Evidence map›Paper›PMID 35505929›Full record

ArticleJournal of the American College of Emergency Physicians open2022

A chart review tool to systematically assess the safety of prehospital care for children with out-of-hospital cardiac arrest.

Amanda Schoonover, Carl O Eriksson, Thuan Nguyen, Garth Meckler, Matthew Hansen, Tabria Harrod, Jeanne-Marie Guise

Open access · goldAbstract read
In one paragraph

Article in Journal of the American College of Emergency Physicians open, 2022. 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
0.8field-weighted citation impact, top 30% 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, 3 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

7 authors at 3 institutions in 2 countries.

Amanda SchoonoverDepartment of Obstetrics & Gynecology Oregon Health & Science University School of Medicine Portland Oregon USA.ORCID https://orcid.org/0000-0003-3267-597X
Carl O ErikssonDepartment of Pediatrics Oregon Health & Science University School of Medicine Portland Oregon USA.
Thuan NguyenDepartment of Biostatistics Oregon Health & Science University-Portland State University School of Public Health Portland Oregon USA.
Garth MecklerDepartment of Pediatrics, School of Medicine University of British Columbia British Columbia Vancouver Canada.
Matthew HansenDepartment of Emergency Medicine Oregon Health & Science University School of Medicine Portland Oregon USA.
Tabria HarrodDepartment of Obstetrics & Gynecology Oregon Health & Science University School of Medicine Portland Oregon USA.
Jeanne-Marie GuiseDepartment of Obstetrics & Gynecology Oregon Health & Science University School of Medicine Portland Oregon USA.
Oregon Health & Science University · USPortland State University · USUniversity of British Columbia · CA

Funding

Understanding and preventing adverse safety events in pediatric out-of-hospital cardiac arrestsR01HL141429 · NHLBI · OREGON HEALTH & SCIENCE UNIVERSITY · PI JEANNE-MARIE GUISE · 2018 to 2026
$6.0M
NHLBI NIH HHS R01 HL141429
6 · The paper itself

Abstract

Objective: Create an easy-to-use pediatric out-of-hospital cardiac arrest (OHCA)-specific chart review tool to reliably detect severe adverse safety events (ASEs) in the prehospital care of children with OHCA. Methods: We revised our previously validated pediatric prehospital adverse event detection system (PEDS) tool, used to evaluate ASEs in the prehospital care of children during emergent calls, to create an OHCA-specific chart review tool. We developed decision support for reviewers, reviewer training, and a dedicated section for chart data abstraction. We randomly selected 28 charts for independent review by 2 expert reviewers who determined the presence or absence of a severe ASE for each care episode and identified the domain of care and preventability for each ASE. We calculated inter-rater agreement in the assessment of the presence or absence of a severe ASE using Gwet's first-order agreement coefficient (AC1). Results: The PEDS-OHCA chart review tool has 6 sections, with a minimum of 70 and maximum of 667 total possible fields. We found inter-rater agreement of 0.83 (95% confidence interval, 0.63-0.99) between our 2 reviewers for the overall detection of a severe ASE and an average time to complete of 8 minutes (range, 2-25 minutes). Inter-rater agreement in the detection of a severe ASE in each individual domain ranged from 0.36 to 0.96. Conclusions: The PEDS-OHCA is the first chart review tool to systematically evaluate the safety and quality of EMS care for children with OHCA. This tool may help improve understanding of the quality of EMS care for children with OHCA, which is essential to improving outcomes.

Indexed as

childemergency medical serviceshumansmedical errorspatient care teampatient safetyteamwork

Identifiers

PMID35505929
PMCPMC9051860
OpenAlexW4225143735

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.