{"doi":"10.1093/jamiaopen/ooac074","title":"Assessing the use of a clinical decision support tool for pain management in primary care","abstract":"Objective: Given time constraints, poorly organized information, and complex patients, primary care providers (PCPs) can benefit from clinical decision support (CDS) tools that aggregate and synthesize problem-specific patient information. First, this article describes the design and functionality of a CDS tool for chronic noncancer pain in primary care. Second, we report on the retrospective analysis of real-world usage of the tool in the context of a pragmatic trial. Materials and methods: The tool known as OneSheet was developed using user-centered principles and built in the Epic electronic health record (EHR) of 2 health systems. For each relevant patient, OneSheet presents pertinent information in a single EHR view to assist PCPs in completing guideline-recommended opioid risk mitigation tasks, review previous and current patient treatments, view patient-reported pain, physical function, and pain-related goals. Results: Overall, 69 PCPs accessed OneSheet 2411 times (since November 2020). PCP use of OneSheet varied significantly by provider and was highly skewed (site 1: median accesses per provider: 17 [interquartile range (IQR) 9-32]; site 2: median: 8 [IQR 5-16]). Seven \"power users\" accounted for 70% of the overall access instances across both sites. OneSheet has been accessed an average of 20 times weekly between the 2 sites. Discussion: Modest OneSheet use was observed relative to the number of eligible patients seen with chronic pain. Conclusions: Organizations implementing CDS tools are likely to see considerable provider-level variation in usage, suggesting that CDS tools may vary in their utility across PCPs, even for the same condition, because of differences in provider and care team workflows.","journal":"JAMIA Open","year":2022,"id":280907,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":9,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9643,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2022-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":955747,"name":"Lindsey Sanner","orcid":"0000-0001-6287-5775","position":1,"is_corresponding":false},{"id":506660,"name":"Meredith C B Adams","orcid":"0000-0002-3969-4279","position":2,"is_corresponding":false},{"id":403378,"name":"Burke W. Mamlin","orcid":null,"position":3,"is_corresponding":false},{"id":736478,"name":"Randall W. Grout","orcid":"0000-0002-2911-6782","position":4,"is_corresponding":false},{"id":956254,"name":"Saura Fortin","orcid":null,"position":5,"is_corresponding":false},{"id":956255,"name":"Jennifer Hillstrom","orcid":null,"position":6,"is_corresponding":false},{"id":710159,"name":"Amit Saha","orcid":"0000-0002-3542-4319","position":7,"is_corresponding":false},{"id":657635,"name":"Evgenia Teal","orcid":null,"position":8,"is_corresponding":false},{"id":441931,"name":"Joshua R. Vest","orcid":"0000-0002-7226-9688","position":9,"is_corresponding":false},{"id":421620,"name":"Nir Menachemi","orcid":"0000-0002-3411-2700","position":10,"is_corresponding":false},{"id":402034,"name":"Robert W. Hurley","orcid":"0000-0001-6591-9390","position":11,"is_corresponding":false},{"id":285594,"name":"Christopher A. Harle","orcid":"0000-0002-4803-3632","position":12,"is_corresponding":false},{"id":413161,"name":"Olena Mazurenko","orcid":"0000-0002-1003-9262","position":13,"is_corresponding":false},{"id":349922,"name":"Nate C. Apathy","orcid":"0000-0002-7775-8544","position":0,"is_corresponding":true}],"reference_count":47,"raw_metadata":null,"created_at":"2026-07-19T00:29:07.472902Z","pmid":"36128342","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}