Evidence map›Paper›PMID 17238359›Full record

ArticleAMIA ... Annual Symposium proceedings. AMIA Symposium2006

An early warning system for overcrowding in the emergency department.

Nathan Hoot, Dominik Aronsky

Abstract readValidation Study
In one paragraph

Article in AMIA ... Annual Symposium proceedings. AMIA Symposium, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Emergency department overcrowding and its associated factors at HARME medical emergency center in Eastern Ethiopia.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2024
    Article
  6. Review
  7. Ochsner Emergency Department Overcrowding Scale (OEDOCS): predicting Emergency Department crowding among diverse academic hospital settings.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2023
    Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Supporting patient care in the emergency department with a computerized whiteboard system.Journal of the American Medical Informatics Association : JAMIA
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Nathan HootDepartment of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN, USA.
Dominik Aronsky

Funding

Vanderbilt Biomedical Informatics Training ProgramT15LM007450 · NLM · VANDERBILT UNIVERSITY · PI Jessica S. Ancker, Bradley A. Malin · 2002 to 2026
$19.7M
Managing ED Diversion with Information TechnologyR21LM009002 · NLM · VANDERBILT UNIVERSITY · PI ARONSKY, DOMINIK · 2006 to 2007
$357k
NLM NIH HHS LM009002-01NLM NIH HHS LM07450-02NLM NIH HHS R21 LM009002NLM NIH HHS T15 LM007450
6 · The paper itself

Abstract

Overcrowding of emergency departments impedes health care access and quality nationwide. A real-time early warning system for overcrowding may allow administrators to alleviate the problem before reaching a crisis state. Two original probabilistic models - a logistic regression and a recurrent neural network - were created to predict overcrowding crises one hour in the future. The two original and two pre-existing models were validated at 8,496 observation points from January 1, 2006 to February 28, 2006. All models showed high discriminatory ability in terms of area under the receiver operating characteristic curve (logistic regression = .954; recurrent neural network = .957; EDWIN = .879; NEDOCS = .924). At comparable rates of false alarms, the logistic regression gave more advance notice of crises than other models (logistic regression = 62 min; recurrent neural network = 13 min; EDWIN = 0 min; NEDOCS = 0 min). These results demonstrate the feasibility of using models based on key operational variables to anticipate overcrowding crises in real time.

Indexed as

Logistic ModelsNeural Networks, ComputerBed OccupancyEmergency Service, HospitalFeasibility StudiesHumansReproducibility of ResultsROC Curve

Identifiers

PMID17238359
PMCPMC1839284

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.