Matches in SemOpenAlex for { <https://semopenalex.org/work/W2034156181> ?p ?o ?g. }
Showing items 1 to 80 of
80
with 100 items per page.
- W2034156181 endingPage "1463" @default.
- W2034156181 startingPage "1460" @default.
- W2034156181 abstract "Cluster randomized trials (CRTs) are increasingly used to evaluate quality improvement interventions aimed at health care providers. In trials testing emergency department (ED) interventions, migration of emergency physicians (EPs) between hospitals is an important concern, as contamination may affect both internal and external validity. We hypothesized that geographically isolating EDs would prevent migratory contamination in a CRT designed to increase ED delivery of tissue plasminogen activator (tPA) in stroke (the INSTINCT trial).INSTINCT was a prospective, cluster randomized, controlled trial. Twenty-four Michigan community hospitals were randomly selected in matched pairs for study. Contamination was defined at the cluster level, with substantial contamination defined a priori as greater than 10% of EPs affected. Nonadherence, total crossover (contamination+nonadherence), migration distance, and characteristics were determined.Three hundred seven EPs were identified at all sites. Overall, 7 (2.3%) changed study sites. One moved between control sites, leaving 6 (2.0%) total crossovers. Of these, 2 (0.7%) moved from intervention to control (contamination); and 4 (1.3%) moved from control to intervention (nonadherence). Contamination was observed in 2 of 12 control sites, with 17% and 9% contamination of the total site EP workforce at follow-up, respectively. Average migration distance was 42 miles for all EPs moving in the study and 35 miles for EPs moving from intervention to control sites.The mobile nature of EPs should be considered in the design of quality improvement CRTs. Increased reporting of contamination in CRTs is encouraged to clarify thresholds and facilitate CRT design." @default.
- W2034156181 created "2016-06-24" @default.
- W2034156181 creator A5054621390 @default.
- W2034156181 creator A5062220434 @default.
- W2034156181 creator A5062524541 @default.
- W2034156181 creator A5076656702 @default.
- W2034156181 creator A5088760866 @default.
- W2034156181 date "2014-12-01" @default.
- W2034156181 modified "2023-09-27" @default.
- W2034156181 title "Prevention of emergency physician migratory contamination in a cluster randomized trial to increase tissue plasminogen activator use in stroke (the INSTINCT trial)" @default.
- W2034156181 cites W2042680199 @default.
- W2034156181 cites W2100189687 @default.
- W2034156181 cites W2101584773 @default.
- W2034156181 cites W2111740157 @default.
- W2034156181 cites W2121944882 @default.
- W2034156181 cites W2147119554 @default.
- W2034156181 cites W2162257338 @default.
- W2034156181 cites W2599076725 @default.
- W2034156181 cites W4292229870 @default.
- W2034156181 doi "https://doi.org/10.1016/j.ajem.2014.08.073" @default.
- W2034156181 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/4826763" @default.
- W2034156181 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/25440230" @default.
- W2034156181 hasPublicationYear "2014" @default.
- W2034156181 type Work @default.
- W2034156181 sameAs 2034156181 @default.
- W2034156181 citedByCount "1" @default.
- W2034156181 countsByYear W20341561812019 @default.
- W2034156181 crossrefType "journal-article" @default.
- W2034156181 hasAuthorship W2034156181A5054621390 @default.
- W2034156181 hasAuthorship W2034156181A5062220434 @default.
- W2034156181 hasAuthorship W2034156181A5062524541 @default.
- W2034156181 hasAuthorship W2034156181A5076656702 @default.
- W2034156181 hasAuthorship W2034156181A5088760866 @default.
- W2034156181 hasBestOaLocation W20341561812 @default.
- W2034156181 hasConcept C112570922 @default.
- W2034156181 hasConcept C141071460 @default.
- W2034156181 hasConcept C159110408 @default.
- W2034156181 hasConcept C168563851 @default.
- W2034156181 hasConcept C176400912 @default.
- W2034156181 hasConcept C18903297 @default.
- W2034156181 hasConcept C194828623 @default.
- W2034156181 hasConcept C27415008 @default.
- W2034156181 hasConcept C2780724011 @default.
- W2034156181 hasConcept C71924100 @default.
- W2034156181 hasConcept C86803240 @default.
- W2034156181 hasConceptScore W2034156181C112570922 @default.
- W2034156181 hasConceptScore W2034156181C141071460 @default.
- W2034156181 hasConceptScore W2034156181C159110408 @default.
- W2034156181 hasConceptScore W2034156181C168563851 @default.
- W2034156181 hasConceptScore W2034156181C176400912 @default.
- W2034156181 hasConceptScore W2034156181C18903297 @default.
- W2034156181 hasConceptScore W2034156181C194828623 @default.
- W2034156181 hasConceptScore W2034156181C27415008 @default.
- W2034156181 hasConceptScore W2034156181C2780724011 @default.
- W2034156181 hasConceptScore W2034156181C71924100 @default.
- W2034156181 hasConceptScore W2034156181C86803240 @default.
- W2034156181 hasIssue "12" @default.
- W2034156181 hasLocation W20341561811 @default.
- W2034156181 hasLocation W20341561812 @default.
- W2034156181 hasLocation W20341561813 @default.
- W2034156181 hasLocation W20341561814 @default.
- W2034156181 hasOpenAccess W2034156181 @default.
- W2034156181 hasPrimaryLocation W20341561811 @default.
- W2034156181 hasRelatedWork W1533727747 @default.
- W2034156181 hasRelatedWork W1909512799 @default.
- W2034156181 hasRelatedWork W2023217753 @default.
- W2034156181 hasRelatedWork W2510700473 @default.
- W2034156181 hasRelatedWork W2781675537 @default.
- W2034156181 hasRelatedWork W2946597968 @default.
- W2034156181 hasRelatedWork W2958951287 @default.
- W2034156181 hasRelatedWork W3154944956 @default.
- W2034156181 hasRelatedWork W4210479034 @default.
- W2034156181 hasRelatedWork W4232888950 @default.
- W2034156181 hasVolume "32" @default.
- W2034156181 isParatext "false" @default.
- W2034156181 isRetracted "false" @default.
- W2034156181 magId "2034156181" @default.
- W2034156181 workType "article" @default.