2018
Effect of the Head Computed Tomography Choice Decision Aid in Parents of Children With Minor Head Trauma
Hess EP, Homme JL, Kharbanda AB, Tzimenatos L, Louie JP, Cohen DM, Nigrovic LE, Westphal JJ, Shah ND, Inselman J, Ferrara MJ, Herrin J, Montori VM, Kuppermann N. Effect of the Head Computed Tomography Choice Decision Aid in Parents of Children With Minor Head Trauma. JAMA Network Open 2018, 1: e182430. PMID: 30646167, PMCID: PMC6324506, DOI: 10.1001/jamanetworkopen.2018.2430.Peer-Reviewed Original ResearchConceptsMinor head traumaIntermediate riskHead traumaParents of childrenComputed tomographyDecisional conflictUsual careEmergency departmentImportant traumatic brain injuryCT ratesDecision aid armPatients' mean ageUsual care armUS emergency departmentsHealth care utilizationAvailable diagnostic optionsTraumatic brain injuryDecision aidChildren ages 2Care armSecondary outcomesPrimary outcomeCare utilizationNonwhite raceEligible participants
2017
Impact of a Shared Decision Making Intervention on Health Care Utilization: A Secondary Analysis of the Chest Pain Choice Multicenter Randomized Trial
Schaffer JT, Hess EP, Hollander JE, Kline JA, Torres CA, Diercks DB, Jones R, Owen KP, Meisel ZF, Demers M, Leblanc A, Inselman J, Herrin J, Montori VM, Shah ND. Impact of a Shared Decision Making Intervention on Health Care Utilization: A Secondary Analysis of the Chest Pain Choice Multicenter Randomized Trial. Academic Emergency Medicine 2017, 25: 293-300. PMID: 29218817, DOI: 10.1111/acem.13355.Peer-Reviewed Original ResearchConceptsHealth care utilizationLength of stayCare utilizationObservation unit admissionUnit admissionChest painED visitsIntervention armStudy armsIndex emergency department visitLow-risk chest painOverall health care utilizationSecondary analysisBilling dataIndex ED visitAcute coronary syndromeEmergency department visitsCardiac imaging testsCardiac stress testingPlanned secondary analysisHealth care systemInitial EDPragmatic multicenterCardiac testingCoronary syndrome