Evidence map›Paper›PMID 26167484›Full record

ArticleBioMed research international2015

Automating Quality Metrics in the Era of Electronic Medical Records: Digital Signatures for Ventilator Bundle Compliance.

Haitao Lan, Charat Thongprayoon, Adil Ahmed, Vitaly Herasevich, Priya Sampathkumar, Ognjen Gajic, John C O'Horo

Abstract read
In one paragraph

Article in BioMed research international, 2015. 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. Article
  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

7 authors.

Haitao LanGuang'anmen Hospital, China Academy of Chinese Medicine Sciences, Beijing 100053, China ; Multidisciplinary Epidemiology and Translational Research in Critical Care, Perioperative and Emergency Medicine (METRIC-PM) Group, USA.
Charat ThongprayoonMultidisciplinary Epidemiology and Translational Research in Critical Care, Perioperative and Emergency Medicine (METRIC-PM) Group, USA ; Mayo Clinic, Department of Medicine, Division of Pulmonary and Critical Care Medicine, Rochester, MN 55905, USA.
Adil AhmedNorth Central Texas Medical Foundation, Wichita Falls Family Practice Residency Program, Wichita Falls, TX 76301, USA.
Vitaly HerasevichMultidisciplinary Epidemiology and Translational Research in Critical Care, Perioperative and Emergency Medicine (METRIC-PM) Group, USA ; Mayo Clinic, Department of Anesthesiology, Division Critical Care Medicine, Rochester, MN 55905, USA.
Priya SampathkumarMayo Clinic, Department of Medicine, Division of Infectious Diseases, Rochester, MN 55905, USA.
Ognjen GajicMultidisciplinary Epidemiology and Translational Research in Critical Care, Perioperative and Emergency Medicine (METRIC-PM) Group, USA ; Mayo Clinic, Department of Medicine, Division of Pulmonary and Critical Care Medicine, Rochester, MN 55905, USA.
John C O'HoroMultidisciplinary Epidemiology and Translational Research in Critical Care, Perioperative and Emergency Medicine (METRIC-PM) Group, USA ; Mayo Clinic, Department of Medicine, Division of Infectious Diseases, Rochester, MN 55905, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ventilator-associated events (VAEs) are associated with increased risk of poor outcomes, including death. Bundle practices including thromboembolism prophylaxis, stress ulcer prophylaxis, oral care, and daily sedation breaks and spontaneous breathing trials aim to reduce rates of VAEs and are endorsed as quality metrics in the intensive care units. We sought to create electronic search algorithms (digital signatures) to evaluate compliance with ventilator bundle components as the first step in a larger project evaluating the ventilator bundle effect on VAE. We developed digital signatures of bundle compliance using a retrospective cohort of 542 ICU patients from 2010 for derivation and validation and testing of signature accuracy from a cohort of random 100 patients from 2012. Accuracy was evaluated against manual chart review. Overall, digital signatures performed well, with median sensitivity of 100% (range, 94.4%-100%) and median specificity of 100% (range, 100%-99.8%). Automated ascertainment from electronic medical records accurately assesses ventilator bundle compliance and can be used for quality reporting and research in VAE.

Indexed as

AgedAged, 80 and overElectronic Health RecordsFemaleHumansMaleMiddle AgedPatient Care BundlesPeptic UlcerRespiration, ArtificialRetrospective StudiesTreatment OutcomeVenous Thrombosis

Identifiers

PMID26167484
PMCPMC4475726

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Registered trials

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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.