Evidence map›Paper›PMID 33657904›Full record

ArticleHuman factors2022

Communication and Teamwork During Telemedicine-Enabled Stroke Care in an Ambulance.

Anjali Joseph, Kapil Chalil Madathil, Roxana Jafarifiroozabadi, Hunter Rogers, Sahar Mihandoust, Amro Khasawneh, Nathan McNeese, Christine Holmstedt, James T McElligott

Open access · greenAbstract read
In one paragraph

Article in Human factors, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 9% of its field
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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Observational
  5. Article
  6. Article
  7. Article
  8. Review
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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 at 4 institutions in 1 country.

Anjali Joseph2545 Clemson University, South Carolina, USA.ORCID 0000-0001-5958-7334
Kapil Chalil Madathil2545 Clemson University, South Carolina, USA.
Roxana Jafarifiroozabadi2545 Clemson University, South Carolina, USA.
Hunter Rogers33319 Air Force Research Lab, Wright Patterson Air Force Base in Dayton, Ohio, USA.
Sahar Mihandoust2545 Clemson University, South Carolina, USA.
Amro Khasawneh1466 Johns Hopkins School of Medicine, Baltimore, Maryland, USA.
Nathan McNeese2545 Clemson University, South Carolina, USA.
Christine Holmstedt2345 Medical University of South Carolina, USA.
James T McElligott2345 Medical University of South Carolina, USA.
Clemson University · USMedical University of South Carolina · USJohns Hopkins University · USWright-Patterson Air Force Base · US

Funding

AHRQ HHS R03 HS026809
6 · The paper itself

Abstract

objectiveThe purpose of this study is to understand the communication among care teams during telemedicine-enabled stroke consults in an ambulance.

backgroundTelemedicine can have a significant impact on acute stroke care by enabling timely intervention in an ambulance before a patient reaches the hospital. However, limited research has been conducted on understanding and supporting team communication during the care delivery process for telemedicine-enabled stroke care in an ambulance.

methodVideo recordings of 13 simulated stroke telemedicine consults conducted in an ambulance were coded to document the tasks, communication events, and flow disruptions during the telemedicine-enabled stroke care delivery process.

resultsThe majority (82%) of all team interactions in telemedicine-enabled stroke care involved verbal interactions among team members. The neurologist, patient, and paramedic were almost equally involved in team interactions during stroke care, though the neurologist initiated 48% of all verbal interactions. Disruptions were observed in 8% of interactions, and communication-related issues contributed to 44%, with interruptions and environmental hazards being other reasons for disruptions in interactions during telemedicine-enabled stroke care.

conclusionSuccessful telemedicine-enabled stroke care involves supporting both verbal and nonverbal communication among all team members using video and audio systems to provide effective coverage of the patient for the clinicians as well as vice versa. APPLICATION: This study provides a deeper understanding of team interactions during telemedicine-enabled stroke care that is essential for designing effective systems to support teamwork.

Indexed as

StrokeTelemedicineAmbulancesCommunicationDelivery of Health CareHumansPatient Care Teamcommunication and teamwork in healthcarecomputer-supported collaborationsdistractions and interruptionsteam cognitiontelemedicine

Identifiers

PMID33657904
PMCPMC10329743
OpenAlexW3134639069

What OpenQuestion holds

Textmetadata
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.