Evidence map›Paper›PMID 28075698›Full record

ArticlePopulation health management2017

Older Adults and Management of Medical Devices in the Home: Five Requirements for Appropriate Use.

Sara C Keller, Ayse P Gurses, Nicole Werner, Dawn Hohl, Ashley Hughes, Bruce Leff, Alicia I Arbaje

Abstract read
In one paragraph

Article in Population health management, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Observational
  6. Article
  7. Article
  8. Human factors/ergonomics work system analysis of patient work: state of the science and future directions.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2021
    Review
  9. Article
  10. Article
  11. Article
  12. Keeping Track of DME Utilization-Lessons Learned.Journal for healthcare quality : official publication of the National Association for Healthcare Quality
    Article
  13. Article
  14. It's Complicated: Patient and Informal Caregiver Performance of Outpatient Parenteral Antimicrobial Therapy-Related Tasks.American journal of medical quality : the official journal of the American College of Medical 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

7 authors.

Sara C Keller1 Division of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine , Baltimore, Maryland.
Ayse P Gurses2 Armstrong Institute of Patient Safety and Quality, Johns Hopkins University School of Medicine , Baltimore, Maryland.
Nicole Werner3 Living Environments Laboratory, Department of Industrial and Systems Engineering, Center for Quality and Productivity Improvement, College of Engineering, Wisconsin Institutes for Discovery, University of Wisconsin-Madison , Madison, Wisconsin.
Dawn Hohl5 Johns Hopkins Home Care Group , Baltimore, Maryland.
Ashley Hughes6 Division of Geriatric Medicine, Department of Medicine, Johns Hopkins University School of Medicine , Baltimore, Maryland.
Bruce Leff6 Division of Geriatric Medicine, Department of Medicine, Johns Hopkins University School of Medicine , Baltimore, Maryland.
Alicia I Arbaje6 Division of Geriatric Medicine, Department of Medicine, Johns Hopkins University School of Medicine , Baltimore, Maryland.

Funding

Institute for Clinical and Translational ResearchUL1TR001079 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2013 to 2017
$60.1M
Institute for Clinical and Translational ResearchKL2TR001077 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2013 to 2017
$9.2M
Older adult safety while receiving home health services after hospital dischargeK08HS022916 · AHRQ · JOHNS HOPKINS UNIVERSITY · PI ARBAJE, ALICIA INES · 2014 to 2018
$785k
AHRQ HHS K08 HS022916NCATS NIH HHS KL2 TR001077NCATS NIH HHS UL1 TR001079
6 · The paper itself

Abstract

Medical devices, or instruments or tools to manage disease, are increasingly used in the home, yet there have been limited evaluations of how older adults and caregivers safely use these devices. This study concerns a qualitative evaluation of (1) barriers and facilitators of appropriate use, and (2) outcomes of inappropriate use, among older adults at the transition from hospital to home with skilled home health care (SHHC). Guided by a human factors engineering work system model, the authors (1) conducted direct observations with contextual inquiry of the start-of-care or resumption-of-care SHHC provider visit, and (2) semi-structured interviews with 24 older adults and their informal caregivers, and 39 SHHC providers and administrators. Five requirements for the appropriate use of home medical devices were identified. A systems approach integrating the hospital with the SHHC agency is needed to make the use of home medical devices safer.

Indexed as

CaregiversErgonomicsAgedEquipment and SuppliesFemaleHome NursingHumansMalePatient SafetyQualitative Researchelderlygeriatricshome healthhospital dischargehuman factorsmedical devices

Identifiers

PMID28075698
PMCPMC5564000

What OpenQuestion holds

Textmetadata
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.