Examination of a Canada-Wide Collaboration Platform for Order Sets: Retrospective Analysis
BackgroundKnowledge translation and dissemination are some of the main challenges that affect evidence-based medicine. Web 2.0 platforms promote the sharing and collaborative development of content. Executable knowledge tools, such as order sets, are a knowledge translation t...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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JMIR Publications
2021-11-01
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| Series: | Journal of Medical Internet Research |
| Online Access: | https://www.jmir.org/2021/11/e26123 |
| _version_ | 1797735538409603072 |
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| author | Arshia Pedram Javidan Allan Brand Andrew Cameron Tommaso D'Ovidio Martin Persaud Kirsten Lewis Chris O'Connor |
| author_facet | Arshia Pedram Javidan Allan Brand Andrew Cameron Tommaso D'Ovidio Martin Persaud Kirsten Lewis Chris O'Connor |
| author_sort | Arshia Pedram Javidan |
| collection | DOAJ |
| description |
BackgroundKnowledge translation and dissemination are some of the main challenges that affect evidence-based medicine. Web 2.0 platforms promote the sharing and collaborative development of content. Executable knowledge tools, such as order sets, are a knowledge translation tool whose localization is critical to its effectiveness but a challenge for organizations to develop independently.
ObjectiveThis paper describes a Web 2.0 resource, referred to as the collaborative network (TCN), for order set development designed to share executable knowledge (order sets). This paper also analyzes the scope of its use, describes its use through network analysis, and examines the provision and use of order sets in the platform by organizational size.
MethodsData were collected from Think Research’s TxConnect platform. We measured interorganization sharing across Canadian hospitals using descriptive statistics. A weighted chi-square analysis was used to evaluate institutional size to share volumes based on institution size, with post hoc Cramer V score to measure the strength of association.
ResultsTCN consisted of 12,495 order sets across 683 diagnoses or processes. Between January 2010 and March 2015, a total of 131 health care organizations representing 360 hospitals in Canada downloaded order sets 105,496 times. Order sets related to acute coronary syndrome, analgesia, and venous thromboembolism were most commonly shared. COVID-19 order sets were among the most actively shared, adjusting for order set lifetime. A weighted chi-square analysis showed nonrandom downloading behavior (P<.001), with medium-sized institutions downloading content from larger institutions acting as the most significant driver of this variance (chi-gram=124.70).
ConclusionsIn this paper, we have described and analyzed a Web 2.0 platform for the sharing of order set content with significant network activity. The robust use of TCN to access customized order sets reflects its value as a resource for health care organizations when they develop or update their own order sets. |
| first_indexed | 2024-03-12T13:00:31Z |
| format | Article |
| id | doaj.art-7a0eec362eb146f4b43b5a6a67088d8a |
| institution | Directory Open Access Journal |
| issn | 1438-8871 |
| language | English |
| last_indexed | 2024-03-12T13:00:31Z |
| publishDate | 2021-11-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | Journal of Medical Internet Research |
| spelling | doaj.art-7a0eec362eb146f4b43b5a6a67088d8a2023-08-28T19:52:18ZengJMIR PublicationsJournal of Medical Internet Research1438-88712021-11-012311e2612310.2196/26123Examination of a Canada-Wide Collaboration Platform for Order Sets: Retrospective AnalysisArshia Pedram Javidanhttps://orcid.org/0000-0002-7541-2857Allan Brandhttps://orcid.org/0000-0002-9442-2233Andrew Cameronhttps://orcid.org/0000-0003-0248-8145Tommaso D'Ovidiohttps://orcid.org/0000-0001-9652-2177Martin Persaudhttps://orcid.org/0000-0003-1789-8614Kirsten Lewishttps://orcid.org/0000-0002-4691-5615Chris O'Connorhttps://orcid.org/0000-0003-3164-8603 BackgroundKnowledge translation and dissemination are some of the main challenges that affect evidence-based medicine. Web 2.0 platforms promote the sharing and collaborative development of content. Executable knowledge tools, such as order sets, are a knowledge translation tool whose localization is critical to its effectiveness but a challenge for organizations to develop independently. ObjectiveThis paper describes a Web 2.0 resource, referred to as the collaborative network (TCN), for order set development designed to share executable knowledge (order sets). This paper also analyzes the scope of its use, describes its use through network analysis, and examines the provision and use of order sets in the platform by organizational size. MethodsData were collected from Think Research’s TxConnect platform. We measured interorganization sharing across Canadian hospitals using descriptive statistics. A weighted chi-square analysis was used to evaluate institutional size to share volumes based on institution size, with post hoc Cramer V score to measure the strength of association. ResultsTCN consisted of 12,495 order sets across 683 diagnoses or processes. Between January 2010 and March 2015, a total of 131 health care organizations representing 360 hospitals in Canada downloaded order sets 105,496 times. Order sets related to acute coronary syndrome, analgesia, and venous thromboembolism were most commonly shared. COVID-19 order sets were among the most actively shared, adjusting for order set lifetime. A weighted chi-square analysis showed nonrandom downloading behavior (P<.001), with medium-sized institutions downloading content from larger institutions acting as the most significant driver of this variance (chi-gram=124.70). ConclusionsIn this paper, we have described and analyzed a Web 2.0 platform for the sharing of order set content with significant network activity. The robust use of TCN to access customized order sets reflects its value as a resource for health care organizations when they develop or update their own order sets.https://www.jmir.org/2021/11/e26123 |
| spellingShingle | Arshia Pedram Javidan Allan Brand Andrew Cameron Tommaso D'Ovidio Martin Persaud Kirsten Lewis Chris O'Connor Examination of a Canada-Wide Collaboration Platform for Order Sets: Retrospective Analysis Journal of Medical Internet Research |
| title | Examination of a Canada-Wide Collaboration Platform for Order Sets: Retrospective Analysis |
| title_full | Examination of a Canada-Wide Collaboration Platform for Order Sets: Retrospective Analysis |
| title_fullStr | Examination of a Canada-Wide Collaboration Platform for Order Sets: Retrospective Analysis |
| title_full_unstemmed | Examination of a Canada-Wide Collaboration Platform for Order Sets: Retrospective Analysis |
| title_short | Examination of a Canada-Wide Collaboration Platform for Order Sets: Retrospective Analysis |
| title_sort | examination of a canada wide collaboration platform for order sets retrospective analysis |
| url | https://www.jmir.org/2021/11/e26123 |
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