评估居民在医疗决策支持背景下对 ACR 肌肉骨骼研究适宜性标准的熟悉程度和使用情况。

Evaluation of resident familiarity and utilization of the ACR musculoskeletal study appropriateness criteria in the context of medical decision support.

机构信息

Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland Medical Center, 22 S. Greene Street, Baltimore, MD 21201, USA.

出版信息

Acad Radiol. 2010 Feb;17(2):251-4. doi: 10.1016/j.acra.2009.09.011. Epub 2009 Dec 4.

DOI:10.1016/j.acra.2009.09.011

PMID:19962913

Abstract

The American College of Radiology (ACR) Appropriateness Criteria was compiled as a set of evidence-based guidelines to aid both radiologists and referring physicians in making efficient use of imaging resources. In our study, only 60% of residents knew how to obtain a copy of the ACR Appropriateness Criteria, and 90% were unaware of its contents. The overall mean score in a Medical Decision Support Competency Quiz was less than 60%. We propose that there is a clear need for the formal implementation of the ACR Appropriateness Criteria within our radiology training programs. Residents should be better familiarized with its contents so as to improve medical decision support to clinicians, technologists, and radiologists alike.

摘要

美国放射学院（ACR）适宜性标准是作为一套循证指南编制的，旨在帮助放射科医生和转诊医生更有效地利用影像资源。在我们的研究中，只有 60%的住院医师知道如何获取 ACR 适宜性标准的副本，而 90%的人不知道其内容。医学决策支持能力测验的总平均得分低于 60%。我们认为，在我们的放射学培训计划中，明确需要正式实施 ACR 适宜性标准。住院医师应该更熟悉其内容，以便为临床医生、技术人员和放射科医生提供更好的医疗决策支持。