Evidence map›Paper›PMID 42338191›Full record

ArticleJournal of hospital medicine2026

Safety steps: A framework for promoting safe trainee autonomy in clinical emergencies.

Kathryn Grace Kompa, Janet Monroe, Virginia Brady, Roberto Gonzalez, James Lyon, Rachel Porth, Daniel Smithers, C Christopher Smith

Abstract read
In one paragraph

Article in Journal of hospital medicine, 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

8 authors.

Kathryn Grace KompaMassachusetts General Hospital, Boston, Massachusetts, USA.
Janet MonroeBeth Israel Deaconess Medical Cen, Boston, Massachusetts, USA.
Virginia BradyBeth Israel Deaconess Medical Cen, Boston, Massachusetts, USA.
Roberto GonzalezMemorial Health Care System, Hollywood, Florida, USA.
James LyonBeth Israel Deaconess Medical Cen, Boston, Massachusetts, USA.
Rachel PorthBeth Israel Deaconess Medical Cen, Boston, Massachusetts, USA.
Daniel SmithersBrigham and Women's Hospital, Boston, Massachusetts, USA.
C Christopher SmithBeth Israel Deaconess Medical Cen, Boston, Massachusetts, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Balancing trainee autonomy with patient safety during clinical emergencies is an enduring challenge faced by hospitalists. In this article, we propose a framework to be used in urgent medical situations, such as hypotension or acute hypoxic respiratory failure. These strategies can be used to enhance early career trainee learning, confidence, and independence in such challenging situations by fostering a supportive learning environment while emphasizing both patient safety and trainee growth.

Indexed as

Clinical CompetenceEmergenciesPatient SafetyProfessional AutonomyHumans

Identifiers

PMID42338191
PMCPMC13534885

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.