Apathy, Nate C.Sanner, LindseyAdams, Meredith C.B.Mamlin, Burke W.Grout, Randall W.Fortin, SauraHillstrom, JenniferSaha, AmitTeal, EvgeniaVest, Joshua R.Menachemi, NirHurley, Robert W.Harle, Christopher A.Mazurenko, Olena2023-08-152023-08-152022-09-15Apathy NC, Sanner L, Adams MCB, et al. Assessing the use of a clinical decision support tool for pain management in primary care. JAMIA Open. 2022;5(3):ooac074. Published 2022 Sep 15. doi:10.1093/jamiaopen/ooac074https://hdl.handle.net/1805/34925Objective: 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.en-USAttribution-NonCommercial 4.0 InternationalPrimary careClinical decision support toolChronic painArticle