Evidence map›Paper›PMID 30068720›Full record

ArticleCritical care nurse2018

Evaluation of User-Interface Alert Displays for Clinical Decision Support Systems for Sepsis.

Devida Long, Muge Capan, Susan Mascioli, Danielle Weldon, Ryan Arnold, Kristen Miller

Open access · greenAbstract read
In one paragraph

Article in Critical care nurse, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 9% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
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  11. Frontiers in human factors: embedding specialists in multi-disciplinary efforts to improve healthcare.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2021
    Article
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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 at 4 institutions in 1 country.

Devida LongDevida Long is a project coordinator, Childrens Hospital of Philadelphia, Philadelphia, Pennsylvania.
Muge CapanDevida Long is a project coordinator, Childrens Hospital of Philadelphia, Philadelphia, Pennsylvania.
Susan MascioliDevida Long is a project coordinator, Childrens Hospital of Philadelphia, Philadelphia, Pennsylvania.
Danielle WeldonDevida Long is a project coordinator, Childrens Hospital of Philadelphia, Philadelphia, Pennsylvania.
Ryan ArnoldDevida Long is a project coordinator, Childrens Hospital of Philadelphia, Philadelphia, Pennsylvania.
Kristen MillerDevida Long is a project coordinator, Childrens Hospital of Philadelphia, Philadelphia, Pennsylvania. kristen.e.miller@medstar.net.
Drexel University · USMedStar Health · USChildren's Hospital of Philadelphia · USChristiana Care Health System · US

Funding

Subproject Title: Clinical Research Education, Mentoring and Career Development CoreU54GM104941 · NIGMS · UNIVERSITY OF DELAWARE · PI Gregory E Hicks · 2013 to 2026
$60.5M
Duke University Molecular Imaging CenterR24CA092656 · NCI · DUKE UNIVERSITY · PI JOHNSON, GEORGE ALLAN · 2001 to 2006
$3.7M
Small Animal Imaging Resource ProgramU24CA092656 · NCI · DUKE UNIVERSITY · PI JOHNSON, GEORGE ALLAN · 2007 to 2011
$2.2M
Signaling Sepsis: Developing a framework to optimize alert designR01LM012300 · NLM · MEDSTAR HEALTH RESEARCH INSTITUTE · PI MILLER, KRISTEN ELIZABETH · 2016 to 2020
$1.4M
NCI NIH HHS R24 CA092656NCI NIH HHS U24 CA092656NIGMS NIH HHS U54 GM104941NLM NIH HHS R01 LM012300
6 · The paper itself

Abstract

backgroundHospitals are increasingly turning to clinical decision support systems for sepsis, a life-threatening illness, to provide patient-specific assessments and recommendations to aid in evidence-based clinical decision-making. Lack of guidelines on how to present alerts has impeded optimization of alerts, specifically, effective ways to differentiate alerts while highlighting important pieces of information to create a universal standard for health care providers.

objectiveTo gain insight into clinical decision support systems-based alerts, specifically targeting nursing interventions for sepsis, with a focus on behaviors associated with and perceptions of alerts, as well as visual preferences.

methodsAn interactive survey to display a novel user interface for clinical decision support systems for sepsis was developed and then administered to members of the nursing staff.

resultsA total of 43 nurses participated in 2 interactive survey sessions. Participants preferred alerts that were based on an established treatment protocol, were presented in a pop-up format, and addressed the patient's clinical condition rather than regulatory guidelines.

conclusionsThe results can be used in future research to optimize electronic medical record alerting and clinical practice workflow to support the efficient, effective, and timely delivery of high-quality care to patients with sepsis. The research also may advance the knowledge base of what information health care providers want and need to improve the health and safety of their patients.

Indexed as

Clinical AlarmsAdultAgedAttitude of Health PersonnelCritical Care NursingDecision Support Systems, ClinicalEnvironmental MonitoringEvidence-Based NursingFemaleHumansMaleMiddle AgedNursing Staff, HospitalSepsisYoung Adult

Identifiers

PMID30068720
PMCPMC6080211
OpenAlexW2885840656

What OpenQuestion holds

Textmetadata
LicenceTDM
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.