{"id":"https://openalex.org/W2931089826","doi":"https://doi.org/10.1177/0018720819838090","title":"Interruptions and Delivery of Care in the Intensive Care Unit","display_name":"Interruptions and Delivery of Care in the Intensive Care Unit","publication_year":2019,"publication_date":"2019-04-04","ids":{"openalex":"https://openalex.org/W2931089826","doi":"https://doi.org/10.1177/0018720819838090","mag":"2931089826","pmid":"https://pubmed.ncbi.nlm.nih.gov/30945959"},"language":"en","primary_location":{"id":"doi:10.1177/0018720819838090","is_oa":true,"landing_page_url":"https://doi.org/10.1177/0018720819838090","pdf_url":"https://journals.sagepub.com/doi/pdf/10.1177/0018720819838090","source":{"id":"https://openalex.org/S83386566","display_name":"Human Factors The Journal of the Human Factors and Ergonomics Society","issn_l":"0018-7208","issn":["0018-7208","1547-8181"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":"public-domain","license_id":"https://openalex.org/licenses/public-domain","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Human Factors: The Journal of the Human Factors and Ergonomics Society","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://journals.sagepub.com/doi/pdf/10.1177/0018720819838090","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5016698200","display_name":"Frank A. Drews","orcid":"https://orcid.org/0000-0003-4263-4602"},"institutions":[{"id":"https://openalex.org/I223532165","display_name":"University of Utah","ror":"https://ror.org/03r0ha626","country_code":"US","type":"education","lineage":["https://openalex.org/I223532165"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Frank A. Drews","raw_affiliation_strings":["The University of Utah, Salt Lake City, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The University of Utah, Salt Lake City, USA","institution_ids":["https://openalex.org/I223532165"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5020156437","display_name":"Boaz A. Markewitz","orcid":null},"institutions":[{"id":"https://openalex.org/I223532165","display_name":"University of Utah","ror":"https://ror.org/03r0ha626","country_code":"US","type":"education","lineage":["https://openalex.org/I223532165"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Boaz A. Markewitz","raw_affiliation_strings":["The University of Utah, Salt Lake City, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The University of Utah, Salt Lake City, USA","institution_ids":["https://openalex.org/I223532165"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5059719975","display_name":"Gregory J. Stoddard","orcid":"https://orcid.org/0000-0002-6292-276X"},"institutions":[{"id":"https://openalex.org/I223532165","display_name":"University of Utah","ror":"https://ror.org/03r0ha626","country_code":"US","type":"education","lineage":["https://openalex.org/I223532165"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Gregory J. Stoddard","raw_affiliation_strings":["The University of Utah, Salt Lake City, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The University of Utah, Salt Lake City, USA","institution_ids":["https://openalex.org/I223532165"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5078072232","display_name":"Matthew H. Samore","orcid":"https://orcid.org/0000-0002-4862-9196"},"institutions":[{"id":"https://openalex.org/I223532165","display_name":"University of Utah","ror":"https://ror.org/03r0ha626","country_code":"US","type":"education","lineage":["https://openalex.org/I223532165"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Matthew H. Samore","raw_affiliation_strings":["The University of Utah, Salt Lake City, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The University of Utah, Salt Lake City, USA","institution_ids":["https://openalex.org/I223532165"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5016698200"],"corresponding_institution_ids":["https://openalex.org/I223532165"],"apc_list":null,"apc_paid":null,"fwci":6.5406,"has_fulltext":false,"cited_by_count":64,"citation_normalized_percentile":{"value":0.97244256,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":90,"max":100},"biblio":{"volume":"61","issue":"4","first_page":"564","last_page":"576"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T13248","display_name":"Healthcare Technology and Patient Monitoring","score":0.8561000227928162,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T13248","display_name":"Healthcare Technology and Patient Monitoring","score":0.8561000227928162,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10508","display_name":"Patient