Alina Smirnova, Saad Chahine, Christina Milani, Abigail Schuh, Stefanie S Sebok-Syer, Jordan L Swartz, Jeffrey A Wilhite, Adina Kalet, Steven J Durning, Kiki M J M H Lombarts, Cees P M van der Vleuten, Daniel J Schumacher
PURPOSE: Traditional quality metrics do not adequately represent the clinical work done by residents and, thus, cannot be used to link residency training to health care quality. This study aimed to determine whether electronic health record (EHR) data can be used to meaningfully assess residents' clinical performance in pediatric emergency medicine using resident-sensitive quality measures (RSQMs). METHOD: EHR data for asthma and bronchiolitis RSQMs from Cincinnati Children's Hospital Medical Center, a quaternary children's hospital, between July 1, 2017, and June 30, 2019, were analyzed by ranking residents based on composite scores calculated using raw, unadjusted, and case-mix adjusted latent score models, with lower percentiles indicating a lower quality of care and performance...
March 1, 2023: Academic Medicine