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CC BY 4.0 · ACI open 2022; 06(01): e44-e48
DOI: 10.1055/s-0042-1749195
Invited Editorial

Guidance for Writing a Clinical Informatics Case Report

Matthew Sakumoto
1   Department of Medicine, Sutter Health, San Francisco, California, United States
,
Jeffrey A. Nielson
2   Department of Emergency Medicine, Kettering Health Network, University Hospitals Western Reserve Hospital, Northeast Ohio Medical University, Rootstown, Ohio, United States
› Institutsangaben
Funding None.
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Introduction

Variation in human biology means that two seemingly similar patients may have different clinical presentations or therapeutic responses. Patient-centered case reports highlight these novel cases and help to broaden clinicians' knowledge of clinical manifestation of disease, diagnostic approach, or therapeutic alternatives. Similarly, in applied clinical informatics (CI), informatics professionals must grapple with the heterogeneity of health system structures and digital health tool configurations. Exposure to a breadth of different informatics program designs and implementations is crucial to this learning process. Sometimes known as organizational case reports, these nonclinical case reports provide educational exposure to multiple perspectives, different health system settings, and a variety of electronic health record (EHR) products. In the informatics literature, we call these CI case reports, and they offer insights into CI in a specific real-word context while illustrating fundamental CI principles. Examples of CI case reports are published in NEJM Catalyst, the Journal of the American Medical Informatics Association (JAMIA), and JAMIA Open, Applied Clinical Informatics (ACI) and ACI Open, Journal of Medical Internet Research (JMIR), and others.

CI case reports should be viewed as inspiration and education and not necessarily limited by a requirement for evidence generation. Organizational case reports are the springboard for ideas and future novel discovery from those on the frontlines. In this editorial, we want to facilitate a process where innovation and implementation at the local or regional level can have a wide impact on the broader community. We provide a brief outline of expectations for CI case reports, and our goal is to explain how authors can demonstrate CI significance, relevance, and impact ([Table 1]) in their case reports. Additionally, we provide guidance to trainees and early career faculty on how to structure the planning phases of a local pilot project to facilitate dissemination of their findings in a manuscript or other scholarly presentation.

Table 1

Checklist for completion of elements of a clinical informatics case report

Complete?

Problem statement and study design

 Statement of problem and importance?

 Explanation of why an informatics solution is needed?

 Study type delineated (proof of concept, implementation, or case series)?

Context

 Contextual factors (patient population, software used, type of health system) sufficiently described to assess generalizability?

Methods

 Core informatics concept(s) utilized?

 Uses an established design methodology or evaluation framework?

 Sufficient methodological detail to evaluate the validity and feasibility of the product or process described?

Data collection and data evaluation

 Data type(s) feasible and consistent with the study type?

 Research question is aligned with the appropriate framework, data collection plan, and method of analysis?

Results

 Results address the problem statement?

Discussion/conclusion

 Findings are of broad interest?

 Includes limitations and lessons learned?


Publikationsverlauf

Eingereicht: 29. Dezember 2021

Angenommen: 10. März 2022

Artikel online veröffentlicht:
27. Mai 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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