Evidence map›Paper›PMID 37211509›Full record

ArticleSurgery2023

A qualitative study of how team characteristics and leadership are associated with information sharing in multidisciplinary intensive care units.

Egide Abahuje, Carmen M Diaz, Katherine A Lin, Kaithlyn Tesorero, Omar Bushara, Sohae Yang, Andrew B L Berry, Miriam R Rafferty, Julie K Johnson, Anne M Stey

Open access · greenAbstract read
In one paragraph

Article in Surgery, 2023. 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
1.7field-weighted citation impact, top 15% 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, 4 citations in OpenAlex.

  1. Article
  2. Observational
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

10 authors at 3 institutions in 1 country.

Egide AbahujeDepartment of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL. Electronic address: abegid@gmail.com.
Carmen M DiazDepartment of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL.
Katherine A LinDepartment of Surgery, Mayo Clinic, Rochester, MN.
Kaithlyn TesoreroDepartment of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL.
Omar BusharaDepartment of Surgery, University of Pennsylvania, Philadelphia, PA.
Sohae YangDepartment of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL.
Andrew B L BerryDepartment of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL.
Miriam R RaffertyShirley Ryan Ability Lab, Northwestern University, Chicago, IL.
Julie K JohnsonDepartment of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL.
Anne M SteyDepartment of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL.
Northwestern University · USMayo Clinic in Arizona · USUniversity of Pennsylvania · US

Funding

Timeliness of Management of Trauma Related Hemorrhage and Trauma Related CoagulopathyK23HL157832 · NHLBI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI STEY, ANNE M · 2021 to 2025
$929k
NHLBI NIH HHS K23 HL157832
6 · The paper itself

Abstract

backgroundBetter information sharing in intensive care units has been associated with lower risk-adjusted mortality. This study explored how team characteristics and leadership are associated with information sharing in 4 intensive care units in a single large urban, academic medical center.

methodsA qualitative study was conducted to understand how team characteristics and leadership are associated with information sharing. Qualitative data were conducted through ethnographic observations. One postdoctoral research fellow and one PhD qualitative researcher conducted nonparticipant observations of a Medical, Surgical, Neurological, and Cardiothoracic intensive care unit morning and afternoon rounds, as well as nurse and resident handoffs from May to September 2021. Field notes of observations were thematically analyzed using deductive reasoning anchored to the Edmondson Team Learning Model. This study included nurses, physicians (ie, intensivists, surgeons, fellows, and residents), medical students, pharmacists, respiratory therapists, dieticians, physical therapists, physician assistants, and nurse practitioners.

resultsWe conducted 50 person-hours of observations involving 148 providers. Three themes emerged from the qualitative analysis: (1) team leaders used variable leadership techniques to involve team members in discussions for information sharing related to patient care, (2) predefined tasks for team members allowed them to prepare for effective information sharing during intensive care unit rounds, and (3) a psychologically safe environment allowed team members to participate in discussions for information sharing related to patient care.

conclusionInclusive team leadership is foundational in creating a psychologically safe environment for effective information sharing.

Indexed as

LeadershipSurgeonsHumansInformation DisseminationIntensive Care UnitsPatient Care TeamQualitative Research

Identifiers

PMID37211509
PMCPMC11210940
OpenAlexW4377101593

What OpenQuestion holds

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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.