Evidence map›Paper›PMID 34111177›Full record

ArticlePloS one2021

Single-center task analysis and user-centered assessment of physical space impacts on emergency Cesarean delivery.

Kenji T Sotto, Laura C Hedli, Lillian Sie, Kimber Padua, Nicole Yamada, Henry Lee, Louis Halamek, Kay Daniels, Dan Nathan-Roberts, Naola S Austin

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Kenji T SottoSan José State University, San Jose, California, United States of America.ORCID 0000-0001-5835-4168
Laura C HedliThe Safety Learning Laboratory for Neonatal and Maternal Care, Stanford University, Stanford, California, United States of America.
Lillian SieThe Safety Learning Laboratory for Neonatal and Maternal Care, Stanford University, Stanford, California, United States of America.
Kimber PaduaThe Safety Learning Laboratory for Neonatal and Maternal Care, Stanford University, Stanford, California, United States of America.
Nicole YamadaThe Safety Learning Laboratory for Neonatal and Maternal Care, Stanford University, Stanford, California, United States of America.
Henry LeeThe Safety Learning Laboratory for Neonatal and Maternal Care, Stanford University, Stanford, California, United States of America.ORCID 0000-0001-8383-1720
Louis HalamekThe Safety Learning Laboratory for Neonatal and Maternal Care, Stanford University, Stanford, California, United States of America.
Kay DanielsThe Safety Learning Laboratory for Neonatal and Maternal Care, Stanford University, Stanford, California, United States of America.
Dan Nathan-RobertsSan José State University, San Jose, California, United States of America.ORCID 0000-0002-4428-1823
Naola S AustinThe Safety Learning Laboratory for Neonatal and Maternal Care, Stanford University, Stanford, California, United States of America.

Funding

Optimizing safety of mother and neonate in a mixed methods learning laboratoryP30HS023506 · AHRQ · STANFORD UNIVERSITY · PI HALAMEK, LOUIS PATRICK · 2014 to 2017
$4.0M
AHRQ HHS P30 HS023506
6 · The paper itself

Abstract

objectiveThis study aimed to begin to address this gap using validated techniques in human factors to perform a participatory user-centered analysis of physical space during emergency Cesarean.

methodsThis study employed a mixed-methods design. Focus group interviews and surveys were administered to a convenience sample (n = 34) of multidisciplinary obstetric teams. Data collected from focus group interviews were used to perform a task and equipment analysis. Survey data were coded and mapped by specialty to identify reported areas of congestion and time spent, and to identify themes related to physical space of the OR and labor and delivery unit.

resultsTask analysis revealed complex interdependencies between specialties. Thirty task groupings requiring over 20 pieces of equipment were identified. Perceived areas of congestion and areas of time spent in the OR varied by clinical specialty. The following categories emerged as main challenges encountered during an emergency Cesarean: 1) size of physical space and equipment, 2) layout and orientation, and 3) patient transport.

conclusionUser insights on physical space and workflow processes during emergency Cesarean section at the institution studied revealed challenges related to getting the patients into the OR expediently and having space to perform tasks without crowding or staff injury. By utilizing human factors techniques, other institutions may build upon our findings to improve safety during emergency situations on labor and delivery.

Indexed as

AdultCesarean SectionClinical CompetenceFemaleFocus GroupsHumansMaternal Health ServicesMiddle AgedPatient-Centered CarePregnancyUnited States

Identifiers

PMID34111177
PMCPMC8191948

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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.