Evidence map›Paper›PMID 24856798›Full record

ArticleJournal of clinical anesthesia2014

Are anesthesia start and end times randomly distributed? The influence of electronic records.

Litisha G Deal, Michael E Nyland, Nikolaus Gravenstein, Patrick Tighe

Abstract read
In one paragraph

Article in Journal of clinical anesthesia, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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

4 authors.

Litisha G DealDepartment of Anesthesiology, University of Florida College of Medicine, Gainesville, FL 32610-0254, USA.
Michael E NylandUniversity of Florida College of Medicine, Gainesville, FL 32610, USA. Electronic address: mnyland@anest.ufl.edu.
Nikolaus GravensteinDepartment of Anesthesiology, University of Florida College of Medicine, Gainesville, FL 32610-0254, USA.
Patrick TigheDepartment of Anesthesiology, University of Florida College of Medicine, Gainesville, FL 32610-0254, USA. Electronic address: ptighe@anest.ufl.edu.

Funding

Use of Machine Learning Classifiers to Forecast Severe Acute Postoperative Pain FK23GM102697 · NIGMS · UNIVERSITY OF FLORIDA · PI TIGHE, PATRICK J · 2012 to 2015
$573k
NIGMS NIH HHS K23 GM 102697NIGMS NIH HHS K23 GM102697
6 · The paper itself

Abstract

STUDY

objectiveTo perform a frequency analysis of start minute digits (SMD) and end minute digits (EMD) taken from the electronic, computer-assisted, and manual anesthesia billing-record systems.

designRetrospective cross-sectional review.

settingUniversity medical center. MEASUREMENTS: This cross-sectional review was conducted on billing records from a single healthcare institution over a 15-month period. A total of 30,738 cases were analyzed. For each record, the start time and end time were recorded. Distributions of SMD and EMD were tested against the null hypothesis of a frequency distribution equivalently spread between zero and nine. MAIN

resultsSMD and EMD aggregate distributions each differed from equivalency (P < 0.0001). When stratified by type of anesthetic record, no differences were found between the recorded and expected equivalent distribution patterns for electronic anesthesia records for start minute (P < 0.98) or end minute (P < 0.55). Manual and computer-assisted records maintained nonequivalent distribution patterns for SMD and EMD (P < 0.0001 for each comparison). Comparison of cumulative distributions between SMD and EMD distributions suggested a significant difference between the two patterns (P < 0.0001).

conclusionAn electronic anesthesia record system, with automated time capture of events verified by the user, produces a more unified distribution of billing times than do more traditional methods of entering billing times.

Indexed as

Reimbursement MechanismsAcademic Medical CentersAnesthesiaAutomationCross-Sectional StudiesElectronic Health RecordsFees and ChargesHumansMedical Records Systems, ComputerizedRetrospective StudiesTime FactorsAnesthesia billingAnesthesia procedure start timesElectronic anesthesia recordEnd minute digitProcedure timekeepingStart minute digit

Identifiers

PMID24856798
PMCPMC4099295

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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.