Research Topics
| Amber BarnatoSummaryAffiliation: University of Pittsburgh Country: USA Publications
Research Grants
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Detail Information
Publications
Influence of race on inpatient treatment intensity at the end of lifeAmber E Barnato
Center for Research on Health Care, University of Pittsburgh, Pittsburgh, PA 15213, USA
J Gen Intern Med 22:338-45. 2007..To examine inpatient intensive care unit (ICU) and intensive procedure use by race among Medicare decedents, using utilization among survivors for comparison...
Communication and decision making in cancer care: setting research priorities for decision support/patients' decision aidsAmber E Barnato
Center for Research on Health Care, University of Pittsburgh, Pittsburgh, Pennsylvania 15213, USA
Med Decis Making 27:626-34. 2007..Finally, Dr. Amber Barnato conducted a simple vote count (see Table 1) to prioritize the panelists' and the audience's recommendations.
Are regional variations in end-of-life care intensity explained by patient preferences?: A Study of the US Medicare PopulationAmber E Barnato
Center for Research on Health Care, University of Pittsburgh, Pittsburgh, Pennsylvania 15312, USA
Med Care 45:386-93. 2007..We sought to test whether variations across regions in end-of-life (EOL) treatment intensity are associated with regional differences in patient preferences for EOL care...- Qualitative analysis of Medicare claims in the last 3 years of life: a pilot studyAmber E Barnato
University of Pittsburgh, Pittsburgh, Pennsylvania, USA
J Am Geriatr Soc 53:66-73. 2005.... 
Communication practices in physician decision-making for an unstable critically ill patient with end-stage cancerDeepika Mohan
Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, PA 15231, USA
J Palliat Med 13:949-56. 2010..Shared decision-making has become the standard of care for most medical treatments. However, little is known about physician communication practices in the decision making for unstable critically ill patients with known end-stage disease...- Do hospitals provide lower quality of care to black patients for pneumonia?Florian B Mayr
Clinical Research, Investigation, and Systems Modeling of Acute Illness Laboratory, Department of Critical Care Medicine, Graduate School of Pubic Health, University of Pittsburgh, Pittsburgh, PA, USA
Crit Care Med 38:759-65. 2010..We examined racial differences in emergency department and intensive care unit care processes to determine whether differences persist after adjusting for case-mix and variation in care across hospitals... - Organizational determinants of hospital end-of-life treatment intensityCaroline Y Lin
Center for Research on Health Care, University of Pittsburgh School of Medicine, 200 Meyran Avenue, Pittsburgh, PA 15213, USA
Med Care 47:524-30. 2009..There is substantial hospital-level variation in end-of-life (EOL) treatment intensity... - Trends in inpatient treatment intensity among Medicare beneficiaries at the end of lifeAmber E Barnato
Medicine and Health Policy and Management, University of Pittsburgh, Pittsburgh, PA 15213, USA
Health Serv Res 39:363-75. 2004..This could imply that net hospital expenditures for the dying might have been even higher over this time period if the shift toward hospice had not occurred... - Using simulation to isolate physician variation in intensive care unit admission decision making for critically ill elders with end-stage cancer: a pilot feasibility studyAmber E Barnato
University of Pittsburgh, Pittsburgh, PA, USA
Crit Care Med 36:3156-63. 2008..To determine the feasibility of high-fidelity simulation for studying variation in intensive care unit admission decision making for critically ill elders with end-stage cancer... - Value and role of intensive care unit outcome prediction models in end-of-life decision makingAmber E Barnato
Center for Research on Health Care, Department of Medicine, University of Pittsburgh, 230 McKee Place, Suite 600, Pittsburgh, PA 15213, USA
Crit Care Clin 20:345-62, vii-viii. 2004.... - Determinants of compliance with transfer guidelines for trauma patients: a retrospective analysis of CT scans acquired prior to transfer to a Level I Trauma CenterDeepika Mohan
The CRISMA Laboratory Clinical Research, Investigation, and Systems Modeling of Acute Illness, Department of Critical Care Medicine, University of Pittsburgh, and UPMC Presbyterian Hospital, Pittsburgh, PA 15261, USA
Ann Surg 251:946-51. 2010..To identify potential determinants of compliance with the American College of Surgeons Committee on Trauma guidelines for the transfer of trauma patients... - Perceptions and utilization of palliative care services in acute care hospitalsKeri L Rodriguez
Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, University Drive C, Pittsburgh, PA 15240, USA
J Palliat Med 10:99-110. 2007..To understand perceptions of palliative care in acute care hospitals and identify barriers to earlier use of palliative care in the illness trajectory... - Teaching medical decision modeling: a qualitative description of student errors and curriculum responsesKenneth J Smith
Section of Decision Sciences and Clinical Systems Modeling, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA
Med Decis Making 26:583-8. 2006..Originally, the only assignment was an abstract and 10-minute presentation describing their solution, but now periodic homework monitors progress... - Hospital-level racial disparities in acute myocardial infarction treatment and outcomesAmber E Barnato
Department of Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania 15213, USA
Med Care 43:308-19. 2005..However, the extent to which unobserved differences between hospitals explains some of these differences is unknown... - Relationship between staff perceptions of hospital norms and hospital-level end-of-life treatment intensityAmber E Barnato
Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania 15213, USA
J Palliat Med 10:1093-100. 2007..Individual hospital microclimates must exist to perpetuate these practice variations... - Differences in immune response may explain lower survival among older men with pneumoniaMichael C Reade
