Table 5.
Respondents’ ranking of likely effective provider-based and system-based solutions.
| Total (N = 200) | Nurses (N = 124) | Physician groups* (N = 76) | ||||
|---|---|---|---|---|---|---|
| n (%) | Average ranking | n (%) | Average ranking | n (%) | Average ranking | |
| Provider-based solutions | ||||||
| Improving Teamwork | 94 (47) | 1.09 | 48 (39) | 0.93 | 46 (61) | 1.37 |
| Close follow-up of patients | 83 (42) | 0.87 | 41 (33) | 0.66 | 42 (55) | 1.21 |
| Informal second opinions | 58 (29) | 0.58 | 30 (24) | 0.46 | 28 (37) | 0.78 |
| Empowering patients and families | 36 (18) | 0.29 | 20 (16) | 0.30 | 16 (21) | 0.28 |
| More training in clinical reasoning | 36 (18) | 0.27 | 19 (15) | 0.26 | 17 (22) | 0.29 |
| Increasing time spent in encounters | 29 (15) | 0.26 | 20 (16) | 0.29 | 9 (12) | 0.21 |
| System-based solutions | ||||||
| Feedback pathways | 95 (48) | 1.04 | 48 (39) | 0.84 | 47 (62) | 1.37 |
| Access to EMR | 68 (34) | 0.70 | 43 (35) | 0.70 | 25 (33) | 0.70 |
| Diagnostic decision support tools | 69 (35) | 0.63 | 32 (26) | 0.52 | 37 (49) | 0.80 |
| Peer review process | 55 (28) | 0.52 | 30 (24) | 0.40 | 25 (33) | 0.71 |
| Increased access to consultants and experts | 53 (27) | 0.47 | 33 (27) | 0.49 | 20 (26) | 0.43 |
EMR= electronic medical records
Includes medical doctors and advanced practice providers
Friedman test showed significant differences among the ranked options (p = <0.001)