Publications by authors named "Tanguy Brachet"

Objective: We ask whether Medicare's Hospital Compare random effects model correctly assesses acute myocardial infarction (AMI) hospital mortality rates when there is a volume-outcome relationship.

Data Sources/study Setting: Medicare claims on 208,157 AMI patients admitted in 3,629 acute care hospitals throughout the United States.

Study Design: We compared average-adjusted mortality using logistic regression with average adjusted mortality based on the Hospital Compare random effects model.

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Objectives: To examine the strength of the volume-outcome relationship among paramedics, a group of providers that has not been previously studied in this context. By identifying the effects of individual learning on performance, we also assess the value of paramedics' retention. The prehospital emergency medical services (EMS) setting allows us to interpret any volume-outcome relationship as learning by doing, uncontaminated by reputation-based referrals because ambulance units are dispatched based on proximity.

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Objectives: The prehospital management of trauma patients remains controversial. Little is known about the time each procedure contributes to the on-scene duration, and this information would be helpful in prioritizing which procedures to perform in the prehospital setting. We sought to estimate the contribution of procedures to on-scene duration focusing on intubation and establishment of intravenous (IV) access.

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