{"id":"https://openalex.org/W4387296374","doi":"https://doi.org/10.1097/hpc.0000000000000333","title":"Impact of an Institutional Clinical Pathway on Emergency Physicians\u2019 Stated Preferences in Treating Patients with Low-Risk Pulmonary Embolism","display_name":"Impact of an Institutional Clinical Pathway on Emergency Physicians\u2019 Stated Preferences in Treating Patients with Low-Risk Pulmonary Embolism","publication_year":2023,"publication_date":"2023-09-08","ids":{"openalex":"https://openalex.org/W4387296374","doi":"https://doi.org/10.1097/hpc.0000000000000333","pmid":"https://pubmed.ncbi.nlm.nih.gov/37782623"},"language":"en","primary_location":{"id":"doi:10.1097/hpc.0000000000000333","doi":"https://doi.org/10.1097/hpc.0000000000000333","is_oa":false,"landing_page_url":"https://doi.org/10.1097/hpc.0000000000000333","pdf_url":null,"source":{"id":"https://openalex.org/S2765074505","display_name":"Critical Pathways in Cardiology A Journal of Evidence-Based Medicine","issn_l":"1535-2811","issn":["1535-2811","1535-282X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-3"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Critical Pathways in Cardiology: A Journal of Evidence-Based Medicine","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5052028795","display_name":"Arvin Radfar Akhavan","orcid":"https://orcid.org/0000-0002-0036-1004","observed_orcids":["https://orcid.org/0000-0002-0036-1004"]},"institutions":[{"id":"https://openalex.org/I201448701","display_name":"University of Washington","ror":"https://ror.org/00cvxb145","country_code":"US","type":"education","lineage":["https://openalex.org/I201448701"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Arvin Radfar Akhavan","raw_affiliation_strings":["Department of Emergency Medicine, University of Washington, Seattle, WA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Emergency Medicine, University of Washington, Seattle, WA","institution_ids":["https://openalex.org/I201448701"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5085811706","display_name":"Alex O\u2019Brien-Lambert","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I201448701","display_name":"University of Washington","ror":"https://ror.org/00cvxb145","country_code":"US","type":"education","lineage":["https://openalex.org/I201448701"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Alex O\u2019Brien-Lambert","raw_affiliation_strings":["Department of Emergency Medicine, University of Washington, Seattle, WA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Emergency Medicine, University of Washington, Seattle, WA","institution_ids":["https://openalex.org/I201448701"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5092991759","display_name":"Nick Postiglione","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I201448701","display_name":"University of Washington","ror":"https://ror.org/00cvxb145","country_code":"US","type":"education","lineage":["https://openalex.org/I201448701"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Nick Postiglione","raw_affiliation_strings":["Department of Emergency Medicine, University of Washington, Seattle, WA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Emergency Medicine, University of Washington, Seattle, WA","institution_ids":["https://openalex.org/I201448701"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5110220010","display_name":"Anneliese M. Schleyer","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I201448701","display_name":"University of Washington","ror":"https://ror.org/00cvxb145","country_code":"US","type":"education","lineage":["https://openalex.org/I201448701"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Anneliese M. Schleyer","raw_affiliation_strings":["Division of General Internal Medicine, Department of Medicine, University of Washington, Seattle, WA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of General Internal Medicine, Department of Medicine, University of Washington, Seattle, WA","institution_ids":["https://openalex.org/I201448701"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5023783803","display_name":"Marie Clougherty Vrablik","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I201448701","display_name":"University of Washington","ror":"https://ror.org/00cvxb145","country_code":"US","type":"education","lineage":["https://openalex.org/I201448701"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Marie Vrablik","raw_affiliation_strings":["Department of Emergency Medicine, University of Washington, Seattle, WA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Emergency Medicine, University of