{"id":"https://openalex.org/W4391224377","doi":"https://doi.org/10.3233/shti230980","title":"Learning from Non-Routine Events and Teamwork in Intensive Care Units: Challenges and Opportunities","display_name":"Learning from Non-Routine Events and Teamwork in Intensive Care Units: Challenges and Opportunities","publication_year":2024,"publication_date":"2024-01-25","ids":{"openalex":"https://openalex.org/W4391224377","doi":"https://doi.org/10.3233/shti230980","pmid":"https://pubmed.ncbi.nlm.nih.gov/38269818"},"language":"en","primary_location":{"id":"doi:10.3233/shti230980","is_oa":true,"landing_page_url":"http://dx.doi.org/10.3233/shti230980","pdf_url":"https://ebooks.iospress.nl/pdf/doi/10.3233/SHTI230980","source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://ebooks.iospress.nl/pdf/doi/10.3233/SHTI230980","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5026991814","display_name":"Yang Gong","orcid":"https://orcid.org/0000-0002-0864-8368"},"institutions":[{"id":"https://openalex.org/I919571938","display_name":"The University of Texas Health Science Center at Houston","ror":"https://ror.org/03gds6c39","country_code":"US","type":"education","lineage":["https://openalex.org/I919571938"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Yang Gong","raw_affiliation_strings":["The University of Texas Health Science Center at Houston, TX, USA"],"affiliations":[{"raw_affiliation_string":"The University of Texas Health Science Center at Houston, TX, USA","institution_ids":["https://openalex.org/I919571938"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5100714052","display_name":"You Chen","orcid":"https://orcid.org/0000-0001-8232-8840"},"institutions":[{"id":"https://openalex.org/I200719446","display_name":"Vanderbilt University","ror":"https://ror.org/02vm5rt34","country_code":"US","type":"education","lineage":["https://openalex.org/I200719446"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"You Chen","raw_affiliation_strings":["Vanderbilt University, Nashville, TN, USA"],"affiliations":[{"raw_affiliation_string":"Vanderbilt University, Nashville, TN, USA","institution_ids":["https://openalex.org/I200719446"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5026991814"],"corresponding_institution_ids":["https://openalex.org/I919571938"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.03514644,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"310","issue":null,"first_page":"324","last_page":"328"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10508","display_name":"Patient Safety and Medication Errors","score":0.9800999760627747,"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"}},"topics":[{"id":"https://openalex.org/T10508","display_name":"Patient Safety and Medication Errors","score":0.9800999760627747,"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/T11773","display_name":"Healthcare Operations and Scheduling Optimization","score":0.9765999913215637,"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/T13248","display_name":"Healthcare Technology and Patient Monitoring","score":0.9621999859809875,"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"}}],"keywords":[{"id":"https://openalex.org/keywords/teamwork","display_name":"Teamwork","score":0.7966489791870117},{"id":"https://openalex.org/keywords/root-cause-analysis","display_name":"Root cause analysis","score":0.5257290601730347},{"id":"https://openalex.org/keywords/intensive-care","display_name":"Intensive care","score":0.5039848685264587},{"id":"https://openalex.org/keywords/informatics","display_name":"Informatics","score":0.4945070445537567},{"id":"https://openalex.org/keywords/medical-emergency","display_name":"Medical emergency","score":0.45841193199157715},{"id":"https://openalex.org/keywords/root-cause","display_name":"Root cause","score":0.45031124353408813},{"id":"https://openalex.org/keywords/patient-safety","display_name":"Patient safety","score":0.4206177294254303},{"id":"https://openalex.org/keywords/root","display_name":"Root (linguistics)","score":0.41254308819770813},{"id":"https://openalex.org/keywords/psychology","display_name":"Psychology","score":0.3756713569164276},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.3636012077331543},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.2718629240989685},{"id":"https://openalex.org/keywords/engineering","display_name":"Engineering","score":0.2703801393508911},{"id":"https://openalex.org/keywords/intensive-care-medicine","display_name":"Intensive