Amber E Barnato

Summary

Affiliation: University of Pittsburgh
Country: USA

Publications

  1. pmc The effect of emotion and physician communication behaviors on surrogates' life-sustaining treatment decisions: a randomized simulation experiment
    Amber E Barnato
    Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, PA, USA
    Crit Care Med 41:1686-91. 2013
  2. pmc Norms of decision making in the ICU: a case study of two academic medical centers at the extremes of end-of-life treatment intensity
    Amber E Barnato
    Center for Research on Health Care, University of Pittsburgh, Pittsburgh, PA 15221, USA
    Intensive Care Med 38:1886-96. 2012
  3. pmc 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
  4. pmc Development and validation of hospital "end-of-life" treatment intensity measures
    Amber E Barnato
    Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania 15213, USA
    Med Care 47:1098-105. 2009
  5. pmc Racial and ethnic differences in preferences for end-of-life treatment
    Amber 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
  6. pmc 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 cancer
    Amber E Barnato
    Center for Research on Health Care, University of Pittsburgh, Pittsburgh, PA, USA
    Crit Care Med 39:1663-9. 2011
  7. pmc Disability among elderly survivors of mechanical ventilation
    Amber 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
  8. pmc Using simulation to isolate physician variation in intensive care unit admission decision making for critically ill elders with end-stage cancer: a pilot feasibility study
    Amber E Barnato
    University of Pittsburgh, Pittsburgh, PA, USA
    Crit Care Med 36:3156-63. 2008
  9. pmc Relationship between staff perceptions of hospital norms and hospital-level end-of-life treatment intensity
    Amber E Barnato
    Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania 15213, USA
    J Palliat Med 10:1093-100. 2007
  10. pmc Racial variation in the incidence, care, and outcomes of severe sepsis: analysis of population, patient, and hospital characteristics
    Amber 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

