Emergency clinicians who underestimated their own opiate prescribing were impacted more profoundly to reduce prescriptions by being shown their opiate prescribing data compared to their peers.
Failure of private hospitals to care for the uninsured resulted in informal ED to ED referrals, which meant up to 20% increased volume in public EDs for certain diagnoses, particularly orthopedic issues. This led to duplicate testing, increased cost, complications, delays in care, and poor treatment of the most vulnerable patients.
Patient satisfaction is important. But the most commonly used metric in the US, the Press Ganey survey, may not be a good measure of individual emergency physician and clinician performance. Giving emergency clinicians feedback on their Press Ganey scores, ostensibly so they could take steps to improve, did not lead to appreciable score improvements.
Up to 40% of pediatric ED transfers were potentially avoidable and cost families an extra $900.
Kids with no insurance had almost 4 times the odds of being transferred, instead of admitted at the initial facility. I smell a rat.