Advanced Imaging Reduces Cost Compared to Standard of Care in Emergency Department of Triage of Acute Chest Pain

Noack, Pamela; Moore, J.A.; Poon, Michael

doi:10.1111/1475-6773.12799

Cited by 2 publications

(3 citation statements)

References 29 publications

(55 reference statements)

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“…Most studies were undertaken in primary care, community settings, or in speci c non-hospitalbased services (often described as 'clinics'), re ecting the health and related care focus of the review. (44,86,109,110) Acquisition or use of existing data sets (105,(111)(112)(113)(114)(115) [1] Some studies appear in more than one category because multiple means were employed [2] Some studies in each category are represented by multiple references…”

Section: Resultsmentioning

confidence: 99%

“…As we have noted there is some overlap between this and the classi cations above, but our synthesis considered this separately as it represents a technological streamlining of an existing process rather than an adaptation of the research design (44,86). These ten studies involved using technology to automate or otherwise try to improve rapidity of one or more of data collection, collation, or analysis (44,86,105,(109)(110)(111)(112)(113)(114)(115). Studies which involved acquiring or using existing data sets to enable modelling of effectiveness were also included (111,114,119).…”

Section: Using Alternative Technology or Data Sourcementioning

confidence: 99%

“…These ten studies involved using technology to automate or otherwise try to improve rapidity of one or more of data collection, collation, or analysis (44,86,105,(109)(110)(111)(112)(113)(114)(115). Studies which involved acquiring or using existing data sets to enable modelling of effectiveness were also included (111,114,119). Seven of these studies were undertaken in the context of monitoring of uptake and safety pro les of vaccinations.…”

Section: Using Alternative Technology or Data Sourcementioning

confidence: 99%

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Rapid Evaluations of Innovations: A Scoping Review

Norman

Mason

Dumville

et al. 2022

Preprint

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BackgroundThere is increasing demand for more rapid evaluation of innovation in health and social care to support timely decision-making about service redesign. Making evaluations more rapid raises challenges of rigour and effective use of resources, but assessment of rapid evaluation methodologies has been lacking. Objectives: To map the developing field of methods of rapid evaluation of innovation in health and related social careDesign: Scoping reviewMethods: We searched multiple databases and websites of key organisations to identify rapid evaluations of innovations, methods of rapid evaluation or rapid evaluation of implementation in high income countries.We extracted information to enable us to classify and map existing studies on key characteristics. We undertook a narrative synthesis to identify the evidence and the gaps, focussing on the different approaches to conducting rapid evaluation in primary research. ResultsWe identified 14069 records from our searches, evaluated 352 in full text and included 72 studies. We identified four main approaches used for rapid evaluation: (1) Use of a methodology designed specifically for rapid evaluation;(2) Increasing rapidity by doing less or using a less time-intensive methodology;(3) Use of alternative technologies and/or data to increase the speed of an existing evaluation method; (4) Adaptation of part of a non-rapid evaluation We found little research comparing rapid and non-rapid evaluation.ConclusionsThis scoping review identified a lack of clarity about what ‘rapid evaluation’ means but identified useful preliminary categories. There is a need for clarity and consistency in terms of: what constitutes rapid evaluation; consistent terminology in reporting evaluations as rapid; the development of specific methodologies for making evaluation more rapid; and assessment of the advantages and disadvantages of rapid methodology in terms of rigour, cost and impact.

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Section: Resultsmentioning

confidence: 99%

Section: Using Alternative Technology or Data Sourcementioning

confidence: 99%

Section: Using Alternative Technology or Data Sourcementioning

confidence: 99%

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Rapid Evaluations of Innovations: A Scoping Review

Norman

Mason

Dumville

et al. 2022

Preprint

View full text Add to dashboard Cite

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Approaches to enabling rapid evaluation of innovations in health and social care: a scoping review of evidence from high-income countries

et al. 2022

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ObjectiveThe COVID-19 pandemic increased the demand for rapid evaluation of innovation in health and social care. Assessment of rapid methodologies is lacking although challenges in ensuring rigour and effective use of resources are known. We mapped reports of rapid evaluations of health and social care innovations, categorised different approaches to rapid evaluation, explored comparative benefits of rapid evaluation, and identified knowledge gaps.DesignScoping review.Data sourcesMEDLINE, EMBASE and Health Management Information Consortium (HMIC) databases were searched through 13 September 2022.Eligibility criteria for selecting studiesWe included publications reporting primary research or methods for rapid evaluation of interventions or services in health and social care in high-income countries.Data extraction and synthesisTwo reviewers developed and piloted a data extraction form. One reviewer extracted data, a second reviewer checked 10% of the studies; disagreements and uncertainty were resolved through consensus. We used narrative synthesis to map different approaches to conducting rapid evaluation.ResultsWe identified 16 759 records and included 162 which met inclusion criteria.We identified four main approaches for rapid evaluation: (1) Using methodology designed specifically for rapid evaluation; (2) Increasing rapidity by doing less or using less time-intensive methodology; (3) Using alternative technologies and/or data to increase speed of existing evaluation method; (4) Adapting part of non-rapid evaluation.The COVID-19 pandemic resulted in an increase in publications and some limited changes in identified methods. We found little research comparing rapid and non-rapid evaluation.ConclusionsWe found a lack of clarity about what ‘rapid evaluation’ means but identified some useful preliminary categories. There is a need for clarity and consistency about what constitutes rapid evaluation; consistent terminology in reporting evaluations as rapid; development of specific methodologies for making evaluation more rapid; and assessment of advantages and disadvantages of rapid methodology in terms of rigour, cost and impact.

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Advanced Imaging Reduces Cost Compared to Standard of Care in Emergency Department of Triage of Acute Chest Pain

Abstract: Rapid assessment of treatment using registry data is a promising means of analyzing cost performance in complex health care environments.

Cited by 2 publications

References 29 publications

Rapid Evaluations of Innovations: A Scoping Review

Rapid Evaluations of Innovations: A Scoping Review

Approaches to enabling rapid evaluation of innovations in health and social care: a scoping review of evidence from high-income countries

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