Evidence map›Paper›PMID 35119372›Full record

ArticleJournal of medical Internet research2022

Examining Diurnal Differences in Multidisciplinary Care Teams at a Pediatric Trauma Center Using Electronic Health Record Data: Social Network Analysis.

Ashimiyu Durojaiye, James Fackler, Nicolette McGeorge, Kristen Webster, Hadi Kharrazi, Ayse Gurses

Open access · goldAbstract read
In one paragraph

Article in Journal of medical Internet research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.0field-weighted citation impact, top 14% 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

3 citing papers in PubMed, 9 citations in OpenAlex.

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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 1 institution in 1 country.

Ashimiyu DurojaiyeArmstrong Institute Center for Health Care Human Factors, Johns Hopkins University, Baltimore, MD, United States.ORCID 0000-0003-2096-3843
James FacklerDivision of Pediatric Anesthesiology and Critical Care Medicine, Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD, United States.ORCID 0000-0003-1377-4366
Nicolette McGeorgeArmstrong Institute Center for Health Care Human Factors, Johns Hopkins University, Baltimore, MD, United States.ORCID 0000-0002-6516-2911
Kristen WebsterArmstrong Institute Center for Health Care Human Factors, Johns Hopkins University, Baltimore, MD, United States.ORCID 0000-0001-9753-5340
Hadi KharraziDivision of Health Sciences Informatics, Johns Hopkins University School of Medicine, Baltimore, MD, United States.ORCID 0000-0003-1481-4323
Ayse GursesArmstrong Institute Center for Health Care Human Factors, Johns Hopkins University, Baltimore, MD, United States.ORCID 0000-0001-7422-6852
Johns Hopkins University · US

Funding

Care Transitions and Teamwork in Pediatric Trauma: Implications for HIT DesignR01HS023837 · AHRQ · JOHNS HOPKINS UNIVERSITY · PI GURSES, AYSE PINAR · 2015 to 2019
$2.5M
AHRQ HHS R01 HS023837
6 · The paper itself

Abstract

backgroundThe care of pediatric trauma patients is delivered by multidisciplinary care teams with high fluidity that may vary in composition and organization depending on the time of day.

objectiveThis study aims to identify and describe diurnal variations in multidisciplinary care teams taking care of pediatric trauma patients using social network analysis on electronic health record (EHR) data.

methodsMetadata of clinical activities were extracted from the EHR and processed into an event log, which was divided into 6 different event logs based on shift (day or night) and location (emergency department, pediatric intensive care unit, and floor). Social networks were constructed from each event log by creating an edge among the functional roles captured within a similar time interval during a shift. Overlapping communities were identified from the social networks. Day and night network structures for each care location were compared and validated via comparison with secondary analysis of qualitatively derived care team data, obtained through semistructured interviews; and member-checking interviews with clinicians.

resultsThere were 413 encounters in the 1-year study period, with 65.9% (272/413) and 34.1% (141/413) beginning during day and night shifts, respectively. A single community was identified at all locations during the day and in the pediatric intensive care unit at night, whereas multiple communities corresponding to individual specialty services were identified in the emergency department and on the floor at night. Members of the trauma service belonged to all communities, suggesting that they were responsible for care coordination. Health care professionals found the networks to be largely accurate representations of the composition of the care teams and the interactions among them.

conclusionsSocial network analysis was successfully used on EHR data to identify and describe diurnal differences in the composition and organization of multidisciplinary care teams at a pediatric trauma center.

Indexed as

Electronic Health RecordsTrauma CentersChildHealth PersonnelHumansPatient Care TeamSocial Network Analysiselectronic health recordfluid teamsmultidisciplinary health teammulti-team systemspediatric traumaprocess miningsocial network analysis

Identifiers

PMID35119372
PMCPMC8857698
OpenAlexW4210259987

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.