Washington, Seattle, WA","institution_ids":["https://openalex.org/I201448701"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5024667583","display_name":"Michael Kennedy Hall","orcid":"https://orcid.org/0000-0002-0803-1552","observed_orcids":["https://orcid.org/0000-0002-0803-1552"]},"institutions":[{"id":"https://openalex.org/I201448701","display_name":"University of Washington","ror":"https://ror.org/00cvxb145","country_code":"US","type":"education","lineage":["https://openalex.org/I201448701"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"M. Kennedy Hall","raw_affiliation_strings":["Department of Emergency Medicine, University of Washington, Seattle, WA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Emergency Medicine, University of Washington, Seattle, WA","institution_ids":["https://openalex.org/I201448701"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5023783803","https://openalex.org/A5024667583","https://openalex.org/A5052028795","https://openalex.org/A5085811706","https://openalex.org/A5092991759"],"corresponding_institution_ids":["https://openalex.org/I201448701"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.25714716,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"22","issue":"4","first_page":"120","last_page":"123"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10285","display_name":"Venous Thromboembolism Diagnosis and Management","score":0.9765999913215637,"subfield":{"id":"https://openalex.org/subfields/2724","display_name":"Internal Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10285","display_name":"Venous Thromboembolism Diagnosis and Management","score":0.9765999913215637,"subfield":{"id":"https://openalex.org/subfields/2724","display_name":"Internal Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12664","display_name":"Clinical practice guidelines implementation","score":0.017000000923871994,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.0017999999690800905,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/low-risk-pulmonary-embolism","display_name":"low-risk pulmonary embolism","score":0.9829999804496765},{"id":"https://openalex.org/keywords/care-pathways","display_name":"care pathways","score":0.652999997138977},{"id":"https://openalex.org/keywords/emergency-department-discharge","display_name":"emergency department discharge","score":0.8569999933242798},{"id":"https://openalex.org/keywords/outpatient-management","display_name":"outpatient management","score":0.8700000047683716},{"id":"https://openalex.org/keywords/electronic-health-record-integration","display_name":"electronic health record integration","score":0.7820000052452087},{"id":"https://openalex.org/keywords/decision-tools","display_name":"decision tools","score":0.44999998807907104}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8899521827697754},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.8276791572570801},{"id":"https://openalex.org/C2776265017","wikidata":"https://www.wikidata.org/wiki/Q220570","display_name":"Pulmonary embolism","level":2,"score":0.6388200521469116},{"id":"https://openalex.org/C3020404979","wikidata":"https://www.wikidata.org/wiki/Q1058438","display_name":"Risk stratification","level":2,"score":0.6028783321380615},{"id":"https://openalex.org/C23131810","wikidata":"https://www.wikidata.org/wiki/Q818574","display_name":"Observational study","level":2,"score":0.5415551662445068},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.5302039384841919},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.5096044540405273},{"id":"https://openalex.org/C12174686","wikidata":"https://www.wikidata.org/wiki/Q1058438","display_name":"Risk assessment","level":2,"score":0.5032197833061218},{"id":"https://openalex.org/C32896092","wikidata":"https://www.wikidata.org/wiki/Q189447","display_name":"Risk management","level":2,"score":0.46075329184532166},{"id":"https://openalex.org/C122980154","wikidata":"https://www.wikidata.org/wiki/Q205555","display_name":"Feeling","level":2,"score":0.43732383847236633},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.41441136598587036},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.18899750709533691},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.1015506386756897},{"id":"https://openalex.org/C10138342","wikidata":"https://www.wikidata.org/wiki/Q43015","display_name":"Finance","level":1,"score":0.09375560283660889},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.0},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.0},{"id":"https://openalex.org/C38652104","wikidata":"https://www.wikidata.org/wiki/Q3510521","display_name":"Computer