Detail Information

Publications45

  1. pmc The effect of emotion and physician communication behaviors on surrogates' life-sustaining treatment decisions: a randomized simulation experiment
    Amber E Barnato
    Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, PA, USA
    Crit Care Med 41:1686-91. 2013
    ..Emotions influence risk perception, risk preferences, and decision making. We sought to explore the effect of emotional state and physician communication behaviors on surrogates' life-sustaining treatment decisions...
  2. pmc Norms of decision making in the ICU: a case study of two academic medical centers at the extremes of end-of-life treatment intensity
    Amber 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...
  3. pmc 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...
  4. pmc Development and validation of hospital "end-of-life" treatment intensity measures
    Amber 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...
  5. pmc Racial and ethnic differences in preferences for end-of-life treatment
    Amber 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...
  6. pmc 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 cancer
    Amber 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...
  7. pmc Disability among elderly survivors of mechanical ventilation
    Amber 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...
  8. pmc Using simulation to isolate physician variation in intensive care unit admission decision making for critically ill elders with end-stage cancer: a pilot feasibility study
    Amber 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...
  9. pmc Relationship between staff perceptions of hospital norms and hospital-level end-of-life treatment intensity
    Amber 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...
  10. pmc Racial variation in the incidence, care, and outcomes of severe sepsis: analysis of population, patient, and hospital characteristics
    Amber 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...
  11. pmc 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...
  12. doi request reprint Communication practices in physician decision-making for an unstable critically ill patient with end-stage cancer
    Deepika 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...
  13. pmc Optimal approach to improving trauma triage decisions: a cost-effectiveness analysis
    Deepika 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...
  14. doi request reprint Infection rate and acute organ dysfunction risk as explanations for racial differences in severe sepsis
    Florian 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...
  15. doi request reprint Physicians' decision-making roles for an acutely unstable critically and terminally ill patient
    Jamie Uy
    Office of the Med Dean, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
    Crit Care Med 41:1511-7. 2013
    ..Our objective is to describe variation in hospital-based physicians' communication behaviors and decision-making roles for ICU admission and intubation decisions for an acutely unstable critically and terminally ill patient...
  16. ncbi request reprint Perceptions and utilization of palliative care services in acute care hospitals
    Keri 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...
  17. pmc 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
    ....
  18. doi request reprint Physician follow-up visits after acute care hospitalization for elderly Medicare beneficiaries discharged to noninstitutional settings
    Caroline 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...
  19. pmc Trauma triage in the emergency departments of nontrauma centers: an analysis of individual physician caseload on triage patterns
    Deepika Mohan
    Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania 15261, USA
    J Trauma Acute Care Surg 74:1541-7. 2013
    ..Little is known about the role of physicians' clinical judgment in triage at outlying hospitals. We assessed the association between physician caseload, case mix, and the triage of trauma patients presenting to nontrauma centers...
  20. doi request reprint 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
    ....
  21. doi request reprint Assessing the feasibility of the American College of Surgeons' benchmarks for the triage of trauma patients
    Deepika Mohan
    Department of Surgery, University of Pittsburgh, Pittsburgh, PA 15261, USA
    Arch Surg 146:786-92. 2011
    ....
  22. pmc Organizational determinants of hospital end-of-life treatment intensity
    Caroline 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...
  23. doi request reprint Validating a vignette-based instrument to study physician decision making in trauma triage
    Deepika Mohan
    The CRISMA Clinical Research, Investigation, and Systems Modeling of Acute Illness Center, Department of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania DM, MRR, DCA
    Med Decis Making 34:242-52. 2014
    ..The validity of using vignettes to predict decision making in more complex, high-risk contexts and at the individual level remains unknown...
  24. pmc Influence of race on inpatient treatment intensity at the end of life
    Amber 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...
  25. pmc Sources of non-compliance with clinical practice guidelines in trauma triage: a decision science study
    Deepika 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...
  26. pmc Are regional variations in end-of-life care intensity explained by patient preferences?: A Study of the US Medicare Population
    Amber 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...
  27. pmc Differences in immune response may explain lower survival among older men with pneumonia
    Michael 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...
  28. ncbi request reprint Protocolized Care for Early Septic Shock (ProCESS) statistical analysis plan
    Francis Pike
    Department of Biostatistics, Pitt Public Health, University of Pittsburgh, Pittsburgh, PA, United States
    Crit Care Resusc 15:301-10. 2013
    ..The Protocolized Care for Early Septic Shock study is a randomised, multicentre, prospective, three-arm, parallel-group trial of alternative resuscitation strategies for early septic shock...
  29. pmc Hospital-level racial disparities in acute myocardial infarction treatment and outcomes
    Amber 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...
  30. doi request reprint Nighttime intensivist staffing and mortality among critically ill patients
    David 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...
  31. pmc Trends in inpatient treatment intensity among Medicare beneficiaries at the end of life
    Amber E Barnato
    Medicine and Health Policy and Management, University of Pittsburgh, Pittsburgh, PA 15213, USA
    Health Serv Res 39:363-75. 2004
    ..We sought to determine whether disproportionate increases in hospital treatment intensity over time among decedents are responsible for the persistent growth in end-of-life expenditures...
  32. ncbi request reprint Value and role of intensive care unit outcome prediction models in end-of-life decision making
    Amber 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
    ....
  33. doi request reprint Advance Care Planning Norms May Contribute to Hospital Variation in End-of-Life ICU Use: A Simulation Study
    Amber E Barnato
    Center for Research on Health Care, University of Pittsburgh, Pittsburgh, PA AEB, RMA
    Med Decis Making 34:473-84. 2014
    ..There is wide variation in end-of-life (EOL) intensive care unit (ICU) use among academic medical centers (AMCs). Our objective was to develop hypotheses regarding medical decision-making factors underlying this variation...
  34. ncbi request reprint Communication and decision making in cancer care: setting research priorities for decision support/patients' decision aids
    Amber 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...
  35. ncbi request reprint Use of intensive care at the end of life in the United States: an epidemiologic study
    Derek 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
    ..We sought to describe the use of ICU care at the end of life in the United States using hospital discharge data from 1999 for six states and the National Death Index...
  36. ncbi request reprint Qualitative analysis of Medicare claims in the last 3 years of life: a pilot study
    Amber E Barnato
    University of Pittsburgh, Pittsburgh, Pennsylvania, USA
    J Am Geriatr Soc 53:66-73. 2005
    ....
  37. doi request reprint SPEACS-2: intensive care unit "communication rounds" with speech language pathology
    Mary Beth Happ
    Department of Acute and Tertiary Care, University of Pittsburgh School of Nursing, Pittsburgh, PA, USA
    Geriatr Nurs 31:170-7. 2010
    ....
  38. doi request reprint Determinants of compliance with transfer guidelines for trauma patients: a retrospective analysis of CT scans acquired prior to transfer to a Level I Trauma Center
    Deepika 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...
  39. ncbi request reprint Prioritizing the organization and management of intensive care services in the United States: the PrOMIS Conference
    Amber 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...
  40. ncbi request reprint Teaching medical decision modeling: a qualitative description of student errors and curriculum responses
    Kenneth 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
    ..Novice medical decision modelers are prone to errors. The purpose of this article is to describe the common errors committed by decision modeling students and the changes made to a structured decision modeling project course in response...
  41. doi request reprint Parent perspectives on decisions to participate in a phase I hepatocyte transplant trial
    Alexandra Dreyzin
    University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
    Pediatr Transplant 18:112-9. 2014
    ..Clarification of available treatment alternatives and associated risks as part of informed consent may improve the quality of decision-making regarding trial enrollment. ..
  42. pmc Association between anticipatory grief and problem solving among family caregivers of persons with cognitive impairment
    Nicole R Fowler
    Division of General Internal Medicine, Department of Medicine, School of Medicine, University of Pittsburgh, PA 15213, USA
    J Aging Health 25:493-509. 2013
    ..Measure perceived involvement in medical decision making and determine if anticipatory grief is associated with problem solving among family caregivers of older adults with cognitive impairment...
  43. pmc ER vs. ED: a comparison of televised and real-life emergency medicine
    Brian A Primack
    Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania 15213, USA
    J Emerg Med 43:1160-6. 2012
    ..Although accurate health-related representations of medical situations on television can be valuable, inaccurate portrayals can engender misinformation...
  44. pmc Potential value of regionalized intensive care for mechanically ventilated medical patients
    Jeremy 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...
  45. ncbi request reprint Barriers to implementing the Leapfrog Group recommendations for intensivist physician staffing: a survey of intensive care unit directors
    Jeremy 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...