ArticleJournal of hospital medicine2016
Piloting electronic medical record-based early detection of inpatient deterioration in community hospitals.
Article in Journal of hospital medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
46 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Systematic review and longitudinal analysis of implementing Artificial Intelligence to predict clinical deterioration in adult hospitals: what is known and what remains uncertain.Journal of the American Medical Informatics Association : JAMIA · 2024Pooled it
- Artificial Intelligence Applications for COVID-19 in Intensive Care and Emergency Settings: A Systematic Review.International journal of environmental research and public health · 2021Pooled it
- From promise to practice: digital health through the lens of neonatal care.Lancet regional health. Americas · 2026Review
- Derivation and validation of a prediction model for primary and recurrentAntimicrobial stewardship & healthcare epidemiology : ASHE · 2026Article
- Comparison of Multimodal Deep Learning Approaches for Predicting Clinical Deterioration in Ward Patients: Observational Cohort Study.Journal of medical Internet research · 2025Observational
- Machine Learning Models for the Early Real-Time Prediction of Deterioration in Intensive Care Units-A Novel Approach to the Early Identification of High-Risk Patients.Journal of clinical medicine · 2025Article
- Bibliometric analysis of scientific research on early obstetric warning system.Journal of education and health promotion · 2025Review
- Video-Assisted vs Robotic-Assisted Lung Lobectomies for Operating Room Resource Utilization and Patient Outcomes.JAMA network open · 2024Article
- Enhancing the prediction for shunt-dependent hydrocephalus after aneurysmal subarachnoid hemorrhage using a machine learning approach.Neurosurgical review · 2023Article
- Use of an electronic medical record to optimize a neonatal sepsis score for mortality prediction.Journal of perinatology : official journal of the California Perinatal Association · 2023Article
- Artificial Intelligence in Dermatology: Challenges and Perspectives.Dermatology and therapy · 2022Article
- Explainable machine learning for real-time deterioration alert prediction to guide pre-emptive treatment.Scientific reports · 2022Article
- The role of machine learning in HIV risk prediction.Frontiers in reproductive health · 2022Article
- Incorporating a real-time automatic alerting system based on electronic medical records could improve rapid response systems: a retrospective cohort study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2021Article
- Predicting Patient Deterioration: A Review of Tools in the Digital Hospital Setting.Journal of medical Internet research · 2021Review
- Predictive accuracy of enhanced versions of the on-admission National Early Warning Score in estimating the risk of COVID-19 for unplanned admission to hospital: a retrospective development and validation study.BMC health services research · 2021Article
- Evaluation of an intervention targeted with predictive analytics to prevent readmissions in an integrated health system: observational study.BMJ (Clinical research ed.) · 2021Observational
- Socially situated risk: challenges and strategies for implementing algorithmic risk scoring for care management.JAMIA open · 2021Article
- A framework for making predictive models useful in practice.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- Internet-Based Individualized Cognitive Behavioral Therapy for Shift Work Sleep Disorder Empowered by Well-Being Prediction: Protocol for a Pilot Study.JMIR research protocols · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
Abstract
Patients who deteriorate in the hospital outside the intensive care unit (ICU) have higher mortality and morbidity than those admitted directly to the ICU. As more hospitals deploy comprehensive inpatient electronic medical records (EMRs), attempts to support rapid response teams with automated early detection systems are becoming more frequent. We aimed to describe some of the technical and operational challenges involved in the deployment of an early detection system. This 2-hospital pilot, set within an integrated healthcare delivery system with 21 hospitals, had 2 objectives. First, it aimed to demonstrate that severity scores and probability estimates could be provided to hospitalists in real time. Second, it aimed to surface issues that would need to be addressed so that deployment of the early warning system could occur in all remaining hospitals. To achieve these objectives, we first established a rationale for the development of an early detection system through the analysis of risk-adjusted outcomes. We then demonstrated that EMR data could be employed to predict deteriorations. After addressing specific organizational mandates (eg, defining the clinical response to a probability estimate), we instantiated a set of equations into a Java application that transmits scores and probability estimates so that they are visible in a commercially available EMR every 6 hours. The pilot has been successful and deployment to the remaining hospitals has begun. Journal of Hospital Medicine 2016;11:S18-S24. © 2016 Society of Hospital Medicine.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.