Does Preexisting Practice Modify How Video Games Recalibrate Physician Heuristics in Trauma Triage?

ABSTRACT:

Background

A majority of severely injured patients fail to receive care at trauma centers (undertriage), in part, because of physician judgment. We previously developed two educational video games that reduced physicians' undertriage compared with control in two clinical trials. In this secondary analysis, we investigated heterogeneity of treatment effect of the interventions by assessing physicians' preexisting practice patterns in claims data. We hypothesized that physicians with high preexisting undertriage would benefit most from game-based training.

Methods

Using Medicare claims records from 2010 to 2015, we measured physicians' preexisting triage practices before their participation in one of two trials conducted in 2016 and 2017. We categorized physicians as having re

SUBMITTER: Kulkarni SS 

PROVIDER: S-EPMC6913034 | biostudies-literature | 2019 Oct

REPOSITORIES: biostudies-literature