Evidence map›Paper›PMID 32548627›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2020

Impact of integrated graphical display on expert and novice diagnostic performance in critical care.

Thomas J Reese, Guilherme Del Fiol, Joseph E Tonna, Kensaku Kawamoto, Noa Segall, Charlene Weir, Brekk C Macpherson, Polina Kukhareva, Melanie C Wright

Abstract readComparative Study
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Review
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

9 authors.

Thomas J ReeseDepartment of Biomedical Informatics, University of Utah School of Medicine, Salt Lake City, Utah, USA.
Guilherme Del FiolDepartment of Biomedical Informatics, University of Utah School of Medicine, Salt Lake City, Utah, USA.
Joseph E TonnaDivision of Emergency Medicine and Cardiothoracic Surgery, University of Utah School of Medicine, Salt Lake City, Utah, USA.
Kensaku KawamotoDepartment of Biomedical Informatics, University of Utah School of Medicine, Salt Lake City, Utah, USA.
Noa SegallDepartment of Anesthesiology, Duke University School of Medicine, Durham, North Carolina, USA.
Charlene WeirDepartment of Biomedical Informatics, University of Utah School of Medicine, Salt Lake City, Utah, USA.
Brekk C MacphersonSchool of Nursing, Virginia Commonwealth University, Richmond, Virginia, USA.
Polina KukharevaDepartment of Biomedical Informatics, University of Utah School of Medicine, Salt Lake City, Utah, USA.
Melanie C WrightCollege of Pharmacy, Idaho State University, Pocatello, Idaho, USA.

Funding

Utah Center for Clinical and Translational ScienceUL1TR002538 · NCATS · UNIVERSITY OF UTAH · PI HESS, RACHEL, MAJERSIK, JENNIFER JUHL · 2018 to 2022
$26.0M
UNIVERSITY OF UTAH MEDICAL INFORMATICS TRAININGT15LM007124 · NLM · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI Karen Louise Eilbeck · 1997 to 2026
$22.0M
University of Utah Center for Clinical and Translational ScienceUL1TR001067 · NCATS · UNIVERSITY OF UTAH · PI DERE, WILLARD H., HESS, RACHEL · 2013 to 2017
$19.8M
Right Place, Right Time: Information Design to Support Decisions in Acute CareR56LM011925 · NLM · SAINT ALPHONSUS REGIONAL MEDICAL CENTER · PI WRIGHT, MELANIE C · 2015 to 2016
$544k
NCATS NIH HHS UL1 TR001067NCATS NIH HHS UL1 TR002538NLM NIH HHS R56 LM011925NLM NIH HHS T15 LM007124
6 · The paper itself

Abstract

objectiveTo determine the impact of a graphical information display on diagnosing circulatory shock. MATERIALS AND

methodsThis was an experimental study comparing integrated and conventional information displays. Participants were intensivists or critical care fellows (experts) and first-year medical residents (novices).

resultsThe integrated display was associated with higher performance (87% vs 82%; P < .001), less time (2.9 vs 3.5 min; P = .008), and more accurate etiology (67% vs 54%; P = .048) compared to the conventional display. When stratified by experience, novice physicians using the integrated display had higher performance (86% vs 69%; P < .001), less time (2.9 vs 3.7 min; P = .03), and more accurate etiology (65% vs 42%; P = .02); expert physicians using the integrated display had nonsignificantly improved performance (87% vs 82%; P = .09), time (2.9 vs 3.3; P = .28), and etiology (69% vs 67%; P = .81). DISCUSSION: The integrated display appeared to support efficient information processing, which resulted in more rapid and accurate circulatory shock diagnosis. Evidence more strongly supported a difference for novices, suggesting that graphical displays may help reduce expert-novice performance gaps.

Indexed as

Computer GraphicsCritical CareAttitude of Health PersonnelData DisplayHumansMethodsPhysiciansShockcirculatory shockcritical careexpertinformation displaynovicephysician

Identifiers

PMID32548627
PMCPMC7481028

What OpenQuestion holds

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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.