Evidence map›Paper›PMID 32980235›Full record

ArticleJournal of critical care2021

Referral communication for pediatric intensive care unit admission and the diagnosis of critically ill children: A pilot ethnography.

Christina L Cifra, Kimberly C Dukes, Brennan S Ayres, Kelsey A Calomino, Loreen A Herwaldt, Hardeep Singh, Heather Schacht Reisinger

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of critical care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04166240 (Measuring and Improving the Safety of Test Result Follow-Up), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT04166240 nacompletednot on this map

Measuring and Improving the Safety of Test Result Follow-Up

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2018 to 2023Enrolled46ConditionsLung Cancer, Breast Cancer, Colon Cancer, Bladder CancerArmsSAFER TRACKS Intervention
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. 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

7 authors.

Christina L CifraDivision of Pediatric Critical Care, Department of Pediatrics, University of Iowa Carver College of Medicine, 200 Hawkins Dr 8600-M JCP, Iowa City, IA 52242, USA. Electronic address: christina-cifra@uiowa.edu.
Kimberly C DukesInstitute for Clinical and Translational Science, University of Iowa 200 Hawkins Dr, Iowa City, IA 52242, USA; Iowa City Veterans Affairs Health Care System, 601 US-6 W Suite 42-1 VAMC, Iowa City, IA 52246, USA. Electronic address: kimberly-dukes@uiowa.edu.
Brennan S AyresDepartment of Industrial and Systems Engineering, University of Iowa College of Engineering 3100 Seamans Center for the Engineering Arts and Sciences, Iowa City, IA 52242, USA; Touro College of Osteopathic Medicine (present address), 230 W 125(th) St, New York, NY 10027, USA.
Kelsey A CalominoUniversity of Iowa College of Nursing, 50 Newton Rd, Iowa City, IA 52242, USA. Electronic address: kelsey-calomino@uiowa.edu.
Loreen A HerwaldtDepartment of Internal Medicine, University of Iowa Carver College of Medicine 200 Hawkins Dr, Iowa City, IA 52242, USA; Department of Epidemiology, University of Iowa College of Public Health 145 N Riverside Dr, Iowa City, IA 52242, USA. Electronic address: loreen-herwaldt@uiowa.edu.
Hardeep SinghCenter for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey eterans Affairs Medical Center and Baylor College of Medicine, 2002 Holcombe Blvd, Houston, TX 77030, USA. Electronic address: hardeeps@bcm.edu.
Heather Schacht ReisingerInstitute for Clinical and Translational Science, University of Iowa 200 Hawkins Dr, Iowa City, IA 52242, USA; Department of Internal Medicine, University of Iowa Carver College of Medicine 200 Hawkins Dr, Iowa City, IA 52242, USA; Iowa City Veterans Affairs Health Care System, 601 US-6 W Suite 42-1 VAMC, Iowa City, IA 52246, USA. Electronic address: heather-reisinger@uiowa.edu.

Funding

The University of Iowa Clinical and Translational Science AwardUL1TR002537 · NCATS · UNIVERSITY OF IOWA · PI HANSEN, MARLAN R, WINOKUR, PATRICIA · 2018 to 2022
$20.0M
Molecular and Cellular Research to Advance Childhood HealthK12HD027748 · NICHD · UNIVERSITY OF IOWA · PI ALEXANDER G BASSUK · 2002 to 2026
$9.2M
Application of a Machine Learning to Enhance e-Triggers to Detect and Learn from Diagnostic Safety EventsR01HS027363 · AHRQ · BAYLOR COLLEGE OF MEDICINE · PI SINGH, HARDEEP · 2019 to 2021
$1.5M
Understanding Referral Communication, the Diagnostic Process, and Diagnostic Error in Pediatric Critical CareK08HS026965 · AHRQ · UNIVERSITY OF IOWA · PI CIFRA, CHRISTINA LUZ L · 2020 to 2022
$440k
AHRQ HHS K08 HS026965AHRQ HHS R01 HS027363NCATS NIH HHS UL1 TR002537NICHD NIH HHS K12 HD027748
6 · The paper itself

Abstract

purposeThe effect of communication between referring and accepting clinicians during patient transitions to the pediatric intensive care unit (PICU) on diagnostic quality is largely unknown. This pilot study aims to determine the feasibility of using focused ethnography to understand the relationship between referral communication and the diagnostic process for critically ill children. MATERIALS AND

methodsWe conducted focused ethnography in an academic tertiary referral PICU by directly observing the referral and admission of 3 non-electively admitted children 0-17 years old. We also conducted 21 semi-structured interviews of their parents and admitting PICU staff (intensivists, fellows/residents, medical students, nurses, and respiratory therapists) and reviewed their medical records post-discharge.

resultsPerforming focused ethnography in a busy PICU is feasible. We identified three areas for additional exploration: (1) how information transfer affects the PICU diagnostic process; (2) how uncertainty in patient assessment affects the decision to transfer to the PICU; and (3) how the PICU team's expectations are influenced by referral communication.

conclusionsFocused ethnography in the PICU is feasible to investigate relationships between clinician referral communication and the diagnostic process for critically ill children.

Indexed as

AftercareCritical IllnessAdolescentAnthropology, CulturalChildChild, PreschoolCommunicationHumansInfantInfant, NewbornIntensive Care Units, PediatricPatient DischargePilot ProjectsReferral and ConsultationCommunicationCritical careDiagnosisDiagnostic errorEthnographyPediatrics

Identifiers

PMID32980235
PMCPMC7969466

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Registered trials

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.