Table 2.
Outcome measure | Intervention | Usual care | Adjusted OR* [95% CI] | p value |
---|---|---|---|---|
Documented action – Primary | ||||
No. of actionable TPADs (No. in model) | 150 (146) | 103 (99) | ||
No. of patient-discharges | 123 | 90 | ||
No. of discharging attendings | 53 | 44 | ||
Documented action–no. (%) | 91 (60.7%) | 58 (56.3%) | 1.07 [0.58, 1.99] | p = 0.82 |
Documented acknowledgment | ||||
No. of actionable TPADs (No. in model) | 150 (146) | 103 (99) | ||
No. of patient-discharges | 123 | 90 | ||
No. of discharging attendings | 53 | 44 | ||
Documented acknowledgment–no. (%) | 91 (60.7%) | 61 (59.2%) | 0.98 [0.52, 1.84] | p = 0.95 |
Hospital readmissions | ||||
No. of actionable TPADs | 150 | 103 | ||
No. of patient-discharges (No. in model) | 123 (119) | 90 (86) | ||
No. of discharging attendings | 53 | 44 | ||
Patient-discharges with actionable TPADs readmitted at 30-days–no. (%) | 28 (22.8%) | 28 (31.1%) | 0.69 [0.37, 1.28] | p = 0.24 |
Time to documented action | ||||
No. of actionable TPADs (No. in model) | 91 (89) | 58 (58) | ||
No. of patient-discharges | 78 | 52 | ||
No. of discharging attendings | 40 | 32 | ||
Median days to documented action [95% CI]a | 9 [6.2, 11.8] | 14 [10.2, 17.8] | 0.64 [0.43, 0.97] | p = 0.04 |
Time to documented acknowledgment | ||||
No. of actionable TPADs (No. in model) | 91 (89) | 61 (60) | ||
No. of patient-discharges | 77 | 55 | ||
No. of discharging attendings | 39 | 34 | ||
Median days to documented acknowledgment [95% CI]a | 9 [6.5, 11.5] | 14 [9.9, 18.1] | 0.64 [0.43, 0.98] | p = 0.05 |
Italic values represent the denominator and numerator for each outcome measure
*Adjusted for clinical service; test type (pathology vs. other); physician type (hospitalist), years employed (≤ 5 yrs); patient Elixhauser score (≤ 5), median LOS (≥ 4 days). Clustered by attending
aCalculated using median regression with the following covariates: clinical service, test type (pathology vs. other); physician type (hospitalist), years employed (≤5 yrs); patient Elixhauser score (≤ 5), median LOS (≥4 days). Clustered by attending