Evidence map›Paper›PMID 27294592›Full record

ArticleJournal of patient safety2020

Learning From Lawsuits: Using Malpractice Claims Data to Develop Care Transitions Planning Tools.

Alicia I Arbaje, Nicole E Werner, Eileen M Kasda, Albert W Wu, Charles F S Locke, Hanan Aboumatar, Lori A Paine, Bruce Leff, Richard O Davis, Romsai Boonyasai

Abstract read
In one paragraph

Article in Journal of patient safety, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
–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

3 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. 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

10 authors.

Alicia I Arbaje
Nicole E Werner
Eileen M KasdaPatient Safety, The Johns Hopkins Hospital, Johns Hopkins Health System.
Albert W Wu
Charles F S Locke
Hanan Aboumatar
Lori A PaineJohns Hopkins Armstrong Institute for Safety and Quality.
Bruce Leff
Richard O DavisSibley Memorial Hospital, Johns Hopkins Medicine.
Romsai Boonyasai

Funding

Older adult safety while receiving home health services after hospital dischargeK08HS022916 · AHRQ · JOHNS HOPKINS UNIVERSITY · PI ARBAJE, ALICIA INES · 2014 to 2018
$785k
Effective Enterprise-wide Care Transitions at DischargeR21HS019519 · AHRQ · JOHNS HOPKINS UNIVERSITY · PI DAVIS, RICHARD O. · 2010 to 2010
$293k
AHRQ HHS K08 HS022916AHRQ HHS R21 HS019519
6 · The paper itself

Abstract

objectivesOur understanding of care transitions from hospital to home is incomplete. Malpractice claims are an important and underused data source to understand such transitions. We used malpractice claims data to (1) evaluate safety risks during care transitions and (2) help develop care transitions planning tools and pilot test their ability to evaluate care transitions from the hospital to home.

methodsClosed malpractice claims were analyzed for 230 adult patients discharged from 4 hospital sites. Stakeholders participated in 2 structured focus groups to review concerns. This led to the development of 2 care transitions planning tools-one for patients/caregivers and one for frontline care providers. Both were tested for feasibility on 53 patient discharges.

resultsQualitative analysis yielded 33 risk factors corresponding to hospital work system elements, care transitions processes, and care outcomes. Providers reported that the tool was easy to use and did not adversely affect workflow. Patients reported that the tool was acceptable in terms of length and response burden. Patients were often still waiting for information at the time they applied the tool.

conclusionsMalpractice claims provided insights that enriched our understanding of suboptimal care transitions and guided the development of care transitions planning tools. Pilot testing suggested that the tools would be feasible for use with minor adjustment. The malpractice data can complement other approaches to characterize systems failures threatening patient safety.

Indexed as

FemaleHumansMaleMalpracticePatient TransferRisk Factors

Identifiers

PMID27294592
PMCPMC9550187

What OpenQuestion holds

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Registered trials

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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.