Evidence map›Paper›PMID 41726452›Full record

ArticleAMIA ... Annual Symposium proceedings. AMIA Symposium2024

Exploring the Implementation Experience and Use of CONCERN Early Warning System in a Rural Community Hospital: A Mixed Method Convergent Approach.

Youngjin Lee, Min-Jeoung Kang, Veysel K Baris, Graham Lowenthal, Sarah C Rossetti, Kenrick D Cato, Rachel Y Lee, Janna Kramer, Richard Huffam, Patricia C Dykes

Abstract read
In one paragraph

Article in AMIA ... Annual Symposium proceedings. AMIA Symposium, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Youngjin LeeBrigham and Women's Hospital, Boston, MA.
Min-Jeoung KangBrigham and Women's Hospital, Boston, MA.
Veysel K BarisBrigham and Women's Hospital, Boston, MA.
Graham LowenthalBrigham and Women's Hospital, Boston, MA.
Sarah C RossettiBrigham and Women's Hospital, Boston, MA.
Kenrick D CatoUniversity of Pennsylvania, Philadelphia, PA.
Rachel Y LeeColumbia University, Department of Biomedical Informatics, New York, NY.
Janna KramerMartha's Vineyard Hospital.
Richard HuffamMartha's Vineyard Hospital.
Patricia C DykesBrigham and Women's Hospital, Boston, MA.

Funding

Communicating Narrative Concerns Entered by RNs (CONCERN)R01NR016941 · NINR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Kenrick Dwain Cato, Sarah Collins Rossetti · 2017 to 2026
$6.7M
NINR NIH HHS R01 NR016941
6 · The paper itself

Abstract

The Communicating Narrative Concerns Entered by RNs Early Warning System (CONCERN EWS) is a machine-learning predictive model that analyzes nursing documentation patterns to detect early signs of patient deterioration, with proven effectiveness in reducing the risk of in-hospital mortality and length of stay. This study extends the evaluation of CONCERN EWS beyond acute care settings to a rural community hospital, assessing user experience, system utilization, and accuracy in identifying patient deterioration. The study examined accuracy in a rural setting using a mixed-methods approach-qualitative interviews, quantitative data analysis, and clinical record reviews. Findingssuggestthat CONCERNEWS enhancesearly recognition of clinical deterioration andisusable in the context of busy acute care nursing workflows. These results support its adaptability to facilitate strengthening nursing surveillance, clinical decision-making, and patient safety in rural healthcare settings as well.

Indexed as

Clinical DeteriorationEarly Warning ScoreHospitals, RuralMachine LearningHospitals, CommunityHumansPredictive Learning Models

Identifiers

PMID41726452
PMCPMC12919451

What OpenQuestion holds

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Registered trials

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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.