Evidence map›Paper›PMID 40157127›Full record

ArticleApplied ergonomics2025

Using patient journey mapping and provider workflows to understand process barriers to pediatric mental and behavioral health care in emergency departments.

Devi Abhishek Soman, Samuel Nelson Koscelny, David Neyens, Ann Dietrich, Meera Narasimhan, Kevin Taaffe, David Allison, RIPCHD.PED Study Group, Anjali Joseph

Abstract read
In one paragraph

Article in Applied ergonomics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Patient Journey Mapping in Mental Disorders: A Scoping Review.International journal of mental health nursing · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. 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

9 authors.

Devi Abhishek SomanSchool of Architecture, Center for Health Facilities Design and Testing, Clemson University, Clemson, SC, USA.
Samuel Nelson KoscelnyDepartment of Industrial Engineering, Clemson University, Clemson, SC, USA.
David NeyensDepartment of Industrial Engineering, Clemson University, Clemson, SC, USA.
Ann DietrichDepartment of Emergency Medicine, PRISMA Upstate, Greenville, SC, USA; University of South Carolina, School of Medicine, Greenville, SC, USA.
Meera NarasimhanNeuropsychiatry & Behavioral Science, School of Medicine Columbia, University of South Carolina, Columbia, SC, USA.
Kevin TaaffeDepartment of Industrial Engineering, Clemson University, Clemson, SC, USA.
David AllisonGraduate Studies in Architecture + Health, Clemson University, Clemson, SC, USA; Clemson University School of Health Research, Clemson University, Clemson, SC, USA.
RIPCHD.PED Study GroupCenter for Health Facilities Design and Testing, Clemson University, Clemson, SC, USA.
Anjali JosephCenter for Health Facilities Design and Testing, Clemson University, Clemson, SC, USA; School of Architecture and Industrial Engineering, Clemson University, Clemson, SC, USA. Electronic address: anjalij@clemson.edu.

Funding

AHRQ HHS R18 HS029109
6 · The paper itself

Abstract

With the rise in mental and behavioral health (MBH) conditions among school-age children in the United States (US), the number of Emergency Department (ED) visits have also increased. However, ED settings struggle to meet the needs of children with MBH conditions safely and efficiently. This study integrated SEIPS (Systems Engineering Initiative for Patient Safety) 3.0 and 2.0 frameworks to explore the temporal and non-linear aspects of pediatric MBH patients' journey and work processes (professional, patient, and collaborative work) to identify process barriers to pediatric MBH care in the ED. This mixed-method, multiple case study used observations, staff interviews, and time stamps of patient visits from electronic medical records at four EDs in the south-eastern US to inform the integrated patient journey and staff workflow process maps. Most barriers identified related to "medical and psychiatric evaluations" and "disposition and treatment plan" segments of the patient journey, suggesting potential points for interventions.

Indexed as

Emergency Service, HospitalMental DisordersMental Health ServicesWorkflowAdolescentChildElectronic Health RecordsFemaleHumansMalePediatricsUnited StatesEmergency departmentPatient journey mappingPediatric mental and behavioral health care

Identifiers

PMID40157127
PMCPMC13123418

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.