Evidence map›Paper›PMID 37233836›Full record

ArticleJournal of medical systems2023

Early Warning Software for Emergency Department Crowding.

Jalmari Tuominen, Teemu Koivistoinen, Juho Kanniainen, Niku Oksala, Ari Palomäki, Antti Roine

Abstract read
In one paragraph

Article in Journal of medical systems, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

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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.

Jalmari TuominenFaculty of Medicine and Health Technology, Tampere University, Tampere, Finland. jalmari.tuominen@tuni.fi.
Teemu KoivistoinenKanta-Häme Central Hospital, Hämeenlinna, Finland.
Juho KanniainenFaculty of Information Technology and Communication Sciences, Tampere University, Tampere, Finland.
Niku OksalaFaculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Ari PalomäkiFaculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Antti RoineFaculty of Medicine and Health Technology, Tampere University, Tampere, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Emergency department (ED) crowding is a well-recognized threat to patient safety and it has been repeatedly associated with increased mortality. Accurate forecasts of future service demand could lead to better resource management and has the potential to improve treatment outcomes. This logic has motivated an increasing number of research articles but there has been little to no effort to move these findings from theory to practice. In this article, we present first results of a prospective crowding early warning software, that was integrated to hospital databases to create real-time predictions every hour over the course of 5 months in a Nordic combined ED using Holt-Winters' seasonal methods. We show that the software could predict next hour crowding with an AUC of 0.94 (95% CI: 0.91-0.97) and 24 hour crowding with an AUC of 0.79 (95% CI: 0.74-0.84) using simple statistical models. Moreover, we suggest that afternoon crowding can be predicted at 1 p.m. with an AUC of 0.84 (95% CI: 0.74-0.91).

Indexed as

Emergency Service, HospitalModels, StatisticalCrowdingForecastingHumansProspective StudiesSoftwareCrowdingEmergency departmentETS modelsForecastingOvercrowdingProspectiveSoftware

Identifiers

PMID37233836
PMCPMC10219867

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.