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Healthcare provider perceptions of clinical prediction rules

OBJECTIVES: To examine internal medicine and emergency medicine healthcare provider perceptions of usefulness of specific clinical prediction rules. SETTING: The study took place in two academic medical centres. A web-based survey was distributed and completed by participants between 1 January and 3...

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Autores principales: Richardson, Safiya, Khan, Sundas, McCullagh, Lauren, Kline, Myriam, Mann, Devin, McGinn, Thomas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4563244/
https://www.ncbi.nlm.nih.gov/pubmed/26338684
http://dx.doi.org/10.1136/bmjopen-2015-008461
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author Richardson, Safiya
Khan, Sundas
McCullagh, Lauren
Kline, Myriam
Mann, Devin
McGinn, Thomas
author_facet Richardson, Safiya
Khan, Sundas
McCullagh, Lauren
Kline, Myriam
Mann, Devin
McGinn, Thomas
author_sort Richardson, Safiya
collection PubMed
description OBJECTIVES: To examine internal medicine and emergency medicine healthcare provider perceptions of usefulness of specific clinical prediction rules. SETTING: The study took place in two academic medical centres. A web-based survey was distributed and completed by participants between 1 January and 31 May 2013. PARTICIPANTS: Medical doctors, doctors of osteopathy or nurse practitioners employed in the internal medicine or emergency medicine departments at either institution. PRIMARY AND SECONDARY OUTCOME MEASURES: The primary outcome was to identify the clinical prediction rules perceived as most useful by healthcare providers specialising in internal medicine and emergency medicine. Secondary outcomes included comparing usefulness scores of specific clinical prediction rules based on provider specialty, and evaluating associations between usefulness scores and perceived characteristics of these clinical prediction rules. RESULTS: Of the 401 healthcare providers asked to participate, a total of 263 (66%), completed the survey. The CHADS2 score was chosen by most internal medicine providers (72%), and Pulmonary Embolism Rule-Out Criteria (PERC) score by most emergency medicine providers (45%), as one of the top three most useful from a list of 24 clinical prediction rules. Emergency medicine providers rated their top three significantly more positively, compared with internal medicine providers, as having a better fit into their workflow (p=0.004), helping more with decision-making (p=0.037), better fitting into their thought process when diagnosing patients (p=0.001) and overall, on a 10-point scale, more useful (p=0.009). For all providers, the perceived qualities of useful at point of care, helps with decision making, saves time diagnosing, fits into thought process, and should be the standard of clinical care correlated highly (≥0.65) with overall 10-point usefulness scores. CONCLUSIONS: Healthcare providers describe clear preferences for certain clinical prediction rules, based on medical specialty.
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spelling pubmed-45632442015-09-14 Healthcare provider perceptions of clinical prediction rules Richardson, Safiya Khan, Sundas McCullagh, Lauren Kline, Myriam Mann, Devin McGinn, Thomas BMJ Open Evidence Based Practice OBJECTIVES: To examine internal medicine and emergency medicine healthcare provider perceptions of usefulness of specific clinical prediction rules. SETTING: The study took place in two academic medical centres. A web-based survey was distributed and completed by participants between 1 January and 31 May 2013. PARTICIPANTS: Medical doctors, doctors of osteopathy or nurse practitioners employed in the internal medicine or emergency medicine departments at either institution. PRIMARY AND SECONDARY OUTCOME MEASURES: The primary outcome was to identify the clinical prediction rules perceived as most useful by healthcare providers specialising in internal medicine and emergency medicine. Secondary outcomes included comparing usefulness scores of specific clinical prediction rules based on provider specialty, and evaluating associations between usefulness scores and perceived characteristics of these clinical prediction rules. RESULTS: Of the 401 healthcare providers asked to participate, a total of 263 (66%), completed the survey. The CHADS2 score was chosen by most internal medicine providers (72%), and Pulmonary Embolism Rule-Out Criteria (PERC) score by most emergency medicine providers (45%), as one of the top three most useful from a list of 24 clinical prediction rules. Emergency medicine providers rated their top three significantly more positively, compared with internal medicine providers, as having a better fit into their workflow (p=0.004), helping more with decision-making (p=0.037), better fitting into their thought process when diagnosing patients (p=0.001) and overall, on a 10-point scale, more useful (p=0.009). For all providers, the perceived qualities of useful at point of care, helps with decision making, saves time diagnosing, fits into thought process, and should be the standard of clinical care correlated highly (≥0.65) with overall 10-point usefulness scores. CONCLUSIONS: Healthcare providers describe clear preferences for certain clinical prediction rules, based on medical specialty. BMJ Publishing Group 2015-09-02 /pmc/articles/PMC4563244/ /pubmed/26338684 http://dx.doi.org/10.1136/bmjopen-2015-008461 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
spellingShingle Evidence Based Practice
Richardson, Safiya
Khan, Sundas
McCullagh, Lauren
Kline, Myriam
Mann, Devin
McGinn, Thomas
Healthcare provider perceptions of clinical prediction rules
title Healthcare provider perceptions of clinical prediction rules
title_full Healthcare provider perceptions of clinical prediction rules
title_fullStr Healthcare provider perceptions of clinical prediction rules
title_full_unstemmed Healthcare provider perceptions of clinical prediction rules
title_short Healthcare provider perceptions of clinical prediction rules
title_sort healthcare provider perceptions of clinical prediction rules
topic Evidence Based Practice
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4563244/
https://www.ncbi.nlm.nih.gov/pubmed/26338684
http://dx.doi.org/10.1136/bmjopen-2015-008461
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