ArticleJournal of the American Medical Informatics Association : JAMIA2018
Interaction patterns of trauma providers are associated with length of stay.
Article in Journal of the American Medical Informatics Association : JAMIA, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
What it found
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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
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Using electronic health record audit logs to study clinical activity: a systematic review of aims, measures, and methods.Journal of the American Medical Informatics Association : JAMIA · 2020Pooled it
- Algorithmic Identification of the Daily Primary Frontline Clinician during Inpatient Medicine Encounters Using EHR Audit Log Data.Applied clinical informatics · 2026Article
- Adherence to local rotational thromboelastometry recommendations in the care of trauma patients: A retrospective cohort study.Transfusion · 2025Article
- Reimagining clinical AI: from clickstreams to clinical insights with EHR use metadata.npj health systems · 2025Review
- Familiarity Among Nurses: The Key to ICU Patient Outcomes?American journal of respiratory and critical care medicine · 2023Article
- Assessing Intrahospital Care Transition Structures Before and During the COVID-19 Pandemic: Network Analysis Study.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2023Article
- Team is brain: leveraging EHR audit log data for new insights into acute care processes.Journal of the American Medical Informatics Association : JAMIA · 2022Article
- Characterizing intensive care unit rounding teams using meta-data from the electronic health record.Journal of critical care · 2022Article
- Measuring and Maximizing Undivided Attention in the Context of Electronic Health Records.Applied clinical informatics · 2022Article
- Perioperative Care Structures and Non-Routine Events: Network Analysis.Studies in health technology and informatics · 2022Article
- Inferring EHR Utilization Workflows through Audit Logs.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2022Article
- Assessing Neonatal Intensive Care Unit Structures and Outcomes Before and During the COVID-19 Pandemic: Network Analysis Study.Journal of medical Internet research · 2021Article
- Measuring Collaboration Through Concurrent Electronic Health Record Usage: Network Analysis Study.JMIR medical informatics · 2021Article
- Mining tasks and task characteristics from electronic health record audit logs with unsupervised machine learning.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- Collaboration Structures in COVID-19 Critical Care: Retrospective Network Analysis Study.JMIR human factors · 2021Article
- An electronic health record (EHR) log analysis shows limited clinician engagement with unsolicited genetic test results.JAMIA open · 2021Article
- Context is Key: Using the Audit Log to Capture Contextual Factors Affecting Stroke Care Processes.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2020Article
- Provider Networks in the Neonatal Intensive Care Unit Associate with Length of Stay.... IEEE Conference on Collaboration and Internet Computing. IEEE Conference on Collaboration and Internet Computing · 2019Article
- Modeling Care Team Structures in the Neonatal Intensive Care Unit through Network Analysis of EHR Audit Logs.Methods of information in medicine · 2019Article
- Evaluating the Scope of Clinical Electronic Messaging to Coordinate Care in a Breast Cancer Cohort.Studies in health technology and informatics · 2019Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
Background: Trauma-related hospitalizations drive a high percentage of health care expenditure and inpatient resource consumption, which is directly related to length of stay (LOS). Robust and reliable interactions among health care employees can reduce LOS. However, there is little known about whether certain patterns of interactions exist and how they relate to LOS and its variability. The objective of this study is to learn interaction patterns and quantify the relationship to LOS within a mature trauma system and long-standing electronic medical record (EMR). Methods: We adapted a spectral co-clustering methodology to infer the interaction patterns of health care employees based on the EMR of 5588 hospitalized adult trauma survivors. The relationship between interaction patterns and LOS was assessed via a negative binomial regression model. We further assessed the influence of potential confounders by age, number of health care encounters to date, number of access action types care providers committed to patient EMRs, month of admission, phenome-wide association study codes, procedure codes, and insurance status. Results: Three types of interaction patterns were discovered. The first pattern exhibited the most collaboration between employees and was associated with the shortest LOS. Compared to this pattern, LOS for the second and third patterns was 0.61 days (P = 0.014) and 0.43 days (P = 0.037) longer, respectively. Although the 3 interaction patterns dealt with different numbers of patients in each admission month, our results suggest that care was provided for similar patients. Discussion: The results of this study indicate there is an association between LOS and the extent to which health care employees interact in the care of an injured patient. The findings further suggest that there is merit in ascertaining the content of these interactions and the factors that induce these differences in interaction patterns within a trauma system.
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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.