Evidence map›Paper›PMID 22437074›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA

Intensive care unit nurses' information needs and recommendations for integrated displays to improve nurses' situation awareness.

Sven H Koch, Charlene Weir, Maral Haar, Nancy Staggers, Jim Agutter, Matthias Görges, Dwayne Westenskow

Abstract readMulticenter Study
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  16. Clinician-Driven Design ofIEEE journal of translational engineering in health and medicine · 2018
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  18. Factors related to monitoring during admission of acute patients.Journal of clinical monitoring and computing · 2017
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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

7 authors.

Sven H KochInstitute of Medical Biometry and Informatics, University of Heidelberg, Heidelberg, Germany. sven.h.koch@gmail.com
Charlene Weir
Maral Haar
Nancy Staggers
Jim Agutter
Matthias Görges
Dwayne Westenskow

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveFatal errors can occur in intensive care units (ICUs). Researchers claim that information integration at the bedside may improve nurses' situation awareness (SA) of patients and decrease errors. However, it is unclear which information should be integrated and in what form. Our research uses the theory of SA to analyze the type of tasks, and their associated information gaps. We aimed to provide recommendations for integrated, consolidated information displays to improve nurses' SA. MATERIALS AND

methodsSystematic observations methods were used to follow 19 ICU nurses for 38 hours in 3 clinical practice settings. Storyboard methods and concept mapping helped to categorize the observed tasks, the associated information needs, and the information gaps of the most frequent tasks by SA level. Consensus and discussion of the research team was used to propose recommendations to improve information displays at the bedside based on information deficits.

resultsNurses performed 46 different tasks at a rate of 23.4 tasks per hour. The information needed to perform the most common tasks was often inaccessible, difficult to see at a distance or located on multiple monitoring devices. Current devices at the ICU bedside do not adequately support a nurse's information-gathering activities. Medication management was the most frequent category of tasks. DISCUSSION: Information gaps were present at all levels of SA and across most of the tasks. Using a theoretical model to understand information gaps can aid in designing functional requirements.

conclusionIntegrated information that enhances nurses' Situation Awareness may decrease errors and improve patient safety in the future.

Indexed as

Data DisplayDecision Support Systems, ClinicalNeeds AssessmentNursing Staff, HospitalHumansIntensive Care UnitsMedical ErrorsPoint-of-Care SystemsSystems IntegrationTask Performance and Analysis

Identifiers

PMID22437074
PMCPMC3384123

What OpenQuestion holds

Textmetadata
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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.