In an effort to reduce the inappropriate use of medical imaging and improve quality of care, a large, tertiary-care hospital has successfully implemented a computerized physician order entry (CPOE) system with clinical decision support for radiology, according to a study in the February issue of the Journal of the American College of Radiology.
Significant increases in meaningful use (for electronically created studies, from 0.4 percent to 61.9 percent; for electronically signed studies, from 0.4 percent to 92.2 percent) and the adoption of CPOE (from 0.5 percent to 94.6 percent) were observed.
The meaningful use of health care IT can improve patient safety, efficiency and the quality of care. Initial studies have showed that with decision support, the percentage of low-utility imaging studies may decrease by as much as 57 percent.
The study was performed in a health care delivery network with Brigham and Women's Hospital in Boston, MA. After pilot testing and user feedback, a Web-enabled CPOE system with embedded imaging decision support was phased into clinical use between 2000 and 2010 across outpatient, emergency department and in-patient settings.
A total of 4.1 million imaging studies were performed during the study period. The use of electronically created studies was greatest in the emergency department and in-patient settings. Meaningful use varied across specialties; surgical subspecialties had the lowest rates of electronically created studies.
"Our study shows that an imaging CPOE system with embedded decision support that is integrated into the health care enterprise IT infrastructure and the relevant electronic medical record platform and optimized with in the clinicians' workflow can be successfully and broadly accepted clinically," said Ivan K. Ip, MD, MPH, lead author of the study.
"Such an imaging CPOE system, if adopted and meaningfully used, could create an excellent platform for delivering real-time decision support to reduce inappropriate use of imaging, improve quality and reduce waste," said Ip.
For more information about JACR, visit www.jacr.org.
To receive an electronic copy of an article appearing in the JACR, or to set up an interview with a JACR author, please contact Heather Curry at 703-390-9822 or PR@acr.org.
Heather Curry | EurekAlert!
WAKE-UP provides new treatment option for stroke patients | International study led by UKE
17.05.2018 | Universitätsklinikum Hamburg-Eppendorf
First form of therapy for childhood dementia CLN2 developed
25.04.2018 | Universitätsklinikum Hamburg-Eppendorf
So-called quantum many-body scars allow quantum systems to stay out of equilibrium much longer, explaining experiment | Study published in Nature Physics
Recently, researchers from Harvard and MIT succeeded in trapping a record 53 atoms and individually controlling their quantum state, realizing what is called a...
The historic first detection of gravitational waves from colliding black holes far outside our galaxy opened a new window to understanding the universe. A...
A team led by Austrian experimental physicist Rainer Blatt has succeeded in characterizing the quantum entanglement of two spatially separated atoms by observing their light emission. This fundamental demonstration could lead to the development of highly sensitive optical gradiometers for the precise measurement of the gravitational field or the earth's magnetic field.
The age of quantum technology has long been heralded. Decades of research into the quantum world have led to the development of methods that make it possible...
Cardiovascular tissue engineering aims to treat heart disease with prostheses that grow and regenerate. Now, researchers from the University of Zurich, the Technical University Eindhoven and the Charité Berlin have successfully implanted regenerative heart valves, designed with the aid of computer simulations, into sheep for the first time.
Producing living tissue or organs based on human cells is one of the main research fields in regenerative medicine. Tissue engineering, which involves growing...
A team of scientists of the Max Planck Institute for the Structure and Dynamics of Matter (MPSD) at the Center for Free-Electron Laser Science in Hamburg investigated optically-induced superconductivity in the alkali-doped fulleride K3C60under high external pressures. This study allowed, on one hand, to uniquely assess the nature of the transient state as a superconducting phase. In addition, it unveiled the possibility to induce superconductivity in K3C60 at temperatures far above the -170 degrees Celsius hypothesized previously, and rather all the way to room temperature. The paper by Cantaluppi et al has been published in Nature Physics.
Unlike ordinary metals, superconductors have the unique capability of transporting electrical currents without any loss. Nowadays, their technological...
02.05.2018 | Event News
13.04.2018 | Event News
12.04.2018 | Event News
18.05.2018 | Power and Electrical Engineering
18.05.2018 | Information Technology
18.05.2018 | Information Technology