Key result
A novel electronic medical record-derived metric demonstrated considerable variance among 83 anesthesia clinicians in their risk-adjusted utilization of antiemetic interventions for postoperative nausea and vomiting.
Why the study?
Clinician performance is essential for equitable care, but precise and valid individual performance measures remain elusive.
Population
83 anesthesia clinicians and 2,211 anesthesia cases
Design
Hierarchical statistical model development and evaluation study
Authors
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Risk-adjusted adherence metrics may guide clinician evaluation; leaves open their role in disparity research and practice.
Observational (n=2,211)
No
A novel EMR-derived metric for individual clinician performance reveals significant variance in risk-adjusted adherence to PONV prophylaxis among anesthesia clinicians.
Andreae et al. (2020) conducted an observational in Postoperative nausea and vomiting (PONV) (n=2,211). Risk-adjusted adherence to PONV prophylactic bundles was evaluated on Individual clinician performance (MIP) measured as risk responsiveness. A novel electronic medical record-derived metric demonstrated considerable variance among 83 anesthesia clinicians in their risk-adjusted utilization of antiemetic interventions for postoperative nausea and vomiting.
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