERE tool in primary care.

Main Methods:

  • Development and implementation of the SPHERE tool, an EHR-based CDS visualization.
  • Description of the CDS alert implementation strategy and reporting of adoption rates.
  • Conducting a provider satisfaction survey and analyzing patient outcomes for CVH metrics.

Main Results:

  • Successful implementation of the CDS alert strategy with reported adoption rates.
  • Provider satisfaction survey indicated the SPHERE tool delivers timely and appropriate content.
  • Preliminary one-year patient outcomes showed improvements in certain CVH metrics like body mass index and diabetes.

Conclusions:

  • Integrated, extensible, and workflow-aware CDS tools are crucial for enhancing patient-provider communication.
  • Such tools are vital for influencing patient outcomes amidst rapid changes in clinical practices and healthcare landscapes.
  • The SPHERE tool demonstrates the potential of EHR-integrated CDS to positively impact cardiovascular health management.