Evidence map›Paper›PMID 29271801›Full record

ArticleJournal for healthcare quality : official publication of the National Association for Healthcare Quality

Simulation of the Emergency Department Care Process for Pediatric Traumatic Brain Injury.

Ali Ajdari, Linda Ng Boyle, Nithya Kannan, Jin Wang, Frederick P Rivara, Monica S Vavilala

Abstract read
In one paragraph

Article in Journal for healthcare quality : official publication of the National Association for Healthcare Quality. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Methodological Approaches to Support Process Improvement in Emergency Departments: A Systematic Review.International journal of environmental research and public health · 2020
    Pooled it
  2. 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

6 authors.

Ali Ajdari
Linda Ng Boyle
Nithya Kannan
Jin Wang
Frederick P Rivara
Monica S Vavilala

Funding

Implementation Science to Increase Use of Evidence Based Pediatric Brain Injury GR01NS072308 · NINDS · UNIVERSITY OF WASHINGTON · PI VAVILALA, MONICA S · 2010 to 2014
$2.6M
NINDS NIH HHS R01 NS072308
6 · The paper itself

Abstract

The treatment of patients in the emergency department (ED) with severe pediatric traumatic brain injury (TBI) is challenging, and treatment process strategies that facilitate good outcomes are not well documented. The overall objective of this study was to identify factors that can affect the care process associated with pediatric TBI. This objective was achieved using a discrete-event simulation model of patients with TBI as they progress through the ED treatment process of a Level I trauma center. This model was used to identify areas where the ED length of stay can be reduced. The number of patients arriving at any given time was also varied in the simulation model to observe the impact to bed allocation policies and changes in staff and equipment. The findings showed that implementing changes in the ED (i.e., availability of two computerized tomography scanners, formation of resuscitation teams that included eight staff personnel, and modifying the bed allocation policy) could result in a 17% reduction in the mean ED length of stay. The study outcomes would be of interest to those (e.g., health administrators, health managers, and physicians) who can make decisions related to the treatment process in an ED.

Indexed as

Practice Guidelines as TopicAdolescentBrain Injuries, TraumaticChildChild, PreschoolEmergency Medical ServicesFemaleGlasgow Coma ScaleHospitals, PediatricHumansInfantInfant, NewbornMaleTrauma CentersUnited States

Identifiers

PMID29271801
PMCPMC5839933

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.