Evidence map›Paper›PMID 30281551›Full record

Observational studyPediatric emergency care2019

A Time-and-Motion Study of Clinical Trial Eligibility Screening in a Pediatric Emergency Department.

Judith W Dexheimer, Huaxiu Tang, Andrea Kachelmeyer, Melanie Hounchell, Stephanie Kennebeck, Imre Solti, Yizhao Ni

Open access · greenAbstract readComparative StudyObservational Study
In one paragraph

Observational study in Pediatric emergency care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.5field-weighted citation impact, top 28% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

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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

7 authors at 2 institutions in 1 country.

Judith W DexheimerFrom the Division of Emergency Medicine.
Huaxiu TangDepartment of Biomedical Informatics.
Andrea KachelmeyerFrom the Division of Emergency Medicine.
Melanie HounchellUniversity of Cincinnati, Cincinnati, OH.
Stephanie KennebeckFrom the Division of Emergency Medicine.
Imre SoltiDepartment of Biomedical Informatics.
Yizhao NiDepartment of Biomedical Informatics.
Cincinnati Children's Hospital Medical Center · USUniversity of Cincinnati · US

Funding

Better Outcomes for Children: Promoting Excellence in Healthcare Genomics to Inform PolicyU01HG008666 · NHGRI · CINCINNATI CHILDRENS HOSP MED CTR · PI HARLEY, JOHN BARKER · 2015 to 2019
$4.2M
Improving Intensive Care Medication Safety through EHR-basedAlgorithms.R01LM012230 · NLM · CINCINNATI CHILDRENS HOSP MED CTR · PI KIRKENDALL, ERIC STEVEN, MELTON, KRISTIN · 2015 to 2018
$1.4M
Increasing Clinical Trial Enrollment: A Semi-Automated Patient Centered ApproachR00LM010227 · NLM · CINCINNATI CHILDRENS HOSP MED CTR · PI SOLTI, IMRE · 2010 to 2012
$727k
NHGRI NIH HHS U01 HG008666NLM NIH HHS R00 LM010227NLM NIH HHS R01 LM012230
6 · The paper itself

Abstract

objectiveChallenges with efficient patient recruitment including sociotechnical barriers for clinical trials are major barriers to the timely and efficacious conduct of translational studies. We conducted a time-and-motion study to investigate the workflow of clinical trial enrollment in a pediatric emergency department.

methodsWe observed clinical research coordinators during 3 clinically staffed shifts. One clinical research coordinator was shadowed at a time. Tasks were marked in 30-second intervals and annotated to include patient screening, patient contact, performing procedures, and physician contact. Statistical analysis was conducted on the patient enrollment activities.

resultsWe conducted fifteen 120-minute observations from December 12, 2013, to January 3, 2014 and shadowed 8 clinical research coordinators. Patient screening took 31.62% of their time, patient contact took 18.67%, performing procedures took 17.6%, physician contact was 1%, and other activities took 31.0%.

conclusionsScreening patients for eligibility constituted the most time. Automated screening methods could help reduce this time. The findings suggest improvement areas in recruitment planning to increase the efficiency of clinical trial enrollment.

Indexed as

ChildClinical Trials as TopicEligibility DeterminationEmergency Service, HospitalHumansMass ScreeningPatient SelectionProspective StudiesResearch DesignTime and Motion StudiesWorkflow

Identifiers

PMID30281551
PMCPMC6445787
OpenAlexW2897733929

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.