No longer a blank cheque: a narrative scoping review of physician awareness of cost

Desai, V.; Cottrell, J.; Sowerby, L.

doi:10.1016/j.puhe.2023.07.009

Cited by 2 publications

(2 citation statements)

References 74 publications

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“…Previous studies looking at physician awareness of costs of medical care indicate a generally low understanding, 2 so an educational session on this topic should only have room for improvement. However, the goals of this intervention were not merely to show knowledge retention but to show improvement in estimation abilities.…”

Section: Discussionmentioning

confidence: 99%

“…Cost of health care in the United States continues to rise, now up to $13,493 per person per year and 17.3% of the nation's Gross Domestic Product 1 . Despite this, physicians continue to have poor awareness of the cost of medical care 2–4 . This deficit spans multiple specialties, but even within emergency medicine the estimation capabilities of physicians remain poor 5,6 .…”

Section: Introductionmentioning

confidence: 99%

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Gamification of emergency medicine cost awareness education

Ray

2024

AEM Education and Training

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BackgroundDespite rising costs of health care, physician awareness of costs remains poor. Educational initiatives to remedy this have shown promise, with gamification specifically having success, but actual improvements in physician estimation capabilities have yet to be evaluated.ObjectivesThe objective of the study was to assess a gamified educational session for emergency medicine residents that improved their ability to estimate the costs of tests or services commonly performed in their department.MethodsParticipants completed an anonymous presession survey consisting of demographic data, self‐analysis on cost awareness, and a 10‐item cost estimation list. This was followed by a 1‐h interactive gamified education session utilizing rules from the television show The Price is Right. During this session, only three of the survey items had their cost directly discussed such that the remaining seven were able to be assessed solely on estimation improvement instead of short‐term knowledge retention. Participants then completed the same survey to assess for improvement in cost awareness.ResultsSixteen residents at the PGY‐2 or PGY‐3 level completed the surveys and education session. All self‐analysis questions showed significant improvement in the postsession survey. Eight out of the 10 items had significant differences in cost estimation.ConclusionsA gamified teaching session using The Price is Right rules can improve a resident's estimation capabilities, even on items not directly taught during the session.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Gamification of emergency medicine cost awareness education

Ray

2024

AEM Education and Training

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Medication stewardship in the operating theatre in Malaysia: A quality improvement project

Yunus,

Suhaimi,

et al. 2024

Indian Journal of Anaesthesia

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Background and Aims: A quality improvement project (‘Safe Anaesthesia for ALL-SEAL’) was implemented to reduce preventable medication errors and drug wastage in the operating theatre (OT) of a tertiary hospital. The primary objective of this quality improvement project was to prevent the incidence of medication errors, and the secondary objective was to reduce the wastage of unused drugs. Methods: A pre-intervention questionnaire and an audit survey were performed, and multidirectional interventions were designed post-survey. A post-intervention survey was conducted to evaluate effectiveness. The incidence of medication errors, including near misses, was assessed for root causes. Unused drugs drawn or diluted in syringes were recorded daily in each OT. The weekly drug orders and mid-week reordering frequency were also monitored. The data were reported as simple means and percentages. Results: Ninety-eight anaesthesia care providers participated in the survey (72.4% doctors and 27.6% anaesthetic nurses). Pre-intervention, 76.1% of respondents had experienced medication errors during their practice. Common errors included misidentification of ampoules or vials (65.2%), miscalculation of dosages (65.2%), improper syringe labelling (56.5%), accidental drug omission (54.3%) and wrong prescriptions (39.1%). The main sources of errors were fatigue/overwork (80.4%) and a hectic OT environment (71.7%). Post-intervention, no incidents of medication errors were reported. In addition, there was a significant reduction in drug wastage. Conclusions: The SEAL project positively prevented medication errors and reduced drug wastage, which should be further validated in other clinical settings.

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No longer a blank cheque: a narrative scoping review of physician awareness of cost

Cited by 2 publications

References 74 publications

Gamification of emergency medicine cost awareness education

Gamification of emergency medicine cost awareness education

Medication stewardship in the operating theatre in Malaysia: A quality improvement project

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