Evidence map›Paper›PMID 37903375›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2023

Inpatient nurses' preferences and decisions with risk information visualization.

Alvin D Jeffery, Carrie Reale, Janelle Faiman, Vera Borkowski, Russ Beebe, Michael E Matheny, Shilo Anders

Erratum issuedOpen access · greenAbstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
4.7field-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

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Alvin D JefferySchool of Nursing, Vanderbilt University, Nashville, TN 37240, United States.ORCID 0000-0003-2797-6508
Carrie RealeCenter for Research and Innovation in Systems Safety, Vanderbilt University Medical Center, Nashville, TN 37232, United States.
Janelle FaimanCenter for Research and Innovation in Systems Safety, Vanderbilt University Medical Center, Nashville, TN 37232, United States.
Vera BorkowskiSchool of Nursing, Vanderbilt University, Nashville, TN 37240, United States.
Russ BeebeCenter for Research and Innovation in Systems Safety, Vanderbilt University Medical Center, Nashville, TN 37232, United States.
Michael E MathenyDepartment of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN 37203, United States.
Shilo AndersDepartment of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN 37203, United States.
Vanderbilt University Medical Center · USVanderbilt University · USVA Tennessee Valley Healthcare System · US

Funding

Learning Health System Scholar Program at VanderbiltK12HS026395 · AHRQ · VANDERBILT UNIVERSITY MEDICAL CENTER · PI ROTHMAN, RUSSELL L., ROUMIE, CHRISTIANNE L. · 2018 to 2022
$2.7M
AHRQ HHS K12 HS026395Patient-Centered Outcomes Research Institute K12HS026395VA
6 · The paper itself

Abstract

objectiveWe examined the influence of 4 different risk information formats on inpatient nurses' preferences and decisions with an acute clinical deterioration decision-support system. MATERIALS AND

methodsWe conducted a comparative usability evaluation in which participants provided responses to multiple user interface options in a simulated setting. We collected qualitative data using think aloud methods. We collected quantitative data by asking participants which action they would perform after each time point in 3 different patient scenarios.

resultsMore participants (n = 6) preferred the probability format over relative risk ratios (n = 2), absolute differences (n = 2), and number of persons out of 100 (n = 0). Participants liked average lines, having a trend graph to supplement the risk estimate, and consistent colors between trend graphs and possible actions. Participants did not like too much text information or the presence of confidence intervals. From a decision-making perspective, use of the probability format was associated with greater concordance in actions taken by participants compared to the other 3 risk information formats. DISCUSSION: By focusing on nurses' preferences and decisions with several risk information display formats and collecting both qualitative and quantitative data, we have provided meaningful insights for the design of clinical decision-support systems containing complex quantitative information.

conclusionThis study adds to our knowledge of presenting risk information to nurses within clinical decision-support systems. We encourage those developing risk-based systems for inpatient nurses to consider expressing risk in a probability format and include a graph (with average line) to display the patient's recent trends.

Indexed as

Decision Support Systems, ClinicalNursesData DisplayHumansInpatientsProbabilityclinicalclinical decision rulesdecision-support systemselectronic health recordsmedical informaticsrisk prediction display

Identifiers

PMID37903375
PMCPMC10746300
OpenAlexW4388035008

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.