Evidence map›Paper›PMID 32948571›Full record

ArticleBMJ open2020

Evaluation of outcome relevance of quality indicators in the emergency department (ENQuIRE): study protocol for a prospective multicentre cohort study.

Susanne Drynda, Wencke Schindler, Anna Slagman, Johannes Pollmanns, Dirk Horenkamp-Sonntag, Wiebke Schirrmeister, Ronny Otto, Jonas Bienzeisler, Felix Greiner, Saskia Drösler and 6 more

Abstract read
In one paragraph

Article in BMJ open, 2020. 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. Deutsche medizinische Wochenschrift (1946) · 2024
    Article
  3. Article
  4. Article
  5. Article
  6. Review
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

16 authors.

Susanne DryndaDepartment of Trauma Surgery, Otto von Guericke University, Magdeburg, Germany susanne.drynda@med.ovgu.de.ORCID 0000-0002-5992-7578
Wencke SchindlerInstitute of Social Medicine and Health Systems Research, Otto von Guericke University, Magdeburg, Germany.
Anna SlagmanEmergency and Acute Medicine, Charité, Berlin, Germany.
Johannes PollmannsFaculty of Health Care, Niederrhein University of Applied Sciences, Krefeld, Germany.
Dirk Horenkamp-SonntagTechniker Krankenkasse, Hamburg, Germany.
Wiebke SchirrmeisterDepartment of Trauma Surgery, Otto von Guericke University, Magdeburg, Germany.
Ronny OttoDepartment of Trauma Surgery, Otto von Guericke University, Magdeburg, Germany.
Jonas BienzeislerInstitute of Medical Informatics, RWTH Aachen University, Aachen, Germany.
Felix GreinerDepartment of Trauma Surgery, Otto von Guericke University, Magdeburg, Germany.ORCID 0000-0003-1171-9355
Saskia DröslerFaculty of Health Care, Niederrhein University of Applied Sciences, Krefeld, Germany.
Rolf LeferingInstitute for Research in Operative Medicine (IFOM), University of Witten/Herdecke, Köln, Germany.
Jennifer HitzekEmergency and Acute Medicine, Charité, Berlin, Germany.
Martin MöckelEmergency and Acute Medicine, Charité, Berlin, Germany.ORCID 0000-0002-7691-3709
Rainer RöhrigInstitute of Medical Informatics, RWTH Aachen University, Aachen, Germany.
Enno SwartInstitute of Social Medicine and Health Systems Research, Otto von Guericke University, Magdeburg, Germany.
Felix WalcherDepartment of Trauma Surgery, Otto von Guericke University, Magdeburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionQuality of emergency department (ED) care affects patient outcomes substantially. Quality indicators (QIs) for ED care are a major challenge due to the heterogeneity of patient populations, health care structures and processes in Germany. Although a number of quality measures are already in use, there is a paucity of data on the importance of these QIs on medium-term and long-term outcomes. The evaluation of outcome relevance of quality indicators in the emergency department study (ENQuIRE) aims to identify and investigate the relevance of QIs in the ED on patient outcomes in a 12-month follow-up. METHODS AND ANALYSIS: The study is a prospective non-interventional multicentre cohort study conducted in 15 EDs throughout Germany. Included are all patients in 2019, who were ≥18 years of age, insured at the Techniker Krankenkasse (statutory health insurance (SHI)) and gave their written informed consent to the study.The primary objective of the study is to assess the effect of selected quality measures on patient outcome. The data collected for this purpose comprise medical records from the ED treatment, discharge (claims) data from hospitalised patients, a patient questionnaire to be answered 6-8 weeks after emergency admission, and outcome measures in a 12-month follow-up obtained as claims data from the SHI.Descriptive and analytical statistics will be applied to provide summaries about the characteristics of QIs and associations between quality measures and patient outcomes. ETHICS AND DISSEMINATION: Approval of the leading ethics committee at the Medical Faculty of the University of Magdeburg (reference number 163/18 from 19 November 2018) has been obtained and adapted by responsible local ethics committees.The findings of this work will be disseminated by publication of peer-reviewed manuscripts and presentations as conference contributions (abstracts, poster or oral presentations).Moreover, results will be discussed with clinical experts and medical associations before being proposed for implementation into the quality management of EDs. TRIAL REGISTRATION NUMBER: German Clinical Trials Registry (DRKS00015203); Pre-results.

Indexed as

Emergency Service, HospitalQuality Indicators, Health CareCohort StudiesGermanyHumansMulticenter Studies as TopicProspective Studiesaccident & emergency medicinehealth & safetyhealth services administration & managementquality in health care

Identifiers

PMID32948571
PMCPMC7500312

What OpenQuestion holds

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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.