TY - JOUR
T1 - Implicit Review Instrument to Evaluate Quality of Care Delivered by Physicians to Children in Emergency Departments
AU - the Pediatric Emergency Care Applied Research Network
AU - Marcin, James P.
AU - Romano, Patrick S.
AU - Dharmar, Madan
AU - Chamberlain, James M.
AU - Dudley, Nanette
AU - Macias, Charles G.
AU - Nigrovic, Lise E.
AU - Powell, Elizabeth C.
AU - Rogers, Alexander J.
AU - Sonnett, Meridith
AU - Tzimenatos, Leah
AU - Alpern, Elizabeth R.
AU - Andrews-Dickert, Rebecca
AU - Borgialli, Dominic A.
AU - Sidney, Erika
AU - Casper, Charlie
AU - Dean, Jonathan Michael
AU - Kuppermann, Nathan
AU - Callahan, J.
AU - Dayan, P.
AU - Gerardi, M.
AU - Gorelick, M.
AU - Hoyle, J.
AU - Jacobs, E.
AU - Jaffe, D.
AU - Lichenstein, R.
AU - Lillis, K.
AU - Mahajan, P.
AU - Maio, R.
AU - Moler, F.
AU - Monroe, D.
AU - Ruddy, R.
AU - Stanley, R.
AU - Tunik, M.
AU - Walker, A.
AU - Kavanaugh, D.
AU - Park, H.
AU - Holubkov, R.
AU - Knight, S.
AU - Donaldson, A.
AU - Zuspan, S.
AU - Miskin, M.
AU - Wade, J.
AU - Jones, A.
AU - Fjelstad, M.
AU - Singh, T.
AU - Drongowski, A.
AU - Fukushima, L.
AU - Kim, E.
AU - O'Gara, G.
N1 - Publisher Copyright:
© Health Research and Educational Trust
PY - 2018/6
Y1 - 2018/6
N2 - Objective: To evaluate the consistency, reliability, and validity of an implicit review instrument that measures the quality of care provided to children in the emergency department (ED). Data Sources/Study Setting: Medical records of randomly selected children from 12 EDs in the Pediatric Emergency Care Applied Research Network (PECARN). Study Design: Eight pediatric emergency medicine physicians applied the instrument to 620 medical records. Data Collection/Extraction Methods: We determined internal consistency using Cronbach's alpha and inter-rater reliability using the intraclass correlation coefficient (ICC). We evaluated the validity of the instrument by correlating scores with four condition-specific explicit review instruments. Principal Findings: Individual reviewers' Cronbach's alpha had a mean of 0.85 with a range of 0.76–0.97; overall Cronbach's alpha was 0.90. The ICC was 0.49 for the summary score with a range from 0.40 to 0.46. Correlations between the quality of care score and the four condition-specific explicit review scores ranged from 0.24 to 0.38. Conclusions: The quality of care instrument demonstrated good internal consistency, moderate inter-rater reliability, high inter-rater agreement, and evidence supporting validity. The instrument could be useful for systems' assessment and research in evaluating the care delivered to children in the ED.
AB - Objective: To evaluate the consistency, reliability, and validity of an implicit review instrument that measures the quality of care provided to children in the emergency department (ED). Data Sources/Study Setting: Medical records of randomly selected children from 12 EDs in the Pediatric Emergency Care Applied Research Network (PECARN). Study Design: Eight pediatric emergency medicine physicians applied the instrument to 620 medical records. Data Collection/Extraction Methods: We determined internal consistency using Cronbach's alpha and inter-rater reliability using the intraclass correlation coefficient (ICC). We evaluated the validity of the instrument by correlating scores with four condition-specific explicit review instruments. Principal Findings: Individual reviewers' Cronbach's alpha had a mean of 0.85 with a range of 0.76–0.97; overall Cronbach's alpha was 0.90. The ICC was 0.49 for the summary score with a range from 0.40 to 0.46. Correlations between the quality of care score and the four condition-specific explicit review scores ranged from 0.24 to 0.38. Conclusions: The quality of care instrument demonstrated good internal consistency, moderate inter-rater reliability, high inter-rater agreement, and evidence supporting validity. The instrument could be useful for systems' assessment and research in evaluating the care delivered to children in the ED.
KW - Pediatrics
KW - emergency department
KW - quality
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U2 - 10.1111/1475-6773.12800
DO - 10.1111/1475-6773.12800
M3 - Article
C2 - 29143331
AN - SCOPUS:85034217139
SN - 0017-9124
VL - 53
SP - 1316
EP - 1334
JO - Health services research
JF - Health services research
IS - 3
ER -