Research Topics
| Amber E BarnatoSummaryAffiliation: University of Pittsburgh Country: USA Publications
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Detail Information
Publications
Norms of decision making in the ICU: a case study of two academic medical centers at the extremes of end-of-life treatment intensityAmber E Barnato
Center for Research on Health Care, University of Pittsburgh, Pittsburgh, PA 15221, USA
Intensive Care Med 38:1886-96. 2012..To explore norms of decision making regarding life-sustaining treatments (LSTs) at two academic medical centers (AMCs) that contribute to their opposite extremes of end-of-life ICU use...
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...- 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... - 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... - 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... - 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... - 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... - Disability among elderly survivors of mechanical ventilationAmber E Barnato
Center for Research on Health Care, 200 Meyran Avenue, Pittsburgh, PA 15213, USA
Am J Respir Crit Care Med 183:1037-42. 2011..Studies of long-term functional outcomes of elderly survivors of mechanical ventilation (MV) are limited to local samples and biased retrospective, proxy-reported preadmission functional status... - A randomized trial of the effect of patient race on physicians' intensive care unit and life-sustaining treatment decisions for an acutely unstable elder with end-stage cancerAmber E Barnato
Center for Research on Health Care, University of Pittsburgh, Pittsburgh, PA, USA
Crit Care Med 39:1663-9. 2011..To test whether hospital-based physicians made different intensive care unit and life-sustaining treatment decisions for otherwise identical black and white patients with end-stage cancer and life-threatening hypoxia... - 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... - 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... - Optimal approach to improving trauma triage decisions: a cost-effectiveness analysisDeepika Mohan
The CRISMA Laboratory, Critical Care Medicine, University of Pittsburgh, Pittsburgh, PA 15261, USA
Am J Manag Care 18:e91-e100. 2012..To identify the optimal target of a future intervention to improve physician decision making in trauma triage... - 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... 
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...- 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.... - Physician follow-up visits after acute care hospitalization for elderly Medicare beneficiaries discharged to noninstitutional settingsCaroline Y Lin
Center for Research on Health Care, Institute for Clinical Research Education, School of Medicine, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania 15213, USA
J Am Geriatr Soc 59:1947-54. 2011..Future efforts should ensure that patients have adequate physician follow-up... - Defining geriatric trauma: when does age make a difference?Nicholas W Goodmanson
Division of General Surgery and Trauma, Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA 15213, USA
Surgery 152:668-74; discussion 674-5. 2012.... - 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... - Assessing the feasibility of the American College of Surgeons' benchmarks for the triage of trauma patientsDeepika Mohan
Department of Surgery, University of Pittsburgh, Pittsburgh, PA 15261, USA
Arch Surg 146:786-92. 2011.... - 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... - Sources of non-compliance with clinical practice guidelines in trauma triage: a decision science studyDeepika Mohan
Department of Critical Care Medicine, The CRISMA Center Clinical Research, Investigation, and Systems Modeling of Acute Illness, University of Pittsburgh, Scaife Hall, 3550 Terrace Street, Pittsburgh, PA, USA
Implement Sci 7:103. 2012..One possible reason is emergency physician decision-making. The objective of the study was to characterize sensory and decisional determinants of emergency physician trauma triage decision-making... - 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... - 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... - Nighttime intensivist staffing and mortality among critically ill patientsDavid J Wallace
Department of Critical Care Medicine, Clinical Research, Investigation, and Systems of Modeling of Acute Illness Center, University of Pittsburgh School of Medicine, Pittsburgh, PA 15261, USA
N Engl J Med 366:2093-101. 2012..However, the degree to which nighttime intensivists are associated with improvements in the quality of ICU care is unknown... - 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.... - 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... - 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... - 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.... - 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.... - 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.... - 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... - 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... - 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... - 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... - 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...