Feedback, Education, and Protocols to Safely Reduce Emergency Department Admissions for Chest Pain

The authors aimed to evaluate the effectiveness of a program incorporating peer feedback, education, and clinical protocols in reducing avoidable emergency department admissions for chest pain. Their analysis revealed that while overall admission rates did not significantly improve, high-admitting clinicians in two intervention states experienced notable reductions in admissions, suggesting that peer feedback can be beneficial in specific contexts. The study indicates that if the feedback's impact were replicated in control EDs, approximately 4 out of every 100 chest pain admissions could have been avoided.