Evidence map›Paper›PMID 34350056›Full record

ArticleSurgical neurology international2021

Ventriculostomy supply cart decreases time-to-external ventricular drain placement in the emergency department.

Henry Chang, Michael Silva, Alexander Giner, Yvonne Diaz, Marie Ann Sosa, Grace Knudsen, Anil K Mahavadi, June Ellis, Arlene Cameron, Carlos Andrei Quirós Núñez and 4 more

Open access · greenAbstract read
In one paragraph

Article in Surgical neurology international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 42% 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

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. 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

14 authors at 1 institution in 1 country.

Henry ChangDepartment of Neurosurgery, University of Miami Miller School of Medicine, Miami, Florida, United States.
Michael SilvaDepartment of Neurosurgery, University of Miami Miller School of Medicine, Miami, Florida, United States.
Alexander GinerDepartment of Emergency, Jackson Memorial Hospital, Miami, Florida, United States.
Yvonne DiazDepartment of Medicine, Jackson Memorial Hospital, Miami, Florida, United States.
Marie Ann SosaDepartment of Medicine, Jackson Memorial Hospital, Miami, Florida, United States.
Grace KnudsenDepartment of Neurosurgery, University of Miami Miller School of Medicine, Miami, Florida, United States.
Anil K MahavadiDepartment of Neurosurgery, University of Alabama Birmingham School of Medicine, Birmingham, Alabama, United States.
June EllisDepartment of Medicine, Jackson Memorial Hospital, Miami, Florida, United States.
Arlene CameronDepartment of Orthopedic, Division of Neurology and Surgery, Jackson Memorial Hospital, Miami, Florida, United States.
Carlos Andrei Quirós NúñezDepartment of Quality, Jackson Memorial Hospital, Miami, Florida, United States.
Millicent A WynterDepartment of Nursing Education, Jackson Memorial Hospital, Miami, Florida, United States.
Kristine O'PhelanDepartment of Neurology, University of Miami Miller School of Medicine, Miami, Florida, United States.
Ricardo J KomotarDepartment of Neurosurgery, University of Miami Miller School of Medicine, Miami, Florida, United States.
Iahn CajigasDepartment of Neurosurgery, University of Miami Miller School of Medicine, Miami, Florida, United States.
University of Miami · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMinimizing time-to-external ventricular drain (EVD) placement in the emergency department (ED) is critical. We sought to understand factors affecting time-to-EVD placement through a quality improvement initiative.

methodsThe use of process mapping, root cause analyses, and interviews with staff revealed decentralized supply storage as a major contributor to delays in EVD placement. We developed an EVD "crash cart" as a potential solution to this problem. Time-to-EVD placement was tracked prospectively using time stamps in the electronic medical record (EMR); precart control patients were reviewed retrospectively.

resultsThe final cohorts consisted of 33 precart and 18 postcart cases. The mean time-to-EVD in the precart group was 99.09 min compared to 71.88 min in the postcart group (two-tailed

conclusionAn EVD "crash cart" is a simple intervention that can significantly reduce time-to-EVD placement and may improve outcomes in patients requiring an EVD.

Indexed as

Emergency departmentHydrocephalusQuality improvementVentriculostomy

Identifiers

PMID34350056
PMCPMC8330128
OpenAlexW3194190055

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.