ArticleBMJ quality & safety2017
A qualitative study of emergency physicians' perspectives on PROMS in the emergency department.
Article in BMJ quality & safety, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
What it found
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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.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Pooled it
- Pooled it
- Patient-Reported Outcome Measures in the Emergency Department: A Scoping Review.Journal of the American College of Emergency Physicians open · 2026Review
- Clinician Experiences with Adolescents with Comorbid Chronic Pain and Eating Disorders.Journal of clinical medicine · 2025Article
- Ethical and legal considerations governing use of health data for quality improvement and performance management: a scoping review of the perspectives of health professionals and administrators.BMJ open quality · 2025Article
- Emergency Physician Assessment of Productivity and Supervision Practices.The western journal of emergency medicine · 2025Observational
- Intravenous paracetamol compared to non-steroidal anti-inflammatory drugs and opioids for acute pain in emergency departments.Internal and emergency medicine · 2024Article
- Patient and care partner assessments of diagnostic excellence in the emergency department: A cognitive interview study.International journal of nursing studies advances · 2023Article
- Patient-Reported Outcomes and Experiences Assessment in Women with Breast Cancer: Portuguese Case Study.International journal of environmental research and public health · 2023Article
- Use of Patient-Reported Data within the Acute Healthcare Context: A Scoping Review.International journal of environmental research and public health · 2022Article
- Parents' and carers' impression of "quality" within a Paediatric Emergency Department.BMC pediatrics · 2021Article
- A Value-Based Comparison of the Management of Ambulatory Respiratory Diseases in Walk-in Clinics, Primary Care Practices, and Emergency Departments: Protocol for a Multicenter Prospective Cohort Study.JMIR research protocols · 2021Article
- Patient-Reported Outcome Measurements (PROMs) After Discharge From the Emergency Department: A Cross-Sectional Study.Journal of patient experience · 2021Article
- The facilitators and barriers to implementing patient reported outcome measures in organisations delivering health related services: a systematic review of reviews.Journal of patient-reported outcomes · 2018Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThere is a growing emphasis on including patients' perspectives on outcomes as a measure of quality care. To date, this has been challenging in the emergency department (ED) setting. To better understand the root of this challenge, we looked to ED physicians' perspectives on their role, relationships and responsibilities to inform future development and implementation of patient-reported outcome measures (PROMs).
methodsED physicians from hospitals across Canada were invited to participate in interviews using a snowballing sampling technique. Semistructured interviews were conducted by phone with questions focused on the role and practice of ED physicians, their relationship with their patients and their thoughts on patient-reported feedback as a mechanism for quality improvement. Transcripts were analysed using a modified constant comparative method and interpretive descriptive framework.
resultsInterviews were completed with 30 individual physicians. Respondents were diverse in location, training and years in practice. Physicians reported being interested in 'objective' postdischarge information including adverse events, readmissions, other physicians' notes, etc in a select group of complex patients, but saw 'patient-reported' feedback as less valuable due to perceived biases. They were unsure about the impact of such feedback mainly because of the episodic nature of their work. Concerns about timing, as well as about their legal and ethical responsibilities to follow-up if poor patient outcomes are reported, were raised.
conclusionsData collection and feedback are key elements of a learning health system. While patient-reported outcomes may have a role in feedback, ED physicians are conflicted about the actionability of such data and ethical implications, given the inherently episodic nature of their work. These findings have important implications for PROM design and implementation in this unique clinical setting.
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