Evidence map›Paper›PMID 25093041›Full record

ReviewPatient safety in surgery2014

A critical assessment of monitoring practices, patient deterioration, and alarm fatigue on inpatient wards: a review.

J Paul Curry, Carla R Jungquist

Open access · goldAbstract readReview
In one paragraph

Review in Patient safety in surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
5.6field-weighted citation impact, top 4% of its field
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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Alarms in a neurocritical care unit: a prospective study.Journal of clinical monitoring and computing · 2022
    Article
  8. Article
  9. Article
  10. Article
  11. [Postoperative remote monitoring].Der Anaesthesist · 2020
    Review
  12. Article
  13. Article
  14. USE PREFERENCES FOR CONTINUOUS CARDIAC AND RESPIRATORY MONITORING SYSTEMS IN HOSPITALS: A SURVEY OF PATIENTS AND FAMILY CAREGIVERS.Proceedings of the International Symposium of Human Factors and Ergonomics in Healthcare. International Symposium of Human Factors and Ergonomics in Healthcare · 2018
    Article
  15. Review
  16. Article
  17. Review
  18. What's new with rapid response systems?Intensive care medicine · 2015
    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 at 2 institutions in 1 country.

J Paul CurryUCLA Department of Anesthesiology, Hoag Memorial Hospital Presbyterian, One Hoag Drive, 92663 Newport Beach, CA, USA.
Carla R JungquistUniversity of Buffalo, Wende Hall Rm 314, 3435 Main Street, 14214-8013 Buffalo, NY, USA.
Hoag Memorial Hospital Presbyterian · USUniversity at Buffalo, State University of New York · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Approximately forty million surgeries take place annually in the United States, many of them requiring overnight or lengthier post operative stays in the over five thousand hospitals that comprise our acute healthcare system. Leading up to this Century, it was common for most hospitalized patients and their families to believe that being surrounded by well-trained nurses and physicians assured their safety. That bubble burst with the Institute of Medicine's 1999 report: To Err Is Human, followed closely by its 2001 report: Crossing the Quality Chasm. This review article discusses unexpected, potentially lethal respiratory complications known for being difficult to detect early, especially in postoperative patients recovering on hospital general care floors (GCF). We have designed our physiologic explanations and simplified cognitive framework to give our front line clinical nurses a thorough, easy-to-recall understanding of just how these events evolve, and how to detect them early when most amenable to treatment. Our review will also discuss currently available practices in general care floor monitoring that can both improve patient safety and significantly reduce monitor associated alarm fatigue.

Indexed as

Alarm threshold valuesArousal failureCentral sleep apneaCO2 narcosisContinuous pulse oximetryDartmouth patient surveillance systemFunctional residual capacityGeneral care floorsObstructive sleep apneaOxygen supplementationOxyhemoglobin dissociation curvePatterns of respiratory dysfunctionRapidly evolving clinical cascades

Identifiers

PMID25093041
PMCPMC4109792
OpenAlexW2167212320

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.