Department of Critical Care Medicine, CRISMA Laboratory, University of Pittsburgh, Pittsburgh, PA, USA
Crit Care Med 37:1655-62. 2009..We assessed if sex-related survival difference following community-acquired pneumonia (CAP) is due to differences in clinical characteristics, quality of care, or immune response... - Is survival better at hospitals with higher "end-of-life" treatment intensity?Amber E Barnato
Department of Medicine, University of Pittsburgh, Pittsburgh, PA, USA
Med Care 48:125-32. 2010..Concern regarding wide variations in spending and intensive care unit use for patients at the end of life hinges on the assumption that such treatment offers little or no survival benefit... - Use of intensive care at the end of life in the United States: an epidemiologic studyDerek C Angus
Department of Health Policy and Management, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA, USA
Crit Care Med 32:638-43. 2004.... - Racial variation in end-of-life intensive care use: a race or hospital effect?Amber E Barnato
Department of Medicine, School of Medicine, Graduate School of Public Health, Center for Research on Health Care, University of Pittsburgh, Pittsburgh, PA 15213, USA
Health Serv Res 41:2219-37. 2006.... - Racial and ethnic differences in preferences for end-of-life treatmentAmber E Barnato
Center for Research on Health Care, University of Pittsburgh, 200 Meyran Avenue, Suite 200, Pittsburgh, PA, 15312, USA
J Gen Intern Med 24:695-701. 2009..These studies are limited by size, representation, and insufficient exploration of sociocultural covariables... - Development and validation of hospital "end-of-life" treatment intensity measuresAmber E Barnato
Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania 15213, USA
Med Care 47:1098-105. 2009..Health care utilization among decedents is increasingly used as a measure of health care efficiency, but decedent-based measures may be biased estimates of care received by "dying" patients... - Infection rate and acute organ dysfunction risk as explanations for racial differences in severe sepsisFlorian B Mayr
CRISMA Laboratory, Department of Critical Care Medicine, University of Pittsburgh, 3550 Terrace St, Pittsburgh, PA 15261, USA
JAMA 303:2495-503. 2010..Severe sepsis, defined as infection complicated by acute organ dysfunction, occurs more frequently and leads to more deaths in black than in white individuals. The optimal approach to minimize these disparities is unclear... - Racial variation in the incidence, care, and outcomes of severe sepsis: analysis of population, patient, and hospital characteristicsAmber E Barnato
Center for Research on Health Care, 200 Meyran Ave, Suite 200, Pittsburgh, PA 15213, USA
Am J Respir Crit Care Med 177:279-84. 2008..Higher rates of sepsis have been reported in minorities... - Acute care practices relevant to quality end-of-life care: a survey of Pennsylvania hospitalsC Y Lin
Center for Research on Health Care and the Institute for Clinical Research Education, University of Pittsburgh School of Medicine, 200 Meyran Avenue, Suite 200, Pittsburgh, PA 15213, USA
Qual Saf Health Care 19:e12. 2010..Improving end-of-life care in the hospital is a national priority... - Prioritizing the organization and management of intensive care services in the United States: the PrOMIS ConferenceAmber E Barnato
Center for Research on Health Care, and the CRISMA Laboratory Clinical Research, Investigation, and Systems Modeling of Acute Illness, Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, PA, USA
Crit Care Med 35:1003-11. 2007..We sought to elicit the perceived problems and solutions to the delivery of critical care services from a broad set of U.S. stakeholders... - SPEACS-2: intensive care unit "communication rounds" with speech language pathologyMary Beth Happ
Department of Acute and Tertiary Care, University of Pittsburgh School of Nursing, Pittsburgh, PA, USA
Geriatr Nurs 31:170-7. 2010.... - Potential value of regionalized intensive care for mechanically ventilated medical patientsJeremy M Kahn
Division of Pulmonary, Allergy, and Critical Care, University of Pennsylvania School of Medicine, 723 Blockley Hall, 423 Guardian Drive, Philadelphia, PA 19104, USA
Am J Respir Crit Care Med 177:285-91. 2008..Regionalization has been proposed as a method to improve outcomes for medical patients receiving mechanical ventilation in the intensive care unit... - Barriers to implementing the Leapfrog Group recommendations for intensivist physician staffing: a survey of intensive care unit directorsJeremy M Kahn
Division of Pulmonary and Critical Care Medicine, Harborview Medical Center, University of Washington, Seattle, WA 98119, USA
J Crit Care 22:97-103. 2007..The purpose of this study was to examine the perception of the Leapfrog standards among ICU directors and determine the potential barriers to implementing these standards... - Resurrecting treatment histories of dead patientsAmber E Barnato
JAMA 293:1591-2; author reply 1592. 2005 - Performance of the RAND appropriateness criteriaAmber E Barnato
Med Decis Making 23:177-9. 2003
Research Grants
- Provider and Organizational Norms and Care at End of Life (PONCEL): A Study of TwAmber Barnato; Fiscal Year: 2009....
- Cancer Decision Tool Symposium at SMDM Annual MeetingAmber Barnato; Fiscal Year: 2005..The 2005 SMDM Annual Meeting is open, and anyone can register to attend. ..
- Hospital-level Variation in Treatment IntensityAmber Barnato; Fiscal Year: 2007The purpose of this proposal is to provide Dr. Amber Barnato with the means and structure to transition to an independent investigator...
- Developing a Robust Measure of Hospital End-of-Life IntensityAmber Barnato; Fiscal Year: 2009....
- Developing a Robust Measure of Hospital End-of-Life IntensityAmber E Barnato; Fiscal Year: 2010....
- Using behavioral economics to understand end-of-life decisionsAmber E Barnato; Fiscal Year: 2010The purpose of this short-term mentored mid-career investigator award (K18) is to provide Amber Barnato, MD, MPH, MS at the University of Pittsburgh with 3 calendar months protected time over one year to receive mentorship from ..