颈椎创伤影像学的应用和适宜性：临床决策支持标准的实施。
Utilization and appropriateness in cervical spine trauma imaging: implementation of clinical decision support criteria.
机构信息
Department of Emergency Medicine, Tallaght Hospital, Dublin 24, Republic of Ireland.
Department of Radiology, Tallaght Hospital, Dublin 24, Republic of Ireland.
出版信息
Ir J Med Sci. 2020 Feb;189(1):333-336. doi: 10.1007/s11845-019-02059-8. Epub 2019 Jul 10.
AIMS
To rationalize the ordering of trauma cervical spine radiographs via the institution of electronic clinical decision support criteria.
METHODS
In February 2017, we added evidence-based criteria to the electronic imaging ordering system so that requesting clinicians had to indicate which criteria the patient met. We subsequently compared numbers of cervical spine trauma films requested by the ED in comparable months prior to and after the intervention.
RESULTS
The total number of ED trauma cervical spine radiographs reduced by 30.7%, from 182 (in March and April 2016) to 126 (in March and April 2017). The proportion of requests clinically indicated increased from 76.7% (140/182) to 99.2% (125/126). There were no fractures in the 2016 period. 1.6% (2/126) had fractures in the 2017 group.
CONCLUSION
Introduction of clinical indication criteria to the electronic ordering system for cervical spine radiographs in trauma patients reduced the total number of requests by 30.7% while increasing the proportion which were indicated to 99.2%.
目的
通过建立电子临床决策支持标准来规范创伤性颈椎 X 光片的检查。
方法
2017 年 2 月，我们将循证标准添加到电子影像订购系统中，要求临床医生必须指明患者符合哪些标准。随后，我们比较了干预前后类似月份急诊部请求的颈椎创伤片数量。
结果
ED 创伤性颈椎 X 光片的总数减少了 30.7%，从 182 张（2016 年 3 月和 4 月）减少到 126 张（2017 年 3 月和 4 月）。临床指征的请求比例从 76.7%（140/182）增加到 99.2%（125/126）。2016 年期间没有骨折。2017 年组中有 1.6%（2/126）发生骨折。
结论
在创伤性颈椎 X 光片的电子订购系统中引入临床指征标准，将总请求数量减少了 30.7%，同时将指征比例增加到 99.2%。
Zotero 插件