Evidence map›Paper›PMID 30903660›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2019

Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm in the hospital.

Anuj K Dalal, Theresa Fuller, Pam Garabedian, Awatef Ergai, Corey Balint, David W Bates, James Benneyan

Abstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

18 citing papers in PubMed.

  1. Effect of digital tools to promote hospital quality and safety on adverse events after discharge.Journal of the American Medical Informatics Association : JAMIA · 2024
    Trial
  2. Review
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  5. Article
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  8. Artificial intelligence in the field of pharmacy practice: A literature review.Exploratory research in clinical and social pharmacy · 2023
    Review
  9. Article
  10. 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

7 authors.

Anuj K DalalBrigham and Women's Hospital, Boston, Massachusetts, USA.
Theresa FullerBrigham and Women's Hospital, Boston, Massachusetts, USA.
Pam GarabedianPartners HealthCare, Boston, Massachusetts, USA.
Awatef ErgaiHealthcare Systems Engineering Institute, Northeastern University, Boston, Massachusetts, USA.
Corey BalintHealthcare Systems Engineering Institute, Northeastern University, Boston, Massachusetts, USA.
David W BatesBrigham and Women's Hospital, Boston, Massachusetts, USA.
James BenneyanHealthcare Systems Engineering Institute, Northeastern University, Boston, Massachusetts, USA.

Funding

Making Acute Care More Patient-CenteredP30HS023535 · AHRQ · BRIGHAM AND WOMEN'S HOSPITAL · PI BATES, DAVID W., MD,MSC · 2014 to 2017
$3.9M
AHRQ HHS P30 HS023535
6 · The paper itself

Abstract

We established a Patient Safety Learning Laboratory comprising 2 core and 3 individual project teams to introduce a suite of digital health tools integrated with our electronic health record to identify, assess, and mitigate threats to patient safety in real time. One of the core teams employed systems engineering (SE) and human factors (HF) methods to analyze problems, design and develop improvements to intervention components, support implementation, and evaluate the system of systems as an integrated whole. Of the 29 participants, 19 and 16 participated in surveys and focus groups, respectively, about their perception of SE and HF. We identified 7 themes regarding use of the 12 SE and HF methods over the 4-year project. Qualitative methods (interviews, focus, groups, observations, usability testing) were most frequently used, typically by individual project teams, and generated the most insight. Quantitative methods (failure mode and effects analysis, simulation modeling) typically were used by the SE and HF core team but generated variable insight. A decentralized project structure led to challenges using these SE and HF methods at the project and systems level. We offer recommendations and insights for using SE and HF to support digital health patient safety initiatives.

Indexed as

Electronic Health RecordsErgonomicsPatient SafetyAdultFemaleFocus GroupsHealth Care SurveysHumansMaleMedical InformaticsOrganizational Case StudiesStaff Developmenthealth information technologyinnovation sciencepatient safetyquality improvement

Identifiers

PMID30903660
PMCPMC7647327

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.