In 2016 and 2017 the investigators conducted two clinical trials in which emergency medicine physicians were randomized either to an intervention (customized, theoretically-based video games) or to a control (nothing or text-based education). This study will now assess long-term outcomes for physicians enrolled in those two trials to evaluate the effect of the interventions on triage practices for trauma patients who presented initially to non-trauma centers in the US between December 2016 and November 2018.
Study Type
OBSERVATIONAL
Enrollment
686
See arm description
University of Pittsburgh
Pittsburgh, Pennsylvania, United States
Number of patients triaged to trauma centers
The investigators will use Medicare claims to measure the number of patients, treated by study participants, who present initially to non-trauma centers after a moderate-severe injury and are transferred to a Level I/II trauma center during that episode of care. They will compare triage patterns for patients treated by physicians in the intervention and in the control groups.
Time frame: 1 year following the intervention
Number of moderate-severely injured patients who die 30-days after initial evaluation
Patient mortality 30-days after evaluation for a moderate-severe injury by a physician enrolled in the trial, compared among intervention and control groups.
Time frame: 1 year following the intervention
Frequency of resources used for patients with moderate-severe injuries treated by participants
Frequency of resources used (e.g. ICU admission, mechanical ventilation, disposition status) after initial presentation for a moderate-severe injury and treatment by a participating physician, compared among intervention and control groups.
Time frame: 1 year following intervention
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