Evidence map›Paper›PMID 26646283›Full record

ArticleAmerican journal of medical quality : the official journal of the American College of Medical Quality

Handoffs in the Intensive Care Unit.

Beth R Hochman, Mark E Barry, Meghan B Lane-Fall, Steven R Allen, Daniel N Holena, Brian P Smith, Lewis J Kaplan, Jose L Pascual

Abstract read
In one paragraph

Article in American journal of medical quality : the official journal of the American College of Medical Quality. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

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

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

  1. Pooled it
  2. Leveraging Telemedicine Infrastructure to Monitor Quality of Operating Room to Intensive Care Unit Handoffs.Academic medicine : journal of the Association of American Medical Colleges · 2017
    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

8 authors.

Beth R Hochman1 University of Pennsylvania Perelman School of Medicine, Philadelphia, PA.
Mark E Barry1 University of Pennsylvania Perelman School of Medicine, Philadelphia, PA.
Meghan B Lane-Fall1 University of Pennsylvania Perelman School of Medicine, Philadelphia, PA.
Steven R Allen1 University of Pennsylvania Perelman School of Medicine, Philadelphia, PA.
Daniel N Holena1 University of Pennsylvania Perelman School of Medicine, Philadelphia, PA.
Brian P Smith1 University of Pennsylvania Perelman School of Medicine, Philadelphia, PA.
Lewis J Kaplan1 University of Pennsylvania Perelman School of Medicine, Philadelphia, PA.
Jose L Pascual1 University of Pennsylvania Perelman School of Medicine, Philadelphia, PA.

Funding

Reducing mortality attributable to cardiac and pulmonary complications after traumatic injury: understanding the role of failure-to-rescueK08HL131995 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI HOLENA, DANIEL NORMAN · 2016 to 2018
$509k
NHLBI NIH HHS K08 HL131995
6 · The paper itself

Abstract

Operating room (OR) to intensive care unit (ICU) handoffs are complex and known to be associated with adverse events and patient harm. The authors hypothesized that handoff quality diminishes during nights/weekends and that bedside handoff practices are similar between ICUs of the same health system. Bedside OR-to-ICU handoffs were directly observed in 2 surgical ICUs with different patient volumes. Handoff quality measures were compared within the ICUs on weekdays versus nights/weekends as well as between the high- and moderate-volume ICUs. In the high-volume ICU, transmitter delivery scores were significantly better during off hours, while other measures were not different. High-volume ICU scores were consistently better than those in the moderate-volume ICU. Bedside handoff practices are not worse during off hours and may be better in ICUs used to a higher patient volume. Specific handoff protocols merit evaluation and training to ensure consistent practices in different ICU models and at different times.

Indexed as

Intensive Care UnitsPatient HandoffAfter-Hours CareHumansOperating RoomsQuality of Health Carehandoffsign-outtransition in careweekend effect

Identifiers

PMID26646283
PMCPMC5898635

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.