Evidence map›Paper›PMID 26171828›Full record

ArticleThe American journal of the medical sciences2015

How Do Residents Spend Their Time in the Intensive Care Unit?

Pascale Carayon, Matthew B Weinger, Roger Brown, Randi S Cartmill, Jason Slagle, Kara S Van Roy, James M Walker, Kenneth E Wood

Abstract read
In one paragraph

Article in The American journal of the medical sciences, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. An Observational Study of Nursing Delivery of Mobility Assistance in Acute Care.Journal of the American Medical Directors Association · 2025
    Observational
  2. Article
  3. Article
  4. Time Allocated to Nursing Tasks on Hospital Units Caring for Older Patients.Journal for healthcare quality : official publication of the National Association for Healthcare Quality
    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

8 authors.

Pascale CarayonCenter for Quality and Productivity Improvement (PC, RSC, KSVR), Madison, Wisconsin; Department of Industrial and Systems Engineering (PC), University of Wisconsin-Madison, Madison, Wisconsin; Center for Research and Innovation in Systems Safety, Department of Anesthesiology (MBW, JS), Vanderbilt University School of Medicine, Nashville, Tennessee; School of Nursing (RB), University of Wisconsin-Madison, Madison, Wisconsin; Cerner Corporation (JMW), New Cumberland, Pennsylvania; and Geisinger Health System (KEW), Danville, Pennsylvania.
Matthew B Weinger
Roger Brown
Randi S Cartmill
Jason Slagle
Kara S Van Roy
James M Walker
Kenneth E Wood

Funding

Institutional Clinical and Translational Science AwardUL1TR000427 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI DREZNER, MARC KENNETH · 2012 to 2016
$32.2M
INSTITUTIONAL CTSA (UW-MADISON): CLINICAL TRIALSUL1RR025011 · NCRR · UNIVERSITY OF WISCONSIN-MADISON · PI DREZNER, MARC KENNETH · 2007 to 2011
$29.5M
CPOE Implementation in ICU'sR01HS015274 · AHRQ · UNIVERSITY OF WISCONSIN-MADISON · PI CARAYON, PASCALE · 2004 to 2006
$499k
AHRQ HHS F32 HS000083AHRQ HHS R01 HS015274AHRQ HHS R01 HS15274AHRQ HHS T32 HS000083NCATS NIH HHS UL1 TR000427NCRR NIH HHS 1UL1RR025011NCRR NIH HHS UL1 RR025011
6 · The paper itself

Abstract

purposeTo describe the work of residents and the distribution of their time in 6 intensive care units (ICUs) of 2 medical centers (MCs).

methodsA total of 242 hours of observation to capture data on tasks performed by residents in 6 ICUs, including adult, pediatric, medical and surgical units, were conducted. For each observation period, the percentages of total time spent on each task and on the aggregated task categories were calculated.

resultsOverall, while in the ICUs, residents spent almost half of their time in clinical review and documentation (19%), conversation with team physicians (16%), conversation attendance (6%) and order management (6%). The 2 MCs differed in the time that residents spent on administrative review and documentation (4% in one MC and 15% in the other). The pediatric ICUs were similar in the 2 MCs, whereas the adult ICUs exhibited differences in the time spent on order management and administrative review and documentation.

conclusionsWhile in the ICUs, residents spent most time performing direct patient care and care coordination activities. The distribution of activities varied across 2 MCs and across ICUs, which highlights the need to consider the local context on residents' work in ICUs.

Indexed as

Intensive Care UnitsInternship and ResidencyHumansTask Performance and AnalysisTeachingTeaching RoundsUnited StatesWorkload

Identifiers

PMID26171828
PMCPMC4626408

What OpenQuestion holds

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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.