Evidence map›Paper›PMID 23521890›Full record

ArticleBMC health services research2013

Network analysis of team communication in a busy emergency department.

P Daniel Patterson, Anthony J Pfeiffer, Matthew D Weaver, David Krackhardt, Robert M Arnold, Donald M Yealy, Judith R Lave

Abstract read
In one paragraph

Article in BMC health services research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–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

20 citing papers in PubMed.

  1. Article
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  3. Deutsche medizinische Wochenschrift (1946) · 2024
    Article
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  5. Review
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  7. Article
  8. Article
  9. Data-driven modeling of diabetes care teams using social network analysis.Journal of the American Medical Informatics Association : JAMIA · 2019
    Article
  10. Article
  11. Observational
  12. Article
  13. Article
  14. Social network analysis of Iranian researchers in the field of violence.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2016
    Article
  15. Article
  16. Article
  17. Article
  18. Social networking in health system for knowledge translation.Journal of cardiovascular and thoracic research · 2014
    Article
  19. Article
  20. 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

7 authors.

P Daniel PattersonDepartment of Emergency Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, PA, USA. pattersond@upmc.edu
Anthony J Pfeiffer
Matthew D Weaver
David Krackhardt
Robert M Arnold
Donald M Yealy
Judith R Lave

Funding

University of Pittsburgh Clinical and Translational Science InstituteUL1TR000005 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2012 to 2015
$50.8M
University of Pittsburgh Clinical and Translational Science InstitutionKL2TR000146 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2012 to 2015
$8.7M
NCATS NIH HHS 8KL2TR000146-07NCATS NIH HHS KL2 TR000146NCATS NIH HHS UL1 TR000005
6 · The paper itself

Abstract

backgroundThe Emergency Department (ED) is consistently described as a high-risk environment for patients and clinicians that demands colleagues quickly work together as a cohesive group. Communication between nurses, physicians, and other ED clinicians is complex and difficult to track. A clear understanding of communications in the ED is lacking, which has a potentially negative impact on the design and effectiveness of interventions to improve communications. We sought to use Social Network Analysis (SNA) to characterize communication between clinicians in the ED.

methodsOver three-months, we surveyed to solicit the communication relationships between clinicians at one urban academic ED across all shifts. We abstracted survey responses into matrices, calculated three standard SNA measures (network density, network centralization, and in-degree centrality), and presented findings stratified by night/day shift and over time.

resultsWe received surveys from 82% of eligible participants and identified wide variation in the magnitude of communication cohesion (density) and concentration of communication between clinicians (centralization) by day/night shift and over time. We also identified variation in in-degree centrality (a measure of power/influence) by day/night shift and over time.

conclusionsWe show that SNA measurement techniques provide a comprehensive view of ED communication patterns. Our use of SNA revealed that frequency of communication as a measure of interdependencies between ED clinicians varies by day/night shift and over time.

Indexed as

Interdisciplinary CommunicationInterprofessional RelationsPatient Care TeamSocial NetworkingAdultClinical CompetenceEfficiency, OrganizationalEmergency Service, HospitalHumansMiddle AgedOrganizational Case StudiesPennsylvaniaSocioeconomic FactorsSurveys and QuestionnairesSystems AnalysisTime Factors

Identifiers

PMID23521890
PMCPMC3637459

What OpenQuestion holds

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LicenceCC BY
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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.