@article{2398eb27cb124edab8a0e45264d6b26c,
title = "Development of new methods to assess the outcomes of emergency care",
abstract = "This article provides information supporting the need for new outcome measures in emergency care. It also addresses the use of outcome measures in emergency care, the impact of emergency care, identification of at-risk groups, new approaches to measuring patient satisfaction, quality of life and cost-effectiveness, and the unique related implications for emergency medicine.",
author = "Cairns, {C. B.} and Garrison, {H. G.} and Hedges, {J. R.} and Schriger, {D. L.} and Valenzuela, {T. D.}",
note = "Funding Information: 1. Develop and promote the use of standardized forms for specific clinical problems of interest (eg, chest pain). These forms should incorporate uniform data elements for demographic information, clinical evaluation, and treatment approaches. Potentially, the Society for Academic Emergency Medicine (SAEM) and the American College of Emergency Physicians (ACEP) could apply to federal sources (National Institutes of Health, Agency for Health Care Policy and Research, and Food and Drug Administration) for sponsorship of a consensus conference to establish an outcomes demonstration project. 2. Establish a national clearinghouse for the collection and dissemination of the data obtained from standardized clinical forms. SAEM and ACEP could approach the National Institutes of Health with a proposal to develop an emergency medicine database similar to the combined Centers for Disease Control and Prevention and American College of Surgeons project to develop a nationwide trauma database. Alternative funding sources include the National Library of Medicine, where information management is a high priority, and payer groups, particularly managed care organizations. 3. Create a standing panel of EM researchers to identify important outcomes, assess the effects of interventions, and provide feedback of these effects to emergency medicine researchers, practitioners, patients, and payer groups. This panel could evolve from established multicenter collaborations or be assembled by major emergency medicine organizations (eg, SAEM, ACEP). 4. Emphasis by the emergency medicine community on the conduct, reporting, and dissemination of high-quality outcome research. Meaningful outcomes research is extremely difficult to conduct. Potential investigators must prudently assess their goals and capabilities before embarking on such an endeavor. In addition, the multiple emergency medicine specialty journals must give priority to the publication of multicenter, rather than single-center, clinical investigations. Finally, academic promotional systems should recognize the value of being one of many collaborating authors on meaningful multicenter outcomes research publications. 5. Establishment of a directed Emergency Medicine Foundation grant program for individual emergency medicine researchers to address focused aspects of outcomes research unique to emergency medicine (outlined below). ",
year = "1998",
doi = "10.1016/S0196-0644(98)70324-5",
language = "English (US)",
volume = "31",
pages = "166--171",
journal = "Annals of emergency medicine",
issn = "0196-0644",
publisher = "Elsevier Inc.",
number = "2",
}