Evidence map›Paper›PMID 27892622›Full record

ArticleHealth services research2016

Changes in Physician Practice Patterns after Implementation of a Communication-and-Resolution Program.

Lorens A Helmchen, Bruce L Lambert, Timothy B McDonald

Abstract read
In one paragraph

Article in Health services research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. PARENTS 2 study: consensus report for parental engagement in the perinatal mortality review process.Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2019
    Article
  4. CANDOR: The Antidote to Deny and Defend?Health services research · 2016
    Article
  5. Article
  6. 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

3 authors.

Lorens A HelmchenDepartment of Health Policy and Management, Milken Institute School of Public Health, The George Washington University, Washington, DC.
Bruce L LambertDepartment of Communication Studies, Center for Communication and Health, Northwestern University, Chicago, IL.
Timothy B McDonaldMedStar Institute for Quality & Safety, MedStar Health Research Institute, Columbia, MD.

Funding

The Seven Pillars: Crossing the Patient Safety-Medical Liability ChasmR18HS019565 · AHRQ · UNIVERSITY OF ILLINOIS AT CHICAGO · PI MCDONALD, TIMOTHY BRIAN · 2010 to 2010
$3.0M
AHRQ HHS R18 HS019565
6 · The paper itself

Abstract

objectiveTo test if a 2006 communication-and-resolution program to address unexpected adverse outcomes was associated with changes in cost and use trajectories. DATA SOURCE: Records of patients discharged with a principal diagnosis of chest pain from 44 nonfederal general hospitals in Cook County, Illinois, between January 2002 and December 2009. STUDY

designPropensity-score matched discharges from the intervention and comparison hospitals before computing difference-in-differences estimates of quarterly growth rates. DATA COLLECTION

methodsWe used discharge records submitted to a central statewide repository. PRINCIPAL

findingsRelative to the comparison hospitals and to pre-implementation trends, and consistent with reduced testing at presentation, the intervention hospital recorded an increase in the number of patients with a principal diagnosis of chest pain. Among admitted patients, quarterly growth rates of clinical laboratory and radiology charges at the intervention hospital declined by 3.8 and 6.9 percentage points.

conclusionsAmong patients with chest pain, the implementation of a comprehensive communication-and-resolution program was associated with substantially reduced growth rates in the use of diagnostic testing and imaging services. Further research is needed to establish to what extent these changes were attributable to the program and clinically appropriate.

Indexed as

CommunicationLiability, LegalPractice Patterns, Physicians'Chest PainFemaleHumansMaleMalpracticeMedical ErrorsMiddle AgedPatient AdmissionPatient DischargePhysician-Patient RelationsProgram DevelopmentPropensity Scorechest painCommunication-and-resolution programdiagnostic radiologymedical liability

Identifiers

PMID27892622
PMCPMC5134359

What OpenQuestion holds

Textmetadata
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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 OpenQuestion graph.