Evidence map›Paper›PMID 32174347›Full record

ArticleApplied ergonomics2020

Work system barriers and facilitators in inpatient care transitions of pediatric trauma patients.

Abigail R Wooldridge, Pascale Carayon, Peter Hoonakker, Bat-Zion Hose, Benjamin Eithun, Thomas Brazelton, Joshua Ross, Jonathan E Kohler, Michelle M Kelly, Shannon M Dean and 2 more

Abstract read
In one paragraph

Article in Applied ergonomics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
–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

28 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
  6. Review
  7. Observational
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. An Exploratory Study to Evaluate the Technological Barriers and Facilitators for Pediatric Behavioral Healthcare in Emergency Departments.Proceedings of the Human Factors and Ergonomics Society ... Annual Meeting. Human Factors and Ergonomics Society. Annual meeting · 2023
    Article
  14. Article
  15. Situation Awareness-Oriented Dashboard in ICUs in Support of Resource Management in Time of Pandemics.IEEE journal of translational engineering in health and medicine · 2023
    Article
  16. Article
  17. Article
  18. Systematic Approach for Comparing Team-based Care Processes.Proceedings of the Human Factors and Ergonomics Society ... Annual Meeting. Human Factors and Ergonomics Society. Annual meeting · 2022
    Article
  19. Article
  20. Adoption of a Data-Driven Bayesian Belief Network Investigating Organizational Factors that Influence Patient Safety.Risk analysis : an official publication of the Society for Risk Analysis · 2022
    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

12 authors.

Abigail R WooldridgeDepartment of Industrial and Enterprise Systems Engineering, University of Illinois at Urbana-Champaign, Urbana, IL, USA. Electronic address: arwool@illinois.edu.
Pascale CarayonDepartment of Industrial and Systems Engineering, University of Wisconsin-Madison, Madison, WI, USA; Wisconsin Institute for Healthcare Systems Engineering, University of Wisconsin-Madison, Madison, WI, USA.
Peter HoonakkerWisconsin Institute for Healthcare Systems Engineering, University of Wisconsin-Madison, Madison, WI, USA.
Bat-Zion HoseDepartment of Industrial and Systems Engineering, University of Wisconsin-Madison, Madison, WI, USA; Wisconsin Institute for Healthcare Systems Engineering, University of Wisconsin-Madison, Madison, WI, USA.
Benjamin EithunAmerican Family Children's Hospital, University of Wisconsin School of Medicine and Public Health, School of Nursing, University of Wisconsin-Madison, Madison, WI, USA.
Thomas BrazeltonDepartment of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Joshua RossDepartment of Emergency Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Jonathan E KohlerDepartment of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Michelle M KellyWisconsin Institute for Healthcare Systems Engineering, University of Wisconsin-Madison, Madison, WI, USA; Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Shannon M DeanDepartment of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Deborah RusyDepartment of Anesthesiology, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Ayse P GursesCenter for Health Care Human Factors, Armstrong Institute for Patient Safety and Quality, Johns Hopkins University, Baltimore, MD, USA; Division of Health Sciences Informatics, School of Medicine, Johns Hopkins University, Baltimore, MD, USA; Bloomberg School of Public Health and Whiting School of Engineering, Johns Hopkins University, Baltimore, MD, USA.

Funding

University of Wisconsin Institute for Clinical and Translational ResearchUL1TR002373 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI ELIZABETH S BURNSIDE, Allan R. Brasier · 2017 to 2026
$75.9M
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 HS023837NCATS NIH HHS UL1 TR002373
6 · The paper itself

Abstract

Hospital-based care of pediatric trauma patients includes transitions between units that are critical for quality of care and patient safety. Using a macroergonomics approach, we identify work system barriers and facilitators in care transitions. We interviewed eighteen healthcare professionals involved in transitions from emergency department (ED) to operating room (OR), OR to pediatric intensive care unit (PICU) and ED to PICU. We applied the Systems Engineering Initiative for Patient Safety (SEIPS) process modeling method and identified nine dimensions of barriers and facilitators - anticipation, ED decision making, interacting with family, physical environment, role ambiguity, staffing/resources, team cognition, technology and characteristic of trauma care. For example, handoffs involving all healthcare professionals in the OR to PICU transition created a shared understanding of the patient, but sometimes included distractions. Understanding barriers and facilitators can guide future improvements, e.g., designing a team display to support team cognition of healthcare professionals in the care transitions.

Indexed as

ErgonomicsSystems AnalysisChildEmergency Service, HospitalFemaleHealth PersonnelHumansIntensive Care Units, PediatricMaleOperating RoomsPatient Care TeamPatient TransferWorkflowMacroergonomicsPediatric trauma care transitionsSEIPS

Identifiers

PMID32174347
PMCPMC7309517

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.