Evidence map›Paper›PMID 33264802›Full record

ArticleApplied clinical informatics2020

Ambulatory Clinician's Guide to Inpatient Service: An Innovative Rapid Onboarding Strategy for the COVID-19 Pandemic.

Richard L Altman, Tyler Anstett, Jennifer R Simpson, Amira Del Pino-Jones, Chen-Tan Lin, Jonathan Pell

Abstract read
In one paragraph

Article in Applied clinical informatics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Observational
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

6 authors.

Richard L AltmanDivision of General Internal Medicine, University of Colorado School of Medicine, Aurora, Colorado, United States.
Tyler AnstettDivision of Hospital Medicine, University of Colorado School of Medicine, Aurora, Colorado, United States.
Jennifer R SimpsonDepartment of Neurology, University of Colorado School of Medicine, Aurora, Colorado, United States.
Amira Del Pino-JonesDivision of Hospital Medicine, University of Colorado School of Medicine, Aurora, Colorado, United States.
Chen-Tan LinDivision of General Internal Medicine, University of Colorado School of Medicine, Aurora, Colorado, United States.
Jonathan PellDivision of Hospital Medicine, University of Colorado School of Medicine, Aurora, Colorado, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and significanceWhen hospitals are subject to prolonged surges in patients, such as during the coronavirus disease 2019 (COVID-19) pandemic, additional clinicians may be needed to care for the rapid increase of acutely ill patients. How might we quickly prepare a large number of ambulatory-based clinicians to care for hospitalized patients using the inpatient workflow of the electronic health record (EHR)?

objectivesThe aim of the study is to create a successful training intervention which prepares ambulatory-based clinicians as they transition to inpatient services.

methodsWe created a training guide with embedded videos that describes the workflow of an inpatient clinician. We delivered this intervention via an e-mail hyperlink, a static hyperlink inside of the EHR, and an on-demand hyperlink within the EHR.

resultsIn anticipation of the first peak of inpatients with COVID-19 in April 2020, the training manual was accessed 261 times by 167 unique users as clinicians anticipated being called into service. As our institution has not yet needed to deploy ambulatory-based clinicians for inpatient service, usage data of the training document is still pending.

conclusionWe intend that our novel implementation of a multimedia, highly accessible onboarding document with access from points inside and outside of the EHR will improve clinician performance and serve as a helpful example to other organizations during the COVID-19 pandemic and beyond.

Indexed as

Ambulatory Care FacilitiesInpatientsInventionsPandemicsPractice Guidelines as TopicClinical CompetenceCOVID-19Electronic Health RecordsHealth PersonnelHumansTime FactorsUser-Computer Interface

Identifiers

PMID33264802
PMCPMC7710441

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.