Literature DB >> 22920345

Effect on examination ordering by physician attitude, common knowledge, and practice behavior regarding CT radiation exposure.

Jeremy F McBride1, Richard M Wardrop, Ben E Paxton, Jay Mandrekar, Joel G Fletcher.   

Abstract

PURPOSE: We surveyed ordering physician attitudes, knowledge, and behavior with regard to computed tomography (CT)-related radiation exposure at a large medical center.
METHODS: Sixteen questions were sent via electronic survey to 350 physicians. RESULTS AND
CONCLUSION: The ability to quickly rule in or rule out conditions effectively strongly influenced the decision to order CT (85%-99%). Fear of litigation influenced CT ordering for those with less experience [odds ratio (OR)=2.3, P<.05]. Residents and primary care physicians were less likely to discuss risks/benefits of CT with patients (P ≤.03) compared to those with >5 years of experience (OR=4.0, P=.04).
Copyright © 2012 Elsevier Inc. All rights reserved.

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Year:  2012        PMID: 22920345     DOI: 10.1016/j.clinimag.2012.01.001

Source DB:  PubMed          Journal:  Clin Imaging        ISSN: 0899-7071            Impact factor:   1.605


  4 in total

1.  Emergency physicians' attitudes and preferences regarding computed tomography, radiation exposure, and imaging decision support.

Authors:  Richard T Griffey; Donna B Jeffe; Thomas Bailey
Journal:  Acad Emerg Med       Date:  2014-07       Impact factor: 3.451

2.  Who explicitly requests the ordering of computed tomography for emergency department patients? A multicenter prospective study.

Authors:  Joshua Seth Broder; Rahul Bhat; Joshua P Boyd; Ivan A Ogloblin; Alexander Limkakeng; Michael Brian Hocker; Weiying Gao Drake; Taylor Miller; John Brian Harringa; Michael D Repplinger
Journal:  Emerg Radiol       Date:  2016-02-12

3.  The Impact of Pregnancy on the Evaluation of Chest Pain and Shortness of Breath in the Emergency Department.

Authors:  Stephen M Wagner; Ian N Waldman; Kodjo A Karikari; Allen R Kunselman; Emily R Smith; Timothy A Deimling
Journal:  J Acute Med       Date:  2018-12-01

4.  Effect of clinical decision rules, patient cost and malpractice information on clinician brain CT image ordering: a randomized controlled trial.

Authors:  Ronald W Gimbel; Ronald G Pirrallo; Steven C Lowe; David W Wright; Lu Zhang; Min-Jae Woo; Paul Fontelo; Fang Liu; Zachary Connor
Journal:  BMC Med Inform Decis Mak       Date:  2018-03-12       Impact factor: 2.796

  4 in total

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