Safety and Medication Errors","score":0.09520000219345093,"subfield":{"id":"https://openalex.org/subfields/3604","display_name":"Emergency Medical Services"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12607","display_name":"Personal Information Management and User Behavior","score":0.007899999618530273,"subfield":{"id":"https://openalex.org/subfields/1802","display_name":"Information Systems and Management"},"field":{"id":"https://openalex.org/fields/18","display_name":"Decision Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.695624828338623},{"id":"https://openalex.org/keywords/patient-safety","display_name":"Patient safety","score":0.6151695847511292},{"id":"https://openalex.org/keywords/incident-report","display_name":"Incident report","score":0.6010464429855347},{"id":"https://openalex.org/keywords/intensive-care-unit","display_name":"Intensive care unit","score":0.5860298871994019},{"id":"https://openalex.org/keywords/medical-emergency","display_name":"Medical emergency","score":0.5505710244178772},{"id":"https://openalex.org/keywords/emergency-medicine","display_name":"Emergency medicine","score":0.4915386140346527},{"id":"https://openalex.org/keywords/task","display_name":"Task (project management)","score":0.44051745533943176},{"id":"https://openalex.org/keywords/occupational-safety-and-health","display_name":"Occupational safety and health","score":0.44012635946273804},{"id":"https://openalex.org/keywords/intensive-care","display_name":"Intensive care","score":0.4300190210342407},{"id":"https://openalex.org/keywords/protocol","display_name":"Protocol (science)","score":0.4203929901123047},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.37369459867477417},{"id":"https://openalex.org/keywords/nursing","display_name":"Nursing","score":0.32873186469078064},{"id":"https://openalex.org/keywords/intensive-care-medicine","display_name":"Intensive care medicine","score":0.31511080265045166}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.695624828338623},{"id":"https://openalex.org/C2779328685","wikidata":"https://www.wikidata.org/wiki/Q1475557","display_name":"Patient safety","level":3,"score":0.6151695847511292},{"id":"https://openalex.org/C2909164965","wikidata":"https://www.wikidata.org/wiki/Q6014597","display_name":"Incident report","level":2,"score":0.6010464429855347},{"id":"https://openalex.org/C2776376669","wikidata":"https://www.wikidata.org/wiki/Q5094647","display_name":"Intensive care unit","level":2,"score":0.5860298871994019},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.5505710244178772},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.4915386140346527},{"id":"https://openalex.org/C2780451532","wikidata":"https://www.wikidata.org/wiki/Q759676","display_name":"Task (project management)","level":2,"score":0.44051745533943176},{"id":"https://openalex.org/C187155963","wikidata":"https://www.wikidata.org/wiki/Q629029","display_name":"Occupational safety and health","level":2,"score":0.44012635946273804},{"id":"https://openalex.org/C2987404301","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care","level":2,"score":0.4300190210342407},{"id":"https://openalex.org/C2780385302","wikidata":"https://www.wikidata.org/wiki/Q367158","display_name":"Protocol (science)","level":3,"score":0.4203929901123047},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.37369459867477417},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.32873186469078064},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.31511080265045166},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.0},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C187736073","wikidata":"https://www.wikidata.org/wiki/Q2920921","display_name":"Management","level":1,"score":0.0},{"id":"https://openalex.org/C77595967","wikidata":"https://www.wikidata.org/wiki/Q3151013","display_name":"Forensic engineering","level":1,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D004865","descriptor_name":"Equipment and Supplies, Hospital","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":false},{"descriptor_ui":"D004865","descriptor_name":"Equipment and Supplies, Hospital","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":false},{"descriptor_ui":"D004865","descriptor_name":"Equipment and Supplies, Hospital","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007362","descriptor_name":"Intensive Care Units","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D007362","descriptor_name":"Intensive Care Units","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D007362","descriptor_name":"Intensive