Evidence map›Paper›PMID 42238566›Full record

ArticleTrauma surgery & acute care open2025

Fast decisions, clear guidance: a qualitative study of trauma aid design.

Lindsay Fountain, Kayla Corredera-Wells, Nicholas Cozzi, Jeffrey M Goodloe, Jenny M Guido, Alyssa Johnson, Christopher S Kang, Thomas McNally, Andrea Nevedal, James E Winslow and 2 more

Abstract read
In one paragraph

Article in Trauma surgery & acute care open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

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

12 authors.

Lindsay FountainUniversity of Colorado School of Medicine, Aurora, Colorado, USA.ORCID https://orcid.org/0009-0005-9601-6772
Kayla Corredera-WellsDuke University School of Medicine, Durham, North Carolina, USA.
Nicholas CozziRush University Medical Center, Chicago, Illinois, USA.
Jeffrey M GoodloeThe University of Oklahoma School of Community Medicine, Tulsa, Oklahoma, USA.
Jenny M GuidoSurgery, Sanford USD Medical Center, Sioux Falls, South Dakota, USA.
Alyssa JohnsonMontana Department of Public Health and Human Services, Helena, Montana, USA.
Christopher S KangMadigan Army Medical Center, Fort Lewis, Washington, USA.
Thomas McNallyUniversity of Colorado Health, Medical Center of the Rockies, Loveland, Colorado, USA.
Andrea NevedalCenter for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, Michigan, USA.
James E WinslowWake Forest University School of Medicine, Winston-Salem, North Carolina, USA.
Gabriela Zavala WongResearch, Medical Center of the Rockies, Loveland, Colorado, USA.ORCID https://orcid.org/0000-0003-3337-639X
Lacey LaGroneUniversity of Colorado Health, Medical Center of the Rockies, Loveland, Colorado, USA.ORCID https://orcid.org/0000-0003-4749-969X

Funding

AHRQ HHS R13 HS028940
6 · The paper itself

Abstract

Objectives: Although trauma clinical guidance has the potential to improve patient outcomes significantly, it is applied inconsistently across the USA today. Work is needed to improve guidance application among those who treat traumatic injury, including emergency medicine (EM) clinicians. A priority step of such improvement is the visual design of clinical directives, as it can markedly influence EM clinicians' satisfaction and subsequent usage of guidance. This qualitative study aims to analyze EM clinicians' needs and preferences for the visual design of trauma clinical guidance. Methods: As part of a larger exploratory sequential mixed-methods study exploring trauma clinical guidance barriers and facilitators, we conducted semistructured video conference interviews during August and September 2024 with EM clinicians. Participants were selected through purposeful criteria and snowball sampling to ensure diverse representation across professional and personal characteristics. Interviews were audio recorded and analyzed through rapid qualitative content analysis. Results: 12 EM clinicians completed interviews, providing feedback on their preferences for the visual design of trauma clinical guidance. Clinicians emphasized the need for simple guidance that can be easily used in a time-pressured setting. Dynamic features such as expandable or "clickable" content can provide deeper explanations of guidance concepts without compromising usability. Flowsheets and visual aids can clarify guidance recommendations. Clinicians asked that recommendations be specific and action-oriented. Conclusion: When designing trauma clinical guidance, authors should promote visual design characteristics that prioritize simplicity, dynamic features, visual aids, and specificity. Level of Evidence: Level III.

Indexed as

clinical practice guidelinesEmergency Medicineguideline

Identifiers

PMID42238566
PMCPMC13227495

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LicenceCC BY-NC
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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.