Evidence map›Paper›PMID 41486920›Full record

ArticleErgonomics2026

(Con)Figuring out influence: a modified Delphi approach to configural diagramming to identify influential work system factors on emergency department disposition decision-making.

Rachel A Rutkowski, Pascale Carayon, Peter Hoonakker, Michael S Pulia, Manish N Shah, Brian W Patterson, Nicole E Werner

Abstract read
In one paragraph

Article in Ergonomics, 2026. 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

7 authors.

Rachel A RutkowskiDepartment of Industrial and Systems Engineering, University of Wisconsin (UW), Madison, WI, USA.
Pascale CarayonDepartment of Industrial and Systems Engineering, University of Wisconsin (UW), Madison, WI, USA.
Peter HoonakkerDepartment of Industrial and Systems Engineering, University of Wisconsin (UW), Madison, WI, USA.
Michael S PuliaDepartment of Industrial and Systems Engineering, University of Wisconsin (UW), Madison, WI, USA.
Manish N ShahBerbee Walsh Department of Emergency Medicine, UW-Madison, Madison, WI, USA.
Brian W PattersonDepartment of Industrial and Systems Engineering, University of Wisconsin (UW), Madison, WI, USA.
Nicole E WernerDepartment of Anesthesiology, Vanderbilt University School of Medicine, Nashville, TN, USA.

Funding

University of Wisconsin Institute for Clinical and Translational ResearchUL1TR002373 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI ELIZABETH S BURNSIDE, Allan R. Brasier · 2017 to 2026
$75.9M
Institutional Clinical and Translational Science AwardUL1TR000427 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI DREZNER, MARC KENNETH · 2012 to 2016
$32.2M
Mentoring and Research in Patient-Oriented Geriatric Emergency CareK24AG054560 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI SHAH, MANISH N · 2017 to 2021
$955k
AHRQ HHS R18 HS026624NCATS NIH HHS UL1 TR000427NCATS NIH HHS UL1 TR002373NIA NIH HHS K24 AG054560
6 · The paper itself

Abstract

The emergency department (ED) is characterised by varied demands. Yet, processes like ED disposition decision-making have been previously conceptualised as occurring similarly regardless of demand. The goal of this study was to develop a reproducible methodological approach to operationalising configuration by identifying the factors that most strongly shape the ED disposition decision-making process under conditions of low and high demand. Using a modified Delphi approach consisting of surveys sent to ED clinicians, we identified the influence of 32 work system elements on the disposition decision-making process under varied demands. Fifty-nine percent of elements were given similar ratings under low and high demand. Variations in ratings represent meaningful differences in the ED work system structure. Understanding how the influence of ED work system elements varies across the demand continuum can support the translation of descriptive findings into prescriptive insights that can inform and prioritise future research or system design.

Indexed as

ConfigurationDelphi techniquedisposition decision-makingemergency departmentwork systems analysis

Identifiers

PMID41486920
PMCPMC12884554

What OpenQuestion holds

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LicenceCC BY
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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.