Evidence map›Paper›PMID 38101923›Full record

Trial reportBMJ (Clinical research ed.)2023

Effect of chair placement on physicians' behavior and patients' satisfaction: randomized deception trial.

Ruchita Iyer, Do Park, Jenny Kim, Courtney Newman, Avery Young, Andrew Sumarsono

2 registry-linked trialsOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ (Clinical research ed.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
6.6field-weighted citation impact, top 3% 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.

NCT05250778 nacompletednot on this map

Room Design Nudge on Hospitalist Bedside Etiquette and Patient Satisfaction

TypeinterventionalSponsorUniversity of Texas Southwestern Medical CenterRan2022 to 2023Enrolled125ConditionsPatient Satisfaction, Etiquette, MedicalArmsNudge
NCT07552792 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

The Impact of Hand Rub Placement on Hand Hygiene Sequence, Patient Trust, and Disease Stigma: A Randomised Controlled Trial

TypeinterventionalSponsorHuashan HospitalRan2026 to 2026Enrolled250ConditionsNoncommunicable Disease, PsoriasisArmsDistant placement of hand rub, Conventional placement of hand rub
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Article
  3. Just do it! Ten easy ways to enhance empathy in the consultation.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Ruchita IyerUniversity of Texas Southwestern Medical School, Dallas, TX, USA.ORCID 0000-0002-2959-6958
Do ParkDepartment of Internal Medicine, University of Texas - Southwestern Medical Center, Dallas, TX 75390, USA.ORCID 0009-0007-9906-2752
Jenny KimUniversity of Texas Southwestern Medical School, Dallas, TX, USA.ORCID 0000-0003-1761-6672
Courtney NewmanUniversity of Texas Southwestern Medical School, Dallas, TX, USA.ORCID 0000-0003-3018-6101
Avery YoungUniversity of Texas Southwestern Medical School, Dallas, TX, USA.ORCID 0000-0003-4744-1455
Andrew SumarsonoDepartment of Internal Medicine, University of Texas - Southwestern Medical Center, Dallas, TX 75390, USA adsumarsono@gmail.com.ORCID 0000-0002-5326-083X
The University of Texas Southwestern Medical Center · USParkland Health & Hospital System · USSouthwestern Medical Center

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the effect of chair placement on length of time physicians sit during a bedside consultation and patients' satisfaction.

designSingle center, double blind, randomized controlled deception trial.

settingCounty hospital in Texas, USA.

participants51 hospitalist physicians providing direct care services, and 125 observed encounters of patients who could answer four orientation questions correctly before study entry, April 2022 to February 2023.

interventionEach patient encounter was randomized to either chair placement (≤3 feet (0.9 m) of patient's bedside and facing the bed) or usual chair location (control).

main outcome measuresThe primary outcome was the binary decision of the physician to sit or not sit at any point during a patient encounter. Secondary outcomes included patient satisfaction, as assessed with the Tool to Assess Inpatient Satisfaction with Care from Hospitalists (TAISCH) and the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) surveys, time in the room, and both physicians' and patients' perception of time in the room.

results125 patient encounters were randomized (60 to chair placement and 65 to control). 38 of the 60 physicians in the chair placement group sat during the patient encounter compared with five of the 65 physicians in the control group (odds ratio 20.7, 95% confidence interval 7.2 to 59.4; P<0.001). The absolute risk difference between the intervention and control groups was 0.55 (95% confidence interval 0.42 to 0.69). Overall, 1.8 chairs needed to be placed for a physician to sit. Intervention was associated with 3.9% greater TAISCH scores (effect estimate 3.9, 95% confidence interval 0.9 to 7.0; P=0.01) and 5.1 greater odds of complete scores on HCAHPS (95% confidence interval 1.06 to 24.9, P=0.04). Chair placement was not associated with time spent in the room (10.6 minutes

conclusionChair placement is a simple, no cost, low tech intervention that increases a physician's likelihood of sitting during a bedside consultation and resulted in higher patients' scores for both satisfaction and communication.

trial registrationClinicalTrials.gov NCT05250778.

Indexed as

HospitalistsPatientsDeceptionHospitalizationHumansPatient Satisfaction

Identifiers

PMID38101923
PMCPMC10726223
OpenAlexW4389781310

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.