Evidence map›Paper›PMID 39524070›Full record

ArticleJournal of the Intensive Care Society2024

Eye tracking during a simulated start of shift safety check: An observational analysis of gaze behavior of critical care nurses.

Yael van der Geest, Ivan Chau, Pedro David Wendel-Garcia, Philipp K Buehler, Wolf Hautz, Miodrag Filipovic, Daniel A Hofmaenner, Urs Pietsch

Abstract read
In one paragraph

Article in Journal of the Intensive Care Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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.

Yael van der GeestSchool of Medicine, University of Bern, Bern, Switzerland.
Ivan ChauDivision of Perioperative Intensive Care Medicine, Cantonal Hospital St. Gallen, St. Gallen, Switzerland.
Pedro David Wendel-GarciaInstitute of Intensive Care Medicine, University Hospital Zurich, Zurich, Switzerland.
Philipp K BuehlerInstitute of Intensive Care Medicine, Cantonal Hospital Winterthur, Winterthur, Switzerland.
Wolf HautzDepartment of Emergency Medicine, Bern University Hospital, Bern, Switzerland.
Miodrag FilipovicDivision of Perioperative Intensive Care Medicine, Cantonal Hospital St. Gallen, St. Gallen, Switzerland.
Daniel A HofmaennerInstitute of Intensive Care Medicine, University Hospital Zurich, Zurich, Switzerland.ORCID https://orcid.org/0000-0002-9334-7753
Urs PietschDivision of Perioperative Intensive Care Medicine, Cantonal Hospital St. Gallen, St. Gallen, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The handover and associated shift start checks by nurses of critical care patients are complex and prone to errors. However, which aspects lead to errors remains unknown. Fewer errors might occur in a structured approach. We hypothesized that specific gaze behavior during handover and shift start safety check correlates with error recognition. Methods: In our observational eye tracking study, we analyzed gaze behavior of critical care nurses during handover and shift start safety check in a simulation room with built-in errors. Four areas of interest (AOI) were pre-defined (patient, respirator, prescriptions, monitor). The primary outcome were different gaze metrics (time to first fixation, revisits, first visual intake duration, average visual intake duration, dwell time) on AOIs. Parameters were analyzed by taking all errors in account, and by dividing them into minor and critical. Results: Forty-three participants were included. All participants committed at least a minor error ( Conclusion: Error detection during shift start safety check was associated with distinct gaze behavior. Nurses who recognized more errors had a shorter time to first fixation and less revisits. These gaze characteristics might correspond to a more structured approach. Further research is necessary, for example by implementing a checklist, to reduce errors in the future and improve patient safety.

Indexed as

behavior monitoringeye tracking technologyintensive care unitspatient handoffPatient safety

Identifiers

PMID39524070
PMCPMC11549720

What OpenQuestion holds

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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.