Evidence map›Paper›PMID 34693400›Full record

ArticleJournal of the American College of Emergency Physicians open2021

Attitudes toward risk among emergency physicians and advanced practice clinicians in Massachusetts.

Peter B Smulowitz, Ryan C Burke, Daniel Ostrovsky, Victor Novack, Linda Isbell, Bruce E Landon

Open access · goldAbstract read
In one paragraph

Article in Journal of the American College of Emergency Physicians open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.1field-weighted citation impact, top 8% 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

11 citing papers in PubMed, 15 citations in OpenAlex.

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  10. Attitudes toward risk among emergency physicians and advanced practice clinicians in Massachusetts.Journal of the American College of Emergency Physicians open · 2021
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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

6 authors at 5 institutions in 2 countries.

Peter B SmulowitzDepartment of Emergency Medicine University of Massachusetts Medical School Worcester Massachusetts USA.
Ryan C BurkeDepartment of Emergency Medicine Beth Israel Deaconess Medical Center Boston Massachusetts USA.
Daniel OstrovskyClinical Research Center, Soroka University Medical Center Ben-Gurion University of the Negev Israel.
Victor NovackClinical Research Center, Soroka University Medical Center Ben-Gurion University of the Negev Israel.
Linda IsbellDepartment of Psychological and Brain Sciences University of Massachusetts Amherst Massachusetts.
Bruce E LandonDepartment of Health Care Policy Harvard Medical School and Division of General Internal Medicine Beth Israel Deaconess Medical Center Boston Massachusetts USA.
Ben-Gurion University of the Negev · ILBeth Israel Deaconess Medical Center · USHarvard University · USUniversity of Massachusetts Amherst · USUniversity of Massachusetts Chan Medical School · US

Funding

AHRQ HHS R01 HS026730
6 · The paper itself

Abstract

objectiveRisk aversion is a personality trait influential to decision making in medicine. Little is known about how emergency department (ED) clinicians differ in their attitudes toward risk taking.

methodsWe conducted a cross-sectional survey of practicing ED clinicians (physicians and advanced practice clinicians [APCs]) in Massachusetts using the following 4 existing validated scales: the Risk-Taking Scale (RTS), Stress from Uncertainty Scale (SUS), the Fear of Malpractice Scale (FMS), and the Need for (Cognitive) Closure Scale (NCC). We used Cronbach's α to assess the reliability of each scale and performed multivariable linear regressions to analyze the association between the score for each scale and clinician characteristics.

resultsOf 1458 ED clinicians recruited for participation, 1116 (76.5%) responded from 93% of acute care hospitals in Massachusetts. Each of the 4 scales demonstrated high internal consistency reliability with Cronbach's αs ranging from 0.76 to 0.92. The 4 scales also were moderately correlated with one another (0.08 to 0.54; all

conclusionWe found that risk attitudes of ED clinicians were associated with type of training (physician vs APC) and age (experience). These differences suggest one possible explanation for the observed differences in decision making.

Indexed as

emergency departmentpersonality traitsrisk tolerance

Identifiers

PMID34693400
PMCPMC8514146
OpenAlexW3205210579

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.