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Getting started: Reply to Condon et al. (2017) and Rossiter (2017)
Karen A Matthews1, Nancy E Adler2, Christopher B Forrest3
1Department of Psychiatry, University of Pittsburgh.
The American Psychologist
|July 21, 2017
Summary
Researchers identified essential psychosocial vital signs for electronic health records (EHRs), prioritizing usefulness and minimal burden for current implementation. This core set aims for broad adoption while allowing future refinement based on evolving evidence and stakeholder input.
Area of Science:
- Health Informatics
- Psychosocial Health
- Electronic Health Records
Background:
- Concerns exist regarding the recommended psychosocial vital signs for electronic health records (EHRs).
- Previous research suggests a need for either a broader range of measures or a consensus-based optimal set.
- Current EHR implementations require a practical, actionable set of psychosocial measures.
Purpose of the Study:
- To identify a core set of psychosocial vital signs for immediate implementation in all EHRs.
- To prioritize measures based on their clinical usefulness and low implementation burden.
- To establish a foundation for future expansion and modification of psychosocial measures in EHRs.
Main Methods:
- Literature review and expert consultation to assess existing recommendations.
- Analysis of potential psychosocial measures for utility and feasibility in EHR systems.
- Development of a consensus-driven core set of measures.
Main Results:
- A core set of psychosocial vital signs has been identified for universal EHR adoption.
- The selected measures balance clinical relevance with practical considerations for healthcare providers.
- The proposed set is designed for current utility, with anticipated future enhancements.
Conclusions:
- A foundational set of psychosocial vital signs is recommended for immediate integration into EHRs.
- This core set addresses current needs for usefulness and low burden.
- Future iterations will incorporate new evidence and stakeholder feedback for enhanced psychosocial care documentation.

