Evidence map›Paper›PMID 29143331›Full record

Observational studyHealth services research2018

Implicit Review Instrument to Evaluate Quality of Care Delivered by Physicians to Children in Emergency Departments.

James P Marcin, Patrick S Romano, Madan Dharmar, James M Chamberlain, Nanette Dudley, Charles G Macias, Lise E Nigrovic, Elizabeth C Powell, Alexander J Rogers, Meridith Sonnett and 9 more

Open access · greenAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.4field-weighted citation impact, top 17% of its field
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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Patient-level Factors and the Quality of Care Delivered in Pediatric Emergency Departments.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2018
    Observational
  5. 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

19 authors at 12 institutions in 1 country.

James P MarcinDepartment of Pediatrics, University of California, Davis School of Medicine, Sacramento, CA.ORCID 0000-0001-7281-6947
Patrick S RomanoDepartment of Pediatrics, University of California, Davis School of Medicine, Sacramento, CA.
Madan DharmarDepartment of Pediatrics, University of California, Davis School of Medicine, Sacramento, CA.
James M ChamberlainDivision of Emergency Medicine, Children's National Health System, Washington, DC.
Nanette DudleyDepartment of Pediatrics, University of Utah School of Medicine, Salt Lake City, UT.
Charles G MaciasDepartment of Pediatrics and Center for Clinical Effectiveness, Baylor College of Medicine, Houston, TX.
Lise E NigrovicDivision of Emergency Medicine, Boston Children's Hospital, Boston, MA.
Elizabeth C PowellDepartment of Pediatrics, Northwestern University's Feinberg School of Medicine, Chicago, IL.
Alexander J RogersDepartments of Emergency Medicine and Pediatrics, University of Michigan, Ann Arbor, MI.
Meridith SonnettDepartment of Pediatrics, Columbia University Medical Center, Columbia University College of Physicians and Surgeons, New York, NY.
Leah TzimenatosDepartment of Emergency Medicine, University of California, Davis School of Medicine, Sacramento, CA.
Elizabeth R AlpernDepartment of Pediatrics, The Children's Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia, PA.
Rebecca Andrews-DickertDepartment of Emergency Medicine, DeVos Children's Hospital, Michigan State University College of Human Medicine, Grand Rapids, MI.
Dominic A BorgialliDepartment of Emergency Medicine, Hurley Medical Center and University of Michigan, Flint, MI.
Erika SidneyDivision of Emergency Medicine, Children's Hospital of Colorado, University of Colorado, Aurora, CO.
Charlie CasperDepartment of Pediatrics, University of Utah and PECARN Data Coordinating Center, Salt Lake City, UT.
Jonathan Michael DeanDepartment of Pediatrics, University of Utah and PECARN Data Coordinating Center, Salt Lake City, UT.
Nathan KuppermannDepartment of Pediatrics, University of California, Davis School of Medicine, Sacramento, CA.
Pediatric Emergency Care Applied Research Network
University of California, Davis · USUniversity of Utah · USBaylor College of Medicine · USBoston Children's Hospital · USChildren's Hospital Colorado · USChildren's Hospital of Philadelphia · USChildren's National · USColumbia University Irving Medical Center · USHelen DeVos Children's Hospital · USHurley Medical Center · USNorthwestern University · USUniversity of Michigan · US

Funding

Factors Associated with Quality of Care Delivered to Children in US EDsR01HS019712 · AHRQ · UNIVERSITY OF CALIFORNIA AT DAVIS · PI MARCIN, JAMES P · 2010 to 2012
$1.5M
AHRQ HHS R01 HS019712
6 · The paper itself

Abstract

objectiveTo evaluate the consistency, reliability, and validity of an implicit review instrument that measures the quality of care provided to children in the emergency department (ED). DATA SOURCES/STUDY

settingMedical records of randomly selected children from 12 EDs in the Pediatric Emergency Care Applied Research Network (PECARN). STUDY

designEight pediatric emergency medicine physicians applied the instrument to 620 medical records. DATA COLLECTION/EXTRACTION

methodsWe determined internal consistency using Cronbach's alpha and inter-rater reliability using the intraclass correlation coefficient (ICC). We evaluated the validity of the instrument by correlating scores with four condition-specific explicit review instruments. PRINCIPAL

findingsIndividual reviewers' Cronbach's alpha had a mean of 0.85 with a range of 0.76-0.97; overall Cronbach's alpha was 0.90. The ICC was 0.49 for the summary score with a range from 0.40 to 0.46. Correlations between the quality of care score and the four condition-specific explicit review scores ranged from 0.24 to 0.38.

conclusionsThe quality of care instrument demonstrated good internal consistency, moderate inter-rater reliability, high inter-rater agreement, and evidence supporting validity. The instrument could be useful for systems' assessment and research in evaluating the care delivered to children in the ED.

Indexed as

Acute DiseaseAdolescentChildChild HealthChild, PreschoolElectronic Health RecordsEmergency Service, HospitalFemaleHumansInfantInfant, NewbornMaleOutcome and Process Assessment, Health CarePediatricsQuality Indicators, Health CareQuality of Health Careemergency departmentPediatricsquality

Identifiers

PMID29143331
PMCPMC5980311
OpenAlexW2770795022

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.