Improving Quality & Equity of Emergency Care Decisions (IQED)
キーワード
概要
説明
The objective of the R21 pilot phase of Improving Quality & Equity of Emergency Care Decisions (IQED) is to identify addressable gaps in quality and equity and use performance feedback as an intervention to improve performance on chest pain, CT imaging, and antibiotic prescribing. Performance feedback intervention will include feedback offline via email or text.
Each clinician will be randomized at the provider or clinic level to either the intervention or control group. Once clinicians are randomized, the aforementioned intervention will be turned on for a 3-6 month time period.
For providers in the intervention group, the goal is to evaluate the effect of social norms on overuse and underuse behavior related to prescriptions or testing. Near real-time social norms will be delivered to providers which benchmark their own performance on various metrics to that of their peers. The investigators performance feedback reports for each provider randomized to receive the audit and feedback intervention will have three key characteristics: (1) each target provider will receive his or her individual performance, (2) benchmarks will prominently feature the performance of providers who would be considered credible peers of the target provider, and (3) benchmarks will reflect only performance that is desirable (e.g., showing only the performance of the best-performing credible peers).
Providers randomized to the control group will follow standard practice.
日付
最終確認済み: | 04/30/2019 |
最初に提出された: | 05/13/2019 |
提出された推定登録数: | 05/23/2019 |
最初の投稿: | 05/28/2019 |
最終更新が送信されました: | 05/23/2019 |
最終更新日: | 05/28/2019 |
実際の研究開始日: | 04/30/2019 |
一次完了予定日: | 06/30/2019 |
研究完了予定日: | 07/31/2019 |
状態または病気
介入/治療
Behavioral: Performance Feedback
段階
アームグループ
腕 | 介入/治療 |
---|---|
Experimental: Performance Feedback Feedback offline either via email or text | Behavioral: Performance Feedback Performance feedback offline that benchmarks providers' own performance to that of their peers |
No Intervention: Control Standard practice control |
適格基準
研究の対象となる年齢 | 18 Years に 18 Years |
研究に適格な性別 | All |
健康なボランティアを受け入れる | はい |
基準 | Inclusion Criteria: - Attendings and residents that see patients in the Emergency Department. Exclusion Criteria: - None |
結果
主な結果の測定
1. Efficacy of behavioral nudges to improve quality and safety in Emergency Medicine through measurement of adherence to guidelines: Chest Pain [6 months]
2. Efficacy of behavioral nudges to improve quality and safety in Emergency Medicine through measurement of adherence to guidelines: CT imaging [6 months]
3. Efficacy of behavioral nudges to improve quality and safety in Emergency Medicine through measurement of adherence to guidelines: Antibiotic prescribing [6 months]