Physician score cards cut resource use in pediatric ER

Physician score cards cut resource use in pediatric ER

(HealthDay)—An intervention that provides comprehensive physician feedback on practice patterns relative to peers can reduce resource use in the pediatric emergency department, without compromising efficiency or quality of care, according to a study published online Aug. 10 in Pediatrics.

Shabnam Jain, M.D., M.P.H., from the Emory University School of Medicine in Atlanta, and colleagues developed a tool for comprehensive physician feedback on relative to peers and examined its impact. Resource use, length of stay, and 72-hour return to emergency department were reported on scorecards, showing physician practice relative to peers. The authors included 51,450 patient visits (24,834 preintervention and 26,616 postintervention), attended by 96 physicians.

The researchers found that after the intervention there was a reduction in abdominal and pelvic and head computed tomography scans, chest radiographs, , and ondansetron (all P < 0.01). There were also decreases in hospital admissions (from 7.4 to 6.7 percent; P = 0.002), length of stay (from 112 to 108 minutes; P < 0.001), and return rate (2.2 to 2.0 percent). Significant reductions were seen in laboratory test use (P < 0.001) and in intravenous antibiotics (P < 0.05). There was an increase in admission trends but no change in trends for use of computed tomography scans and plain abdominal radiographs.

"Physician feedback on practice patterns relative to peers results in reduction in resource use for several common emergency department conditions without adversely affecting emergency department efficiency or quality of care," the authors write.


Explore further

Docs report patient safety often at risk in ER to inpatient handoff

More information: Abstract
Full Text (subscription or payment may be required)
Journal information: Pediatrics

Copyright © 2015 HealthDay. All rights reserved.

Citation: Physician score cards cut resource use in pediatric ER (2015, August 18) retrieved 22 September 2019 from https://medicalxpress.com/news/2015-08-physician-score-cards-resource-pediatric.html
This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.
3 shares

Feedback to editors

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more