security","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D004636","descriptor_name":"Emergency Service, Hospital","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010820","descriptor_name":"Physicians","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D011655","descriptor_name":"Pulmonary Embolism","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D012306","descriptor_name":"Risk","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019091","descriptor_name":"Critical Pathways","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1097/hpc.0000000000000333","doi":"https://doi.org/10.1097/hpc.0000000000000333","is_oa":false,"landing_page_url":"https://doi.org/10.1097/hpc.0000000000000333","pdf_url":null,"source":{"id":"https://openalex.org/S2765074505","display_name":"Critical Pathways in Cardiology A Journal of Evidence-Based Medicine","issn_l":"1535-2811","issn":["1535-2811","1535-282X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-3"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Critical Pathways in Cardiology: A Journal of Evidence-Based Medicine","raw_type":"journal-article"},{"id":"pmid:37782623","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/37782623","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Critical pathways in cardiology","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":24,"referenced_works":["https://openalex.org/W1966796782","https://openalex.org/W1981546732","https://openalex.org/W2004274735","https://openalex.org/W2007963396","https://openalex.org/W2019242730","https://openalex.org/W2025582506","https://openalex.org/W2081794820","https://openalex.org/W2117117885","https://openalex.org/W2120203545","https://openalex.org/W2142115615","https://openalex.org/W2153319705","https://openalex.org/W2156917466","https://openalex.org/W2157470053","https://openalex.org/W2225937646","https://openalex.org/W2336327978","https://openalex.org/W2342402287","https://openalex.org/W2526809960","https://openalex.org/W2527837081","https://openalex.org/W2556847328","https://openalex.org/W2560565409","https://openalex.org/W2606518783","https://openalex.org/W2773645510","https://openalex.org/W2802136917","https://openalex.org/W2912735093"],"related_works":["https://openalex.org/W4387073352","https://openalex.org/W3208020178","https://openalex.org/W4365141546","https://openalex.org/W2901061123","https://openalex.org/W1966796782","https://openalex.org/W7212281757","https://openalex.org/W4391301647","https://openalex.org/W4404009450","https://openalex.org/W4412974853","https://openalex.org/W3097591747"],"abstract_inverted_index":{"BACKGROUND:":[0],"Evidence":[1],"continues":[2,26],"to":[3,27,111,126],"accumulate":[4],"that":[5,120,139],"select":[6],"patients":[7,116,166],"with":[8,131,147,156,167,183,188,196],"acute":[9,40,75,94,133,168],"low-risk":[10,39,74,93,114,132,169,204],"pulmonary":[11],"embolism":[12],"(PE)":[13],"can":[14],"be":[15,28,123],"safely":[16],"discharged":[17],"from":[18],"the":[19,46,71,83,140,150,172],"emergency":[20,34,66,99,160,173],"department.":[21,174],"Despite":[22],"this,":[23],"outpatient":[24,201],"management":[25,42,72,202],"uncommon.":[29],"We":[30,59],"report":[31],"changes":[32],"in":[33,159,171],"providers'":[35],"stated":[36,68,162],"preferences":[37,69,163],"on":[38],"PE":[41,76,95,107,115,170,189],"before":[43,80],"and":[44,48,55,81,85,117,186,192,197],"after":[45,82],"development":[47,84],"implementation":[49,86,141],"of":[50,64,73,87,142,176,203],"an":[51,61,88,143,177,193],"institutional":[52,92,144],"clinical":[53,145],"pathway":[54,146,180],"decision":[56],"tool.":[57],"METHODS:":[58],"performed":[60],"observational":[62],"analysis":[63],"attending":[65],"physicians'":[67,161],"towards":[70],"using":[77,106],"survey":[78],"results":[79,137],"electronic":[89,151],"health":[90,152],"record-embedded":[91],"pathway.":[96],"RESULTS:":[97],"Attending":[98],"medicine":[100],"providers":[101],"reported":[102,119],"feeling":[103],"more":[104,124],"comfortable":[105],"risk":[108,190],"stratification":[109],"scores":[110],"identify":[112],"dischargeable":[113],"also":[118],"they":[121],"would":[122],"likely":[125],"discharge":[127],"a":[128,157],"hypothetical":[129],"patient":[130],"PE.":[134,205],"CONCLUSION:":[135],"Our":[136],"suggest":[138],"integration":[148],"into":[149],"record":[153],"was":[154,181],"associated":[155,182],"change":[158],"for":[164,199],"managing":[165],"Implementation":[175],"evidence-based":[178],"standard":[179],"increased":[184,194],"comfort":[185,195],"familiarity":[187],"stratification,":[191],"preference":[198],"early":[200]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2023-10-04T00:00:00"}
