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Clinical;; Female;; Guideline Adherence;; Humans;; Male;; Medical Order Entry Systems;; Middle Aged;; Practice Guidelines as Topic;; Tomography
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Full-Text Articles in Medicine and Health Sciences
Effect Of Clinical Decision Support On Documented Guideline Adherence For Head Ct In Emergency Department Patients With Mild Traumatic Brain Injury, A. Gupta, I. K. Ip, A. S. Raja, J. E. Andruchow, A. Sodickson, R. Khorasani
Effect Of Clinical Decision Support On Documented Guideline Adherence For Head Ct In Emergency Department Patients With Mild Traumatic Brain Injury, A. Gupta, I. K. Ip, A. S. Raja, J. E. Andruchow, A. Sodickson, R. Khorasani
Journal Articles
Imaging utilization in emergency departments (EDs) has increased significantly. More than half of the 1.2 million patients with mild traumatic brain injury (MTBI) presenting to US EDs receive head CT. While evidence-based guidelines can help emergency clinicians decide whether to obtain head CT in these patients, adoption of these guidelines has been highly variable. Promulgation of imaging efficiency guidelines by the National Quality Forum has intensified the need for performance reporting, but measuring adherence to these imaging guidelines currently requires labor-intensive and potentially inaccurate manual chart review. We implemented clinical decision support (CDS) based on published evidence to guide emergency …