Evidence map›Paper›PMID 26492196›Full record

ArticlePloS one2015

Stakeholder Engagement to Identify Priorities for Improving the Quality and Value of Critical Care.

Henry T Stelfox, Daniel J Niven, Fiona M Clement, Sean M Bagshaw, Deborah J Cook, Emily McKenzie, Melissa L Potestio, Christopher J Doig, Barbara O'Neill, David Zygun and 1 more

Abstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
–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

22 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Leveraging tele-mentoring and remote learning to strengthen the emergency care capacity of health workers in Uganda.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2023
    Article
  7. Article
  8. The Fifth International Survey of Critical Care Nursing Organizations: Implications for Policy.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2020
    Article
  9. Article
  10. Article
  11. Critical Care Strategic Clinical Network: Information infrastructure ensures a learning health system.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2019
    Article
  12. Article
  13. Article
  14. Article
  15. Article
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  19. Reconciling patient and provider priorities for improving the care of critically ill patients: A consensus method and qualitative analysis of decision making.Health expectations : an international journal of public participation in health care and health policy · 2017
    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

11 authors.

Henry T StelfoxDepartment of Critical Care Medicine, University of Calgary, Calgary, Alberta, Canada; Department of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada; Alberta Health Services, Alberta, Canada.
Daniel J NivenDepartment of Critical Care Medicine, University of Calgary, Calgary, Alberta, Canada; Department of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada; Alberta Health Services, Alberta, Canada.
Fiona M ClementDepartment of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada; O'Brien Institute of Public Health, University of Calgary, Calgary, Alberta, Canada.
Sean M BagshawAlberta Health Services, Alberta, Canada; Division of Critical Care Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.
Deborah J CookDepartments of Medicine, Critical Care, and Clinical Epidemiology and Biostatistics, McMaster University, and St. Joseph's Healthcare, Hamilton, Ontario, Canada.
Emily McKenzieDepartment of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada.
Melissa L PotestioDepartment of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada; Alberta Health Services, Alberta, Canada.
Christopher J DoigDepartment of Critical Care Medicine, University of Calgary, Calgary, Alberta, Canada; Alberta Health Services, Alberta, Canada.
Barbara O'NeillAlberta Health Services, Alberta, Canada.
David ZygunAlberta Health Services, Alberta, Canada; Division of Critical Care Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.
Critical Care Strategic Clinical Network, Alberta Health Services

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLarge amounts of scientific evidence are generated, but not implemented into patient care (the 'knowledge-to-care' gap). We identified and prioritized knowledge-to-care gaps in critical care as opportunities to improve the quality and value of healthcare.

methodsWe used a multi-method community-based participatory research approach to engage a Network of all adult (n = 14) and pediatric (n = 2) medical-surgical intensive care units (ICUs) in a fully integrated geographically defined healthcare system serving 4 million residents. Participants included Network oversight committee members (n = 38) and frontline providers (n = 1,790). Network committee members used a modified RAND/University of California Appropriateness Methodology, to serially propose, rate (validated 9 point scale) and revise potential knowledge-to-care gaps as priorities for improvement. The priorities were sent to frontline providers for evaluation. Results were relayed back to all frontline providers for feedback.

resultsInitially, 68 knowledge-to-care gaps were proposed, rated and revised by the committee (n = 32 participants) over 3 rounds of review and resulted in 13 proposed priorities for improvement. Then, 1,103 providers (62% response rate) evaluated the priorities, and rated 9 as 'necessary' (median score 7-9). Several factors were associated with rating priorities as necessary in multivariable logistic regression, related to the provider (experience, teaching status of ICU) and topic (strength of supporting evidence, potential to benefit the patient, potential to improve patient/family experience, potential to decrease costs).

conclusionsA community-based participatory research approach engaged a diverse group of stakeholders to identify 9 priorities for improving the quality and value of critical care. The approach was time and cost efficient and could serve as a model to prioritize areas for research quality improvement across other settings.

Indexed as

Critical CareFemaleHumansMaleQuality Assurance, Health Care

Identifiers

PMID26492196
PMCPMC4619641

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.