Evidence map›Paper›PMID 33249690›Full record

ArticleJournal of evaluation in clinical practice2021

Classification strategies for non-routine events occurring in high-risk patient care settings: A scoping review.

Emily C Alberto, Swathi Jagannath, Maureen E McCusker, Susan Keller, Ivan Marsic, Aleksandra Sarcevic, Karen J O'Connell, Randall S Burd

Abstract readScoping Review
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of evaluation in clinical practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Time is tissue: Barriers to timely transfusion after pediatric injury.The journal of trauma and acute care surgery · 2023
    Review
  4. Perioperative Care Structures and Non-Routine Events: Network Analysis.Studies in health technology and informatics · 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

8 authors.

Emily C AlbertoDivision of Trauma and Burns, Children's National Hospital, Washington, District of Columbia, USA.ORCID https://orcid.org/0000-0002-7187-9230
Swathi JagannathCollege of Computing and Informatics, Drexel University, Philadelphia, Pennsylvania, USA.
Maureen E McCuskerOffice of Institutional Research and Decision Support, Virginia Commonwealth University, Richmond, Virginia, USA.
Susan KellerDepartment of Nursing Science Professional Practice and Quality, Children's National Hospital, Washington, District of Columbia, USA.ORCID https://orcid.org/0000-0001-6773-4496
Ivan MarsicDepartment of Electrical and Computer Engineering, Rutgers University, Piscataway, New Jersey, USA.
Aleksandra SarcevicCollege of Computing and Informatics, Drexel University, Philadelphia, Pennsylvania, USA.
Karen J O'ConnellDivision of Emergency Medicine, Children's National Hospital, Washington, District of Columbia, USA.
Randall S BurdDivision of Trauma and Burns, Children's National Hospital, Washington, District of Columbia, USA.ORCID https://orcid.org/0000-0003-4465-9117

Funding

Intention-aware Recommender System for Improving Trauma Resuscitation OutcomesR01LM011834 · NLM · CHILDREN'S RESEARCH INSTITUTE · PI BURD, RANDALL S., MARSIC, IVAN · 2014 to 2023
$4.7M
National Science Foundation IIS-1763355NIH HHS R01LM011834NLM NIH HHS R01 LM011834
6 · The paper itself

Abstract

introductionNon-routine events (NREs) are atypical or unusual occurrences in a pre-defined process. Although some NREs in high-risk clinical settings have no adverse effects on patient care, others can potentially cause serious patient harm. A unified strategy for identifying and describing NREs in these domains will facilitate the comparison of results between studies.

methodsWe conducted a literature search in PubMed, CINAHL, and EMBASE to identify studies related to NREs in high-risk domains and evaluated the methods used for event observation and description. We applied The Joint Commission on Accreditation of Healthcare Organization (JCAHO) taxonomy (cause, impact, domain, type, prevention, and mitigation) to the descriptions of NREs from the literature.

resultsWe selected 25 articles that met inclusion criteria for review. Real-time documentation of NREs was more common than a retrospective video review. Thirteen studies used domain experts as observers and seven studies validated observations with interrater reliability. Using the JCAHO taxonomy, "cause" was the most frequently applied classification method, followed by "impact," "type," "domain," and "prevention and mitigation."

conclusionsNREs are frequent in high-risk medical settings. Strengths identified in several studies included the use of multiple observers with domain expertise and validation of the event ascertainment approach using interrater reliability. By applying the JCAHO taxonomy to the current literature, we provide an example of a structured approach that can be used for future analyses of NREs.

Indexed as

Drug-Related Side Effects and Adverse ReactionsPatient CareHumansReproducibility of ResultsRetrospective Studiesclinical safetyhealthcaremedical errorstructured reviews

Identifiers

PMID33249690
PMCPMC7961264

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.