Evidence map›Paper›PMID 39228868›Full record

ArticlePediatric quality & safety

Sustainability of a PICU Situation Awareness Intervention: A Qualitative Study.

Maya Dewan, Jonelle Prideaux, Daniel Loeb, Ruchit V Patel, Matthew Zackoff, Sapna R Kudchadkar, Lisa M Vaughn, Amanda C Schondelmeyer

Abstract read
In one paragraph

Article in Pediatric quality & safety. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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.

Maya DewanFrom the Department of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, Ohio.
Jonelle PrideauxDivision of Emergency Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Daniel LoebFrom the Department of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, Ohio.
Ruchit V PatelHarvard Medical School, Boston, Mass.
Matthew ZackoffFrom the Department of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, Ohio.
Sapna R KudchadkarDepartments of Anesthesiology and Critical Care Medicine, Pediatrics and Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, Md.
Lisa M VaughnFrom the Department of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, Ohio.
Amanda C SchondelmeyerFrom the Department of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, Ohio.

Funding

AHRQ HHS K08 HS026975
6 · The paper itself

Abstract

Introduction: We aimed to investigate facilitators and barriers that impact the sustainability of an interprofessional situation awareness bundle. Methods: This is a single-center qualitative study at a tertiary care pediatric center examining the sustainability of an interprofessional situation awareness bundle to reduce in-hospital cardiac arrests. The bundle includes an automated clinical decision support tool, twice-daily safety huddles, and a bedside mitigation plan. A trained research staff member interviewed participants in October 2022. Interviews were audio recorded and transcribed verbatim, and recruitment continued until data saturation. Inductive and deductive analyses were used here. Results: The authors interviewed twelve staff members via individual semistructured interviews: registered nurses (RN, n = 2) and clinicians [(advanced practice providers, n = 2), pediatric critical care fellows, n = 4 and attendings, n = 4)]. Five main themes were identified: (1) the situation awareness bundle is Conclusions: The situation awareness bundle has become ingrained, strengthened, and sustained over the last 5 years through integration into daily practice and culture and leveraging standardized processes, tools and technology. It is associated with improved communication and shared decision-making. Understanding the key components for implementation and sustainability is necessary for ongoing spread and improvement in the future.

Identifiers

PMID39228868
PMCPMC11368216

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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 Socratic graph.