Evidence map›Paper›PMID 33862507›Full record

ArticleInternational journal of medical informatics2021

Modeling patient-related workload in the emergency department using electronic health record data.

Xiaomei Wang, H Joseph Blumenthal, Daniel Hoffman, Natalie Benda, Tracy Kim, Shawna Perry, Ella S Franklin, Emilie M Roth, A Zachary Hettinger, Ann M Bisantz

Abstract read
In one paragraph

Article in International journal of medical informatics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Situation Awareness-Oriented Dashboard in ICUs in Support of Resource Management in Time of Pandemics.IEEE journal of translational engineering in health and medicine · 2023
    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

10 authors.

Xiaomei WangUniversity at Buffalo, United States. Electronic address: xiaomeiw@buffalo.edu.
H Joseph BlumenthalNational Center for Human Factors in Healthcare, MedStar Institute for Innovation, United States.
Daniel HoffmanNational Center for Human Factors in Healthcare, MedStar Institute for Innovation, United States.
Natalie BendaNational Center for Human Factors in Healthcare, MedStar Institute for Innovation, United States.
Tracy KimNational Center for Human Factors in Healthcare, MedStar Institute for Innovation, United States.
Shawna PerryUniversity of Florida, United States.
Ella S FranklinNational Center for Human Factors in Healthcare, MedStar Institute for Innovation, United States.
Emilie M RothRoth Cognitive Engineering, United States.
A Zachary HettingerNational Center for Human Factors in Healthcare, MedStar Institute for Innovation, United States; Georgetown University School of Medicine, United States.
Ann M BisantzUniversity at Buffalo, United States.

Funding

Cognitive Engineering for Complex Decision Making & Problem Solving in Acute CareR01HS022542 · AHRQ · MEDSTAR HEALTH RESEARCH INSTITUTE · PI HETTINGER, AARON ZACHARY · 2014 to 2018
$2.5M
AHRQ HHS R01 HS022542
6 · The paper itself

Abstract

introductionUnderstanding and managing clinician workload is important for clinician (nurses, physicians and advanced practice providers) occupational health as well as patient safety. Efforts have been made to develop strategies for managing clinician workload by improving patient assignment. The goal of the current study is to use electronic health record (EHR) data to predict the amount of work that individual patients contribute to clinician workload (patient-related workload).

methodsOne month of EHR data was retrieved from an emergency department (ED). A list of workload indicators and five potential workload proxies were extracted from the data. Linear regression and four machine learning classification algorithms were utilized to model the relationship between the indicators and the proxies.

resultsLinear regression proved that the indicators explained a substantial amount of variance of the proxies (four out of five proxies were modeled with R

conclusionThe main contribution of this study is demonstrating the potential of using EHR data to predict patient-related workload automatically in the ED. The predicted workload can potentially help in managing clinician workload by supporting decisions around the assignment of new patients to providers. Future work should focus on identifying the relationship between workload proxies and actual workload, as well as improving prediction performance of regression and multi-class classification.

Indexed as

PhysiciansWorkloadElectronic Health RecordsEmergency Service, HospitalHumansElectronic health recordEmergency departmentMachine learningWorkload

Identifiers

PMID33862507
PMCPMC8237485

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.