Evidence map›Paper›PMID 35675838›Full record

ArticleApplied clinical informatics2022

Dashboard Design to Identify and Balance Competing Risk of Multiple Hospital-Acquired Conditions.

Mary Beth Flynn Makic, Kathleen R Stevens, R Mark Gritz, Heidi Wald, Judith Ouellet, Cynthia Drake Morrow, David Rodrick, Blaine Reeder

Open access · bronzeAbstract read
In one paragraph

Article in Applied clinical informatics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 6% 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. From Data to Decision: Design and Evaluation of a Patient Safety Dashboard.Medical journal of the Islamic Republic of Iran · 2025
    Article
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  7. Article
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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

8 authors at 6 institutions in 1 country.

Mary Beth Flynn MakicUniversity of Colorado, College of Nursing, Aurora, Colorado, United States.
Kathleen R StevensSchool of Nursing, University of Texas Health Science Center San Antonio, San Antonio, Texas, United States.
R Mark GritzDivision of Health Care Policy and Research, School of Medicine, University of Colorado Denver, Aurora, Colorado, United States.
Heidi WaldSCL Health, Denver, Colorado, United States.
Judith OuelletDivision of Health Care Policy and Research, School of Medicine, University of Colorado Denver, Aurora, Colorado, United States.
Cynthia Drake MorrowHealth Systems, Management and Policy, Colorado School of Public Health, Aurora, Colorado, United States.
David RodrickCenter for Quality Improvement and Patient Safety, Agency for Healthcare Research and Quality, Rockville, Maryland, United States.
Blaine ReederUniversity of Missouri Health, Sinclair School of Nursing and MU Institute for Data Science and Informatics, School of Nursing, Columbia, Missouri, United States.
University of Colorado Denver · USAgency for Healthcare Research and Quality · USColorado School of Public Health · USSt. Vincent's HealthCare · USThe University of Texas Health Science Center at San Antonio · USUniversity of Missouri Health System · US

Funding

HHSP2332015000251 Agency for Healthcare Research and Quality (AHRQ)HHSP23337003T Agency for Healthcare Research and Quality (AHRQ)
6 · The paper itself

Abstract

backgroundHospital-acquired conditions (HACs) are common, costly, and national patient safety priority. Catheter-associated urinary tract infections (CAUTIs), hospital-acquired pressure injury (HAPI), and falls are common HACs. Clinicians assess each HAC risk independent of other conditions. Prevention strategies often focus on the reduction of a single HAC rather than considering how actions to prevent one condition could have unintended consequences for another HAC.

objectivesThe objective of this study is to design an empirical framework to identify, assess, and quantify the risks of multiple HACs (MHACs) related to competing single-HAC interventions.

methodsThis study was an Institutional Review Board approved, and the proof of concept study evaluated MHAC Competing Risk Dashboard to enhance clinicians' management combining the risks of CAUTI, HAPI, and falls. The empirical model informing this study focused on the removal of an indwelling urinary catheter to reduce CAUTI, which may impact HAPI and falls. A multisite database was developed to understand and quantify competing risks of HACs; a predictive model dashboard was designed and clinical utility of a high-fidelity dashboard was qualitatively tested. Five hospital systems provided data for the predictive model prototype; three served as sites for testing and feedback on the dashboard design and usefulness. The participatory study design involved think-aloud methods as the clinician explored the dashboard. Individual interviews provided an understanding of clinician's perspective regarding ease of use and utility.

resultsTwenty-five clinicians were interviewed. Clinicians favored a dashboard gauge design composed of green, yellow, and red segments to depict MHAC risk associated with the removal of an indwelling urinary catheter to reduce CAUTI and possible adverse effects on HAPI and falls.

conclusionParticipants endorsed the utility of a visual dashboard guiding clinical decisions for MHAC risks preferring common stoplight color understanding. Clinicians did not want mandatory alerts for tool integration into the electronic health record. More research is needed to understand MHAC and tools to guide clinician decisions.

Indexed as

Urinary Tract InfectionsHospitalsHumansIatrogenic Disease

Identifiers

PMID35675838
PMCPMC9179234
OpenAlexW4281625848

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.