Evidence map›Paper›PMID 27821600›Full record

ArticleBMJ open2016

Study protocol for a framework analysis using video review to identify latent safety threats: trauma resuscitation using in situ simulation team training (TRUST).

Mark Fan, Andrew Petrosoniak, Sonia Pinkney, Christopher Hicks, Kari White, Ana Paula Siquiera Silva Almeida, Douglas Campbell, Melissa McGowan, Alice Gray, Patricia Trbovich

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.7field-weighted citation impact, top 7% of its field
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

19 citing papers in PubMed, 45 citations in OpenAlex.

  1. Article
  2. Article
  3. Introducing the Safety Threats and Adverse events in Trauma (STAT) taxonomy: standardized classification system for evaluating safety during trauma resuscitation.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
    Article
  4. Article
  5. Article
  6. Tools for the investigation of adverse events: scoping review.Revista da Escola de Enfermagem da U S P · 2022
    Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Interaction patterns of trauma providers are associated with length of stay.Journal of the American Medical Informatics Association : JAMIA · 2018
    Article
  19. 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

10 authors at 3 institutions in 2 countries.

Mark FanResearch and Innovation, North York General Hospital, Toronto, Ontario, Canada.ORCID 0000-0001-8194-6794
Andrew PetrosoniakDepartment of Emergency Medicine, St Michael's Hospital, Toronto, Ontario, Canada.
Sonia PinkneyHumanEra, University Health Network, Toronto, Ontario, Canada.
Christopher HicksDepartment of Emergency Medicine, St Michael's Hospital, Toronto, Ontario, Canada.
Kari WhiteAllan Waters Family Simulation Centre, St Michael's Hospital, Toronto, Ontario, Canada.
Ana Paula Siquiera Silva AlmeidaHuman Factors and Usability Laboratory, Universidade Federal de Itajubá, Itajubá, Brazil.
Douglas CampbellAllan Waters Family Simulation Centre, St Michael's Hospital, Toronto, Ontario, Canada.
Melissa McGowanDepartment of Emergency Medicine, St Michael's Hospital, Toronto, Ontario, Canada.
Alice GrayDepartment of Emergency Medicine, St Michael's Hospital, Toronto, Ontario, Canada.
Patricia TrbovichResearch and Innovation, North York General Hospital, Toronto, Ontario, Canada.
St. Michael's Hospital · CAUniversity Health Network · CAUniversidade Federal de Itajubá · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionErrors in trauma resuscitation are common and have been attributed to breakdowns in the coordination of system elements (eg, tools/technology, physical environment and layout, individual skills/knowledge, team interaction). These breakdowns are triggered by unique circumstances and may go unrecognised by trauma team members or hospital administrators; they can be described as latent safety threats (LSTs). Retrospective approaches to identifying LSTs (ie, after they occur) are likely to be incomplete and prone to bias. To date, prospective studies have not used video review as the primary mechanism to identify any and all LSTs in trauma resuscitation. METHODS AND ANALYSIS: A series of 12 unannounced in situ simulations (ISS) will be conducted to prospectively identify LSTs at a level 1 Canadian trauma centre (over 800 dedicated trauma team activations annually). 4 scenarios have already been designed as part of this protocol based on 5 recurring themes found in the hospital's mortality and morbidity process. The actual trauma team will be activated to participate in the study. Each simulation will be audio/video recorded from 4 different camera angles and transcribed to conduct a framework analysis. Video reviewers will code the videos deductively based on a priori themes of LSTs identified from the literature, and/or inductively based on the events occurring in the simulation. LSTs will be prioritised to target interventions in future work. ETHICS AND DISSEMINATION: Institutional research ethics approval has been acquired (SMH REB #15-046). Results will be published in peer-reviewed journals and presented at relevant conferences. Findings will also be presented to key institutional stakeholders to inform mitigation strategies for improved patient safety.

Indexed as

Patient SafetySimulation TrainingVideo RecordingClinical CompetenceCommunicationHumansInservice TrainingMedical ErrorsProspective StudiesResuscitationRisk ManagementHUMAN FACTORSMEDICAL EDUCATION & TRAININGQUALITATIVE RESEARCHTRAUMA MANAGEMENT

Identifiers

PMID27821600
PMCPMC5128995
OpenAlexW2550521944

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.