Evidence map›Paper›PMID 35105681›Full record

ArticleClinical medicine (London, England)2022

A human factors approach to quality improvement in oxygen prescribing.

Alastair Watson, Mukherjee Rahul, Furniss Dominic, Jane Higgs, Alastair Williamson, Alice Turner

Open access · diamondAbstract read
In one paragraph

Article in Clinical medicine (London, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
6.0field-weighted citation impact, top 4% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Using FRAM visualisations in quality improvement projects: identifying and testing strategies to improve anticoagulant use in the perioperative process.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2025
    Article
  5. Article
  6. Article
  7. Can guidelines rein in oxygen use? A retrospective cross-sectional study using routinely collected data.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2023
    Article
  8. Article
  9. Review
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

6 authors at 4 institutions in 1 country.

Alastair WatsonBirmingham Medical School, University of Birmingham, Birmingham, UK.
Mukherjee RahulUniversity Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
Furniss DominicHuman Reliability Associates, Wigan, UK.
Jane HiggsWest Midlands Academic Health Sciences Network, Institute for Translational Medicine, Birmingham, UK.
Alastair WilliamsonUniversity Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
Alice TurnerInstitute for Applied Health Research, University of Birmingham, Birmingham, UK A.M.Turner@bham.ac.uk.
University Hospitals Birmingham NHS Foundation Trust · GBUniversity of Birmingham · GBEast Midlands Academic Health Science Network · GBHuman Reliability (United Kingdom) · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The safe hospital administration of oxygen has been shown to improve outcomes for specific patient groups, including those with chronic obstructive pulmonary disease (COPD). Oxygen prescribing is therefore recognised as a quality standard within the COPD Clinical Audit of the National Asthma and Chronic Obstructive Pulmonary Disease Programme. Oxygen prescription within our hospital electronic prescribing system showed poor compliance, despite previous quality improvement (QI) interventions. Using the functional resonance analysis method (FRAM), a human factors methodology, alongside existing QI approaches allowed capture of everyday work ('work-as-done') using qualitative data. This confirmed the complexity of the socio-technical healthcare system in which care is delivered and the variability of steps in the process, and provided new potential interventions to improve the safe administration of oxygen. The use of human factors tools within QI projects may help bridge normative models of work-as-prescribed and inductive models of work-as-done to support improvement and sustainability of care delivery interventions.

Indexed as

AsthmaPulmonary Disease, Chronic ObstructiveHumansOxygenPrescriptionsQuality ImprovementOxygenCOPDFRAMoxygen prescribingoxygen therapyquality improvement

Identifiers

PMID35105681
PMCPMC8966811
OpenAlexW4210732726

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.