Characterizing the Utilization of the Problem List for Pediatric Trauma Care.

Ashimiyu B Durojaiye, Nicolette McGerorge, Webster Kristen, Cagla Oruc, James C Fackler, Ayse P Gurses

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 1 paper.

0numbers the graph read from it

0cells of the map it votes in

1citing 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

1 citing paper in PubMed.

Current state of electronic problems lists in primary care: a rapid scoping review.Family practice · 2026
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.

Ashimiyu B DurojaiyeDivision of Health Sciences Informatics, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Nicolette McGerorgeArmstrong Institute for Patient Safety and Quality, Johns Hopkins Medicine, Baltimore, MD, USA.

Webster KristenArmstrong Institute for Patient Safety and Quality, Johns Hopkins Medicine, Baltimore, MD, USA.

Cagla OrucArmstrong Institute for Patient Safety and Quality, Johns Hopkins Medicine, Baltimore, MD, USA.

James C FacklerDepartment of Pediatric Anesthesiology and Critical Care Medicine; Department of Pediatrics, Johns Hopkins University, School of Medicine, Baltimore, MD, USA.

Ayse P GursesDivision of Health Sciences Informatics, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Funding

Care Transitions and Teamwork in Pediatric Trauma: Implications for HIT DesignR01HS023837 · AHRQ · JOHNS HOPKINS UNIVERSITY · PI GURSES, AYSE PINAR · 2015 to 2019

$2.5M

AHRQ HHS R01 HS023837

6 · The paper itself

Abstract

The EHR problem list has the potential to support care coordination among the multidisciplinary care team that cares for pediatric trauma patients. To realize this potential, the need exists to ensure appropriate utilization by formulating acceptable usage and management policy. In this regard, understanding the prevailing utilization pattern is pivotal. To this end, we analyzed EHR in tandem with trauma registry data at a Level I pediatric trauma center. Almost all (97.8%) of the actions executed on the problem list were addition of items. Among the 517 patient encounters in the cohort, 263 (48.9%) encounters involving sicker patients had at least one problem list item added, mostly within the first 4 hours of arrival, while in the emergency department, and by providers in the service of record. This represents a foundation to build upon. Subsequent research will explore completeness, accuracy, and the impact of the utilization on patient outcomes.

Indexed as

Electronic Health RecordsMedical Records, Problem-OrientedPediatricsTraumatologyChildChild, PreschoolEmergency Service, HospitalFemaleHumansMaleRegistriesTrauma Centers

Identifiers

PMID30815080

PMCPMC6371241

What OpenQuestion holds

Textmetadata

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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.