Evidence map›Paper›PMID 30815055›Full record

ArticleAMIA ... Annual Symposium proceedings. AMIA Symposium2018

Process Driven Guidance for Complex Surgical Procedures.

George S Avrunin, Stefan C Christov, Lori A Clarke, Heather M Conboy, Leon J Osterweil, Marco A Zenati

Abstract read
In one paragraph

Article in AMIA ... Annual Symposium proceedings. AMIA Symposium, 2018. 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
–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

5 citing papers in PubMed.

  1. Article
  2. Digital Cognitive Aids to Support Adaptation of Surgical Processes to COVID-19 Protective Policies.IEEE Conference on Cognitive and Computational Aspects of Situation Management (CogSIMA) · 2020
    Article
  3. Checklist Design Reconsidered: Understanding Checklist Compliance and Timing of Interactions.Proceedings of the SIGCHI conference on human factors in computing systems. CHI Conference · 2020
    Article
  4. Review
  5. A Coding Framework for Usability Evaluation of Digital Health Technologies.Human-Computer Interaction. Theoretical Approaches and Design Methods : Thematic Area, HCI 2022, Held as Part of the 24th HCI International Conference, HCII 2022, Virtual Event, June 26-July 1, 2022, Proceedings, Part I
    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.

George S AvruninUniversity of Massachusetts, Amherst, MA, USA.
Stefan C ChristovQuinnipiac University, Hamden, CT, USA.
Lori A ClarkeUniversity of Massachusetts, Amherst, MA, USA.
Heather M ConboyUniversity of Massachusetts, Amherst, MA, USA.
Leon J OsterweilUniversity of Massachusetts, Amherst, MA, USA.
Marco A ZenatiHarvard Medical School, Boston, MA, USA.

Funding

Developing Standardized Intraoperative Process Models to Enhance Surgical SafetyR01HL126896 · NHLBI · HARVARD MEDICAL SCHOOL · PI ZENATI, MARCO A. · 2016 to 2023
$3.7M
NHLBI NIH HHS R01 HL126896
6 · The paper itself

Abstract

Surgical team processes are known to be complex and error prone. This paper describes an approach that uses a detailed, validated model of a medical process to provide the clinicians who carry out that complex process with offline and online guidance to help reduce errors. Offline guidance is in the form of a hypertext document describing all the ways the process can be carried out. Online guidance is in the form of a context-sensitive and continually updated electronic "checklist" that lists next steps and needed resources, as well as completed steps. In earlier work, we focused on providing such guidance for single-clinician or single-team processes. This paper describes guiding the collaboration of multiple teams of clinicians through complex processes with significant concurrency, complicated exception handling, and precise and timely communication. We illustrate this approach by applying it to a highly complex, high risk subprocess of cardiac surgery.

Indexed as

Cardiac Surgical ProceduresChecklistCommunicationHumansMedical ErrorsMedical Records Systems, ComputerizedModels, OrganizationalOperating RoomsSurgery, Computer-Assisted

Identifiers

PMID30815055
PMCPMC6371362

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.