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!
Deep Brain Stimulation Provides Sustained Relief for Severe Depression
19.03.2019 | Universitätsklinikum Freiburg
AI study of risk factors in type 1 diabetes
06.03.2019 | University of Gothenburg
DESY and MPSD scientists create high-order harmonics from solids with controlled polarization states, taking advantage of both crystal symmetry and attosecond electronic dynamics. The newly demonstrated technique might find intriguing applications in petahertz electronics and for spectroscopic studies of novel quantum materials.
The nonlinear process of high-order harmonic generation (HHG) in gases is one of the cornerstones of attosecond science (an attosecond is a billionth of a...
Nano- and microtechnology are promising candidates not only for medical applications such as drug delivery but also for the creation of little robots or flexible integrated sensors. Scientists from the Max Planck Institute for Polymer Research (MPI-P) have created magnetic microparticles, with a newly developed method, that could pave the way for building micro-motors or guiding drugs in the human body to a target, like a tumor. The preparation of such structures as well as their remote-control can be regulated using magnetic fields and therefore can find application in an array of domains.
The magnetic properties of a material control how this material responds to the presence of a magnetic field. Iron oxide is the main component of rust but also...
Due to the special arrangement of its molecules, a new coating made of corn starch is able to repair small scratches by itself through heat: The cross-linking via ring-shaped molecules makes the material mobile, so that it compensates for the scratches and these disappear again.
Superficial micro-scratches on the car body or on other high-gloss surfaces are harmless, but annoying. Especially in the luxury segment such surfaces are...
The Potsdam Echelle Polarimetric and Spectroscopic Instrument (PEPSI) at the Large Binocular Telescope (LBT) in Arizona released its first image of the surface magnetic field of another star. In a paper in the European journal Astronomy & Astrophysics, the PEPSI team presents a Zeeman- Doppler-Image of the surface of the magnetically active star II Pegasi.
A special technique allows astronomers to resolve the surfaces of faraway stars. Those are otherwise only seen as point sources, even in the largest telescopes...
Researchers at Chalmers University of Technology and the University of Gothenburg, Sweden, have proposed a way to create a completely new source of radiation. Ultra-intense light pulses consist of the motion of a single wave and can be described as a tsunami of light. The strong wave can be used to study interactions between matter and light in a unique way. Their research is now published in the scientific journal Physical Review Letters.
"This source of radiation lets us look at reality through a new angle - it is like twisting a mirror and discovering something completely different," says...
11.03.2019 | Event News
01.03.2019 | Event News
28.02.2019 | Event News
25.03.2019 | Trade Fair News
25.03.2019 | Life Sciences
25.03.2019 | Information Technology