Care Units","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D009741","descriptor_name":"Nursing Staff, Hospital","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D009741","descriptor_name":"Nursing Staff, Hospital","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D009741","descriptor_name":"Nursing Staff, Hospital","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D013647","descriptor_name":"Task Performance and Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013647","descriptor_name":"Task Performance and Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013647","descriptor_name":"Task Performance and Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016526","descriptor_name":"Workload","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D016526","descriptor_name":"Workload","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D016526","descriptor_name":"Workload","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D061214","descriptor_name":"Patient Safety","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D061214","descriptor_name":"Patient Safety","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D061214","descriptor_name":"Patient Safety","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D064648","descriptor_name":"Critical Care Nursing","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D064648","descriptor_name":"Critical Care Nursing","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D064648","descriptor_name":"Critical Care Nursing","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1177/0018720819838090","is_oa":true,"landing_page_url":"https://doi.org/10.1177/0018720819838090","pdf_url":"https://journals.sagepub.com/doi/pdf/10.1177/0018720819838090","source":{"id":"https://openalex.org/S83386566","display_name":"Human Factors The Journal of the Human Factors and Ergonomics Society","issn_l":"0018-7208","issn":["0018-7208","1547-8181"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":"public-domain","license_id":"https://openalex.org/licenses/public-domain","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Human Factors: The Journal of the Human Factors and Ergonomics Society","raw_type":"journal-article"},{"id":"pmid:30945959","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/30945959","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Human factors","raw_type":null}],"best_oa_location":{"id":"doi:10.1177/0018720819838090","is_oa":true,"landing_page_url":"https://doi.org/10.1177/0018720819838090","pdf_url":"https://journals.sagepub.com/doi/pdf/10.1177/0018720819838090","source":{"id":"https://openalex.org/S83386566","display_name":"Human Factors The Journal of the Human Factors and Ergonomics Society","issn_l":"0018-7208","issn":["0018-7208","1547-8181"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":"public-domain","license_id":"https://openalex.org/licenses/public-domain","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Human Factors: The Journal of the Human Factors and Ergonomics Society","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.8299999833106995,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320306127","display_name":"U.S. Department of Veterans Affairs","ror":"https://ror.org/05rsv9s98"}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":62,"referenced_works":["https://openalex.org/W185650302","https://openalex.org/W562361155","https://openalex.org/W1532066679","https://openalex.org/W1601127599","https://openalex.org/W1825571444","https://openalex.org/W1948663377","https://openalex.org/W1964800337","https://openalex.org/W1965039583","https://openalex.org/W1970070481","https://openalex.org/W1971898772","https://openalex.org/W1972046139","https://openalex.org/W1977765099","https://openalex.org/W1979053643","https://openalex.org/W1985322877","https://openalex.org/W2003178912","https://openalex.org/W2007132658","https://openalex.org/W2010088561","https://openalex.org/W2016155538","https://openalex.org/W2017881479","https://openalex.org/W2022164703","https://openalex.org/W2026790643","https://openalex.org/W2028542552","https://openalex.org/W2031521801","https://openalex.org/W2040636700","https://openalex.org/W2043154783","https://openalex.org/W2052938415","https://openalex.org/W2064283760","https://openalex.org/W2064509995","https://openalex.org/W2066577800","https://openalex.org/W2070071510","https://openalex.org/W2078001935","https://openalex.org/W2086915046","https://openalex.org/W2091893465","https://openalex.org/W2099096