care medicine","score":0.20570588111877441},{"id":"https://openalex.org/keywords/operations-management","display_name":"Operations management","score":0.16235396265983582},{"id":"https://openalex.org/keywords/forensic-engineering","display_name":"Forensic engineering","score":0.09825611114501953},{"id":"https://openalex.org/keywords/political-science","display_name":"Political science","score":0.0963214635848999}],"concepts":[{"id":"https://openalex.org/C111226992","wikidata":"https://www.wikidata.org/wiki/Q626225","display_name":"Teamwork","level":2,"score":0.7966489791870117},{"id":"https://openalex.org/C130963320","wikidata":"https://www.wikidata.org/wiki/Q1401207","display_name":"Root cause analysis","level":2,"score":0.5257290601730347},{"id":"https://openalex.org/C2987404301","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care","level":2,"score":0.5039848685264587},{"id":"https://openalex.org/C191630685","wikidata":"https://www.wikidata.org/wiki/Q4027615","display_name":"Informatics","level":2,"score":0.4945070445537567},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.45841193199157715},{"id":"https://openalex.org/C84945661","wikidata":"https://www.wikidata.org/wiki/Q7366567","display_name":"Root cause","level":2,"score":0.45031124353408813},{"id":"https://openalex.org/C2779328685","wikidata":"https://www.wikidata.org/wiki/Q1475557","display_name":"Patient safety","level":3,"score":0.4206177294254303},{"id":"https://openalex.org/C171078966","wikidata":"https://www.wikidata.org/wiki/Q111029","display_name":"Root (linguistics)","level":2,"score":0.41254308819770813},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.3756713569164276},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.3636012077331543},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.2718629240989685},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.2703801393508911},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.20570588111877441},{"id":"https://openalex.org/C21547014","wikidata":"https://www.wikidata.org/wiki/Q1423657","display_name":"Operations management","level":1,"score":0.16235396265983582},{"id":"https://openalex.org/C77595967","wikidata":"https://www.wikidata.org/wiki/Q3151013","display_name":"Forensic engineering","level":1,"score":0.09825611114501953},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0963214635848999},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C41895202","wikidata":"https://www.wikidata.org/wiki/Q8162","display_name":"Linguistics","level":1,"score":0.0},{"id":"https://openalex.org/C119599485","wikidata":"https://www.wikidata.org/wiki/Q43035","display_name":"Electrical engineering","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D006760","descriptor_name":"Hospitalization","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006760","descriptor_name":"Hospitalization","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006760","descriptor_name":"Hospitalization","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006760","descriptor_name":"Hospitalization","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"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":"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":"D007362","descriptor_name":"Intensive Care Units","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D035501","descriptor_name":"Uncertainty","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D035501","descriptor_name":"Uncertainty","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D035501","descriptor_name":"Uncertainty","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D035501","descriptor_name":"Uncertainty","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D060891","descriptor_name":"Root Cause Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D060891","descriptor_name":"Root Cause Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D060891","descriptor_name":"Root Cause Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D060891","descriptor_name":"Root Cause Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":4,"locations":[{"id":"doi:10.3233/shti230980","is_oa":true,"landing_page_url":"http://dx.doi.org/10.3233/shti230980","pdf_url":"https://ebooks.iospress.nl/pdf/doi/10.3233/SHTI230980","source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},{"id":"pmid:38269818","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/38269818","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":"Studies in health technology and informatics","raw_type":null},{"id":"pmh:oai:pubmedcentral.nih.gov:11606403","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/11606403","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11606403/pdf/nihms-2037979.