Evidence map›Paper›PMID 34301196›Full record

ArticleBMC anesthesiology2021

Design of a novel multifunction decision support/alerting system for in-patient acute care, ICU and floor (AlertWatch AC).

Douglas A Colquhoun, Ryan P Davis, Theodore T Tremper, Jenny J Mace, Jan M Gombert, William D Sheldon, Joseph J Connolly, Justin F Adams, Kevin K Tremper

Open access · goldAbstract read
In one paragraph

Article in BMC anesthesiology, 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
2.3field-weighted citation impact, top 12% 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

4 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. The Internet, Apps, and the Anesthesiologist.Healthcare (Basel, Switzerland) · 2023
    Review
  4. 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

9 authors at 1 institution in 1 country.

Douglas A ColquhounDepartment of Anesthesiology, University of Michigan, 1500 E. Medical Center Drive, Ann Arbor, MI, 48109, USA.
Ryan P DavisDepartment of Anesthesiology, University of Michigan, 1500 E. Medical Center Drive, Ann Arbor, MI, 48109, USA.
Theodore T TremperDepartment of Anesthesiology, University of Michigan, 1500 E. Medical Center Drive, Ann Arbor, MI, 48109, USA.
Jenny J MaceDepartment of Anesthesiology, University of Michigan, 1500 E. Medical Center Drive, Ann Arbor, MI, 48109, USA.
Jan M GombertAlertWatch Headquarters, 330 E. Liberty Street, Ann Arbor, MI, 48104, USA.
William D SheldonAlertWatch Headquarters, 330 E. Liberty Street, Ann Arbor, MI, 48104, USA.
Joseph J ConnollyAlertWatch Headquarters, 330 E. Liberty Street, Ann Arbor, MI, 48104, USA.
Justin F AdamsAlertWatch Headquarters, 330 E. Liberty Street, Ann Arbor, MI, 48104, USA.
Kevin K TremperDepartment of Anesthesiology, University of Michigan, 1500 E. Medical Center Drive, Ann Arbor, MI, 48109, USA. ktremper@umich.edu.
University of Michigan–Ann Arbor · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMultifunction surveillance alerting systems have been found to be beneficial for the operating room and labor and delivery. This paper describes a similar system developed for in-hospital acute care environments, AlertWatch Acute Care (AWAC).

resultsA decision support surveillance system has been developed which extracts comprehensive electronic health record (EHR) data including live data from physiologic monitors and ventilators and incorporates them into an integrated organ icon-based patient display. Live data retrieved from the hospitals network are processed by presenting scrolling median values to reduce artifacts. A total of 48 possible alerts are generated covering a broad range of critical patient care concerns. Notification is achieved by paging or texting the appropriated member of the critical care team. Alerts range from simple out of range values to more complex programing of impending Ventilator Associated Events, SOFA, qSOFA, SIRS scores and process of care reminders for the management of glucose and sepsis. As with similar systems developed for the operating room and labor and delivery, there are green, yellow, and red configurable ranges for all parameters. A census view allows surveillance of an entire unit with flashing or text to voice alerting and enables detailed information by windowing into an individual patient view including live physiologic waveforms. The system runs via web interface on desktop as well as mobile devices, with iOS native app available, for ease of communication from any location. The goal is to improve safety and adherence to standard management protocols.

conclusionsAWAC is designed to provide a high level surveillance view for multi-bed hospital units with varying acuity from standard floor patients to complex ICU care. Alerts are generated by algorithms running in the background and automatically notify the selected member of the patients care team. Its value has been demonstrated for low acuity patients, further study is required to determine its effectiveness in high acuity patients.

Indexed as

Hospital Information SystemsAlgorithmsCritical CareDecision Support Systems, ClinicalDelivery RoomsElectronic Health RecordsHumansIntensive Care UnitsMonitoring, PhysiologicOperating RoomsPatient CareSoftwareAcute CareDecision SupportEHRICUInpatient MedicineMonitoringSurveillance

Identifiers

PMID34301196
PMCPMC8302462
OpenAlexW3183566836

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.