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Published on: February 16, 2011
From framework to practice: applying the proteus-practice framework to learn lessons for integrating PROs in clinical
Anne L R Schuster1, Claire Snyder2, Lotte Haverman3
1Department of Biomedical Informatics, The Ohio State University College of Medicine, Columbus, OH, USA. anne.schuster@osumc.edu.
Summary
Integrating patient-reported outcomes (PROs) into clinical care requires stakeholder training, PRO champions, and electronic health record (EHR) integration. The PROTEUS-Practice Framework guides successful PRO implementation across diverse healthcare settings.
Area of Science:
- Health Services Research
- Clinical Informatics
- Patient-Centered Care
Background:
- Patient-reported outcomes (PROs) are increasingly used in clinical practice.
- Understanding PRO integration in diverse healthcare settings is crucial.
- The PROTEUS-Practice Framework offers a structured approach to PRO integration.
Purpose of the Study:
- To systematically describe real-world PRO integration approaches using the PROTEUS-Practice Framework.
- To identify lessons learned from PRO integration in clinical care.
Main Methods:
- International PROTEUS Consortium participants submitted case studies on PRO applications.
- A structured template aligned with the PROTEUS-Practice Framework was used.
- Case studies were summarized and thematically analyzed by framework stage.
Main Results:
- Five case studies detailed PRO integration in various clinical contexts (individual and multi-system).
- Fifteen cross-cutting lessons learned were identified across the framework stages.
- Key themes included stakeholder training, PRO champions, EHR integration, clear goals, iterative design, user-friendly visualizations, and system updates.
Conclusions:
- The PROTEUS-Practice Framework effectively structured the description of real-world PRO integration.
- The framework facilitated the identification of practical lessons for optimizing PRO integration.
- Lessons learned offer guidance for tailoring PRO use in diverse clinical settings.
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