The impact of choosing wisely interventions on Low‐Value medical services: a systematic review

BQ Cliff, ALV Avancena, RA Hirth… - The Milbank …, 2021 - Wiley Online Library
Policy Points Dissemination of Choosing Wisely guidelines alone is unlikely to reduce the
use of low‐value health services. Interventions by health systems to implement Choosing …

Interventions to reduce low-value imaging–a systematic review of interventions and outcomes

E Kjelle, ER Andersen, LJJ Soril… - BMC Health Services …, 2021 - Springer
Background It is estimated that 20–50% of all radiological examinations are of low value.
Many attempts have been made to reduce the use of low-value imaging. However, the …

Scope and influence of electronic health record–integrated clinical decision support in the emergency department: a systematic review

BW Patterson, MS Pulia, S Ravi, PLT Hoonakker… - Annals of emergency …, 2019 - Elsevier
Study objective As electronic health records evolve, integration of computerized clinical
decision support offers the promise of sorting, collecting, and presenting this information to …

Improving primary care provider practices in youth concussion management

KB Arbogast, AE Curry, KB Metzger… - Clinical …, 2017 - journals.sagepub.com
Primary care providers are increasingly providing youth concussion care but report
insufficient time and training, limiting adoption of best practices. We implemented a primary …

Overuse of head CT examinations for the investigation of minor head trauma: analysis of contributing factors

E Klang, A Beytelman, D Greenberg, J Or… - Journal of the American …, 2017 - Elsevier
Purpose The aim of this study was to estimate the amount of CT studies performed in the
emergency department of a tertiary hospital that are not indicated by Canadian CT Head …

[HTML][HTML] Patient-centered decision support: formative usability evaluation of integrated clinical decision support with a patient decision aid for minor head injury in the …

ER Melnick, EP Hess, G Guo, M Breslin, K Lopez… - Journal of medical