Evidence map›Paper›PMID 31042807›Full record

ArticleApplied clinical informatics2019

Diffusing an Innovation: Clinician Perceptions of Continuous Predictive Analytics Monitoring in Intensive Care.

Rebecca R Kitzmiller, Ashley Vaughan, Angela Skeeles-Worley, Jessica Keim-Malpass, Tracey L Yap, Curt Lindberg, Susan Kennerly, Claire Mitchell, Robert Tai, Brynne A Sullivan and 2 more

Abstract read
In one paragraph

Article in Applied clinical informatics, 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.

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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

12 authors.

Rebecca R KitzmillerSchool of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States.
Ashley VaughanSchool of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States.
Angela Skeeles-WorleyCurry School of Education and Human Development, University of Virginia, Charlottesville, Virginia, United States.
Jessica Keim-MalpassSchool of Nursing, University of Virginia, Charlottesville, Virginia, United States.
Tracey L YapSchool of Nursing, Duke University, Durham, North Carolina, United States.
Curt LindbergBillings Clinic, Billings, Montana, United States.
Susan KennerlyCollege of Nursing, East Carolina University, Greenville, North Carolina¸ United States.
Claire MitchellCurry School of Education and Human Development, University of Virginia, Charlottesville, Virginia, United States.
Robert TaiCurry School of Education and Human Development, University of Virginia, Charlottesville, Virginia, United States.
Brynne A SullivanDivision of Neonatology, University of Virginia, Charlottesville, Virginia, United States.
Ruth AndersonSchool of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States.
Joseph R MoormanDepartments of Cardiology and Biomedical Engineering, University of Virginia, Charlottesville, Virginia, United States.

Funding

North Carolina Translational & Clinical Sciences Institute (NC TraCS)KL2TR001109 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, CAREY, TIMOTHY S · 2013 to 2017
$5.7M
NCATS NIH HHS KL2 TR001109
6 · The paper itself

Abstract

backgroundThe purpose of this article is to describe neonatal intensive care unit clinician perceptions of a continuous predictive analytics technology and how those perceptions influenced clinician adoption. Adopting and integrating new technology into care is notoriously slow and difficult; realizing expected gains remain a challenge.

methodsSemistructured interviews from a cross-section of neonatal physicians (

resultsResults suggest that the combination of physical location as well as lack of integration into work flow or methods of using data in care decisionmaking may have delayed clinicians from routinely paying attention to the data. Once data were routinely collected, documented, and reported during patient rounds and patient handoffs, clinicians came to view data as another vital sign. Through clinicians' observation of senior physicians and nurses, and ongoing dialogue about data trends and patient status, clinicians learned how to integrate these data in care decision making (e.g., differential diagnosis) and came to value the technology as beneficial to care delivery. DISCUSSION: The use of newly created predictive technologies that provide early warning of illness may require implementation strategies that acknowledge the risk-benefit of treatment clinicians must balance and take advantage of existing clinician training methods.

Indexed as

Attitude of Health PersonnelCritical CareInventionsMonitoring, PhysiologicPhysiciansHeart RateHumans

Identifiers

PMID31042807
PMCPMC6494616

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.