CJEM Articles: Tammy J. Clifford

Objective: Emergency physicians (EPs) rarely find out what happens to patients after the patients leave their care, a process we call "outcome feedback." Some suggest this hin ders the practice of emergency medicine (EM); however, evi dence is lacking. We sought to evaluate EPs' perception of the current and potential role of outcome feedback in EM.

Methods: We surveyed practising French- and English-speaking EPs from emergency departments within 100 km of Ottawa, Ont., in the provinces of Ontario and Quebec. The main outcomes included the prevalence, role and effect of outcome feedback.

Results: Of the 297 physicians surveyed, 231 (77.8%) re spond ed. The sample contained good representation of lan guage groups, practice settings, sexes and age groups. All participants indicated that knowing outcomes is "essential" (62.6%) or "beneficial" (37.4%) to gaining experience in EM. Participants reported currently receiving passive outcome feedback in 10.0% of all cases, and seeking out (active) outcome feedback in 7.5% of all cases. The great majority of participants (97.3%) stated that they would like to re ceive more outcome feedback and believed that this would improve diagnostic accuracy (97.3%), clinical efficiency (85.5%), treatment outcomes (95.6%) and job satisfaction (95.1%). When asked to indicate "any possible negative effects that might arise from increased outcome feedback," 62.1% indicated none. However, 17.9% hypothesized nega tive emotional effects and 11.5% suggested increased time requirements.

Conclusion: The overwhelming majority of EPs receive very little outcome feedback. Most would like more outcome feed back and believe it would improve the practice of EM.