Evidence map›Paper›PMID 42732014›Full record

Articlenpj health systems2026

Delayed EHR availability of vital signs is associated with nursing shift structure.

Patrick G Lyons, Brenna Park-Egan, Tanuj Devara, Jeffrey A Gold

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in npj health systems, 2026. 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

4 authors.

Patrick G LyonsDivision of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, Oregon Health & Science University, Portland, OR, USA. lyonspa@ohsu.edu.
Brenna Park-EganDivision of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, Oregon Health & Science University, Portland, OR, USA.
Tanuj DevaraDivision of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, Oregon Health & Science University, Portland, OR, USA.
Jeffrey A GoldDivision of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, Oregon Health & Science University, Portland, OR, USA.

Funding

SPOT-IT: Sepsis Prediction in Oncology Through Implementation Science and TechnologyK08CA270383 · NCI · OREGON HEALTH & SCIENCE UNIVERSITY · PI Patrick G Lyons · 2024 to 2026
$851k
NCI NIH HHS K08 CA270383NCI NIH HHS K08CA270383
6 · The paper itself

Abstract

Delayed EHR availability of vital signs may jeopardize patient safety and data integrity. In 11.4 million measurements from 26,479 encounters, median measurement-to-validation lag ranged 12-25 minutes across locations; one-third of abnormal values were delayed over an hour. Lag peaked before nursing shift changes, including in settings with device-EHR integration. These findings implicate workforce-driven workflow, rather than technical failure, as a primary barrier to real-time surveillance and health system responsiveness.

Identifiers

PMID42732014
PMCPMC13570885

What Socratic 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 Socratic graph.