749","https://openalex.org/W2108385423","https://openalex.org/W2116947919","https://openalex.org/W2119472226","https://openalex.org/W2119522137","https://openalex.org/W2122515591","https://openalex.org/W2138226178","https://openalex.org/W2142120967","https://openalex.org/W2144663895","https://openalex.org/W2148958608","https://openalex.org/W2153418711","https://openalex.org/W2154296889","https://openalex.org/W2157258467","https://openalex.org/W2161521229","https://openalex.org/W2162557958","https://openalex.org/W2243899726","https://openalex.org/W2296559221","https://openalex.org/W2418638177","https://openalex.org/W2519750805","https://openalex.org/W2555756618","https://openalex.org/W2556055693","https://openalex.org/W2588613292","https://openalex.org/W2601652248","https://openalex.org/W2724420423","https://openalex.org/W2766152271","https://openalex.org/W2774540351","https://openalex.org/W2968763683","https://openalex.org/W2981054215","https://openalex.org/W4234915003"],"related_works":["https://openalex.org/W2474790959","https://openalex.org/W2057630253","https://openalex.org/W2327606279","https://openalex.org/W2331454882","https://openalex.org/W2753993308","https://openalex.org/W2274076556","https://openalex.org/W2362037864","https://openalex.org/W1984498786","https://openalex.org/W2000329364","https://openalex.org/W2280614645"],"abstract_inverted_index":{"OBJECTIVE:":[0],"This":[1],"study":[2],"samples":[3],"interruption":[4],"frequency":[5],"in":[6,28,49,53,69,72,151,166,205,242],"intensive":[7],"care":[8,35,152,167],"unit":[9],"(ICU)":[10],"settings":[11],"to":[12,136,212,225,231,247],"assess":[13],"the":[14,206],"relationship":[15],"between":[16],"interruptions":[17,24,36],"and":[18,37,65,76,101,115,153,168,189,199,210,229,244],"common":[19,228],"patient":[20,41,66,77,122,213,232,249],"hazards.":[21,233,250],"BACKGROUND:":[22],"Task":[23],"are":[25,208],"accident":[26],"contributors":[27],"numerous":[29],"industries.":[30],"Recently,":[31],"studies":[32],"on":[33,40,130],"health":[34],"their":[38],"impact":[39],"hazards":[42,67,123,155,170],"have":[43],"received":[44],"attention.":[45],"METHOD:":[46],"Seven":[47],"ICUs":[48],"four":[50],"hospitals":[51],"participated":[52],"a":[54,95,127,238],"24-month":[55],"study.":[56],"Experienced":[57],"ICU":[58,207],"nurses":[59,87],"directly":[60],"observed":[61],"nursing":[62,90],"tasks,":[63,138],"interruptions,":[64],"(delays":[68],"care,":[70],"breaks":[71],"device":[73,139,187,219,245],"task":[74,243],"protocols,":[75],"safety":[78,154,169],"hazards).":[79],"RESULTS:":[80],"During":[81],"1,148":[82],"hours":[83],"of":[84,97,103,120,149,164,182],"observation,":[85],"175":[86],"performed":[88],"74,733":[89],"tasks.":[91,223],"Interruptions":[92,107,204],"occurred":[93],"at":[94],"rate":[96,163],"4.95":[98],"per":[99],"hour,":[100],"8.4%":[102],"tasks":[104,143,177],"were":[105,124,144,190],"interrupted.":[106],"originated":[108],"mostly":[109],"from":[110],"humans":[111],"(65.9%),":[112],"alarms":[113,220],"(24.1%),":[114],"others":[116],"(10%).":[117],"A":[118],"total":[119],"774":[121],"observed,":[125],"with":[126,146],"hazard":[128],"occurring":[129],"average":[131],"every":[132],"89":[133],"minutes.":[134],"Relative":[135],"noninterrupted":[137],"alarm":[140],"interrupted":[141,176],"nonstructured":[142,222],"associated":[145],"increased":[147],"rates":[148],"delays":[150,165],"(rate":[156],"ratio":[157],"[RR]":[158],"=":[159,179],"3.19).":[160],"In":[161],"contrast,":[162],"did":[171],"not":[172],"increase":[173],"during":[174,192,221],"human":[175],"(RR":[178],"1.13).":[180],"Rates":[181],"protocol":[183],"nonadherence":[184],"varied":[185],"by":[186,218],"type":[188],"highest":[191],"artificial":[193],"airway,":[194],"medication":[195],"administration,":[196],"chest":[197],"tube,":[198],"supplemental":[200],"oxygen":[201],"management.":[202],"CONCLUSION:":[203],"frequent":[209],"contribute":[211],"hazards,":[214],"especially":[215],"when":[216],"caused":[217],"Nonadherence":[224],"protocols":[226],"is":[227],"contributed":[230],"APPLICATION:":[234],"The":[235],"findings":[236],"suggest":[237],"need":[239],"for":[240],"improvement":[241],"design":[246],"reduce":[248]},"counts_by_year":[{"year":2026,"cited_by_count":7},{"year":2025,"cited_by_count":6},{"year":2024,"cited_by_count":8},{"year":2023,"cited_by_count":12},{"year":2022,"cited_by_count":12},{"year":2021,"cited_by_count":9},{"year":2020,"cited_by_count":8},{"year":2019,"cited_by_count":1}],"updated_date":"2026-07-03T08:13:44.112507","created_date":"2025-10-10T00:00:00"}
