Related Experiment Video

Updated: May 30, 2025

Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
07:31

Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack

Published on: May 15, 2020

7.0K

Implementation of a Sudden Cardiac Death Risk Prediction Tool in Clinical Practice Through Electronic Health Records

Tanya Papaz1,2, Emily Seto3,4,5, Samantha J Anthony6,7,8

  • 1Genetics and Genome Biology, Research Institute, Peter Gilgan Centre for Research and Learning, The Hospital for Sick Children, Toronto, Ontario, Canada.

CJC Open
|January 28, 2025
PubMed

Insights

Sudden cardiac death risk prediction in children with hypertrophic cardiomyopathy (HCM) is improved by implementing the PRIMaCY tool into electronic health records (EHRs). This study assesses implementation strategies for better guideline-directed care.

Area of Science:

  • Cardiology
  • Implementation Science
  • Digital Health

Background:

  • Sudden cardiac death (SCD) is a significant risk for children with hypertrophic cardiomyopathy (HCM).
  • Clinical practice guidelines recommend risk prediction tools for shared decision-making regarding implantable cardioverter-defibrillators.
  • The PRecIsion Medicine in CardiomYopathy (PRIMaCY) consortium developed a validated SCD risk prediction tool.

Purpose of the Study:

  • To implement the PRIMaCY risk prediction tool into electronic health records (EHRs) within Canadian pediatric hospitals.
  • To assess the determinants and outcomes of implementing this digital health solution.
  • To inform best practices for integrating evidence-based tools into clinical workflows.

Main Methods:

  • A prospective, multicentre, hybrid type-3 mixed-methods implementation study (INSERT-HCM).
  • Utilized the Active Implementation Framework for a staged implementation process.
  • Employed the Implementation Outcomes Taxonomy and Consolidated Framework for Implementation Research to assess outcomes and determinants.

Main Results:

  • The study focuses on the process of implementation, including technical installation and optimization for different healthcare settings.
  • Evaluation of tool adoption, penetration, and fidelity using back-end EHR data.
  • Assessment of implementation facilitators, barriers, and sustainability in clinical practice.

Conclusions:

  • Successful implementation of the PRIMaCY tool into EHRs can improve guideline-directed care for pediatric HCM patients.
  • This study will establish best practices for implementing digital health solutions within hospital EHRs.
  • Findings will guide the future dissemination of similar evidence-based digital health tools.

More Related Videos

Hydra, a Computer-Based Platform for Aiding Clinicians in Cardiovascular Analysis and Diagnosis07:51

Hydra, a Computer-Based Platform for Aiding Clinicians in Cardiovascular Analysis and Diagnosis

Published on: September 26, 2018

7.5K
Patient Directed Recording of a Bipolar Three-Lead Electrocardiogram using a Smartwatch with ECG Function05:03

Patient Directed Recording of a Bipolar Three-Lead Electrocardiogram using a Smartwatch with ECG Function

Published on: December 11, 2019

8.6K

Related Concept Videos

Methods of Documentation VII: EMR01:30

Methods of Documentation VII: EMR

Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
823
Electrocardiogram01:29

Electrocardiogram

An electrocardiogram (ECG or EKG) is a critical diagnostic tool that records the electrical signals produced by the heart during each heartbeat. This recording is achieved through electrodes placed strategically on the arms, legs, and chest. The electrocardiograph amplifies these signals and produces 12 distinct tracings, offering a comprehensive understanding of the heart's electrical activity.
Three major waveforms are present in a typical ECG recording: the P wave, the QRS complex, and...
2.1K
Pulse rhythm01:30

Pulse rhythm

Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
754