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","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":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Stud Health Technol Inform","raw_type":"Text"},{"id":"pmh:oai:digitalcommons.library.tmc.edu:uthshis_docs-1710","is_oa":false,"landing_page_url":"https://digitalcommons.library.tmc.edu/uthshis_docs/719","pdf_url":null,"source":{"id":"https://openalex.org/S4377196655","display_name":"Digital Commons-TMC (Texas Medical Center)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1337852284","host_organization_name":"Texas Medical Center","host_organization_lineage":["https://openalex.org/I1337852284"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Faculty, Staff and Student Publications","raw_type":"text"}],"best_oa_location":{"id":"doi:10.3233/shti230980","is_oa":true,"landing_page_url":"http://dx.doi.org/10.3233/shti230980","pdf_url":"https://ebooks.iospress.nl/pdf/doi/10.3233/SHTI230980","source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},"sustainable_development_goals":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4391224377.pdf","grobid_xml":"https://content.openalex.org/works/W4391224377.grobid-xml"},"referenced_works_count":11,"referenced_works":["https://openalex.org/W2037591813","https://openalex.org/W2107809009","https://openalex.org/W2151976185","https://openalex.org/W2510131586","https://openalex.org/W3077577756","https://openalex.org/W3129040096","https://openalex.org/W3197095260","https://openalex.org/W3207649139","https://openalex.org/W3208639245","https://openalex.org/W4281661728","https://openalex.org/W4281703865"],"related_works":["https://openalex.org/W2754538212","https://openalex.org/W2030594396","https://openalex.org/W4200610016","https://openalex.org/W3045668461","https://openalex.org/W2490884653","https://openalex.org/W4255366506","https://openalex.org/W2183996497","https://openalex.org/W2056250485","https://openalex.org/W129587375","https://openalex.org/W2110363179"],"abstract_inverted_index":{"Patients":[0],"admitted":[1],"to":[2,28,65,104,108,134,145,164,175],"intensive":[3],"care":[4,20,43],"units":[5],"(ICUs)":[6],"have":[7,79,106],"profound":[8],"and":[9,19,33,54,70,85,120,140,154,161,169,173,181],"complex":[10],"illnesses,":[11],"often":[12,23],"fraught":[13],"with":[14,127],"uncertainties":[15],"in":[16,115,167,179],"diagnoses,":[17],"treatments,":[18],"decisions.":[21],"Clinicians":[22],"deviate":[24],"from":[25,49],"best":[26],"practices":[27],"handle":[29],"ICUs'":[30],"myriad":[31],"complexities":[32],"uncertainties.":[34],"Non-routine":[35],"events":[36],"(NREs),":[37],"defined":[38],"as":[39,47,82],"any":[40],"aspect":[41],"of":[42,72,113,118,152,157],"perceived":[44],"by":[45],"clinicians":[46],"deviations":[48],"optimal":[50],"care,":[51],"are":[52,124],"latent":[53,76],"frequent":[55],"safety":[56,77,99],"threats":[57,78],"that,":[58],"if":[59],"left":[60],"unchecked,":[61],"can":[62],"be":[63,146],"precursors":[64],"adverse":[66],"events.":[67,100],"Proper":[68],"identification":[69],"analysis":[71,96],"NREs":[73,114,166,177],"that":[74,123],"represent":[75],"been":[80],"proposed":[81],"a":[83],"feasible":[84],"more":[86],"effective":[87],"approach":[88],"for":[89,97],"performance":[90],"improvement":[91],"than":[92],"traditional":[93],"root":[94,136],"cause":[95],"patient":[98],"However,":[101],"NRE":[102],"studies":[103],"date":[105],"yet":[107],"show":[109],"the":[110,116,155,171],"holistic":[111],"picture":[112],"contexts":[117,168],"teamwork":[119,180],"time-dependent":[121,182],"tasks":[122],"frequently":[125],"associated":[126],"NREs.":[128],"NREs,":[129,153],"an":[130],"upstream":[131],"interventional":[132],"area":[133],"understand":[135],"causes,":[137],"team":[138],"performance,":[139],"human-computer":[141],"interaction,":[142],"still":[143],"needs":[144],"expanded.":[147],"This":[148],"article":[149],"presents":[150],"concepts":[151],"use":[156],"real-world":[158],"data":[159],"(RWD)":[160],"informatics":[162],"methodology":[163],"investigate":[165],"discusses":[170],"opportunities":[172],"challenges":[174],"enhance":[176],"research":[178],"tasks.":[183]},"counts_by_year":[],"updated_date":"2026-03-11T14:59:36.786465","created_date":"2025-10-10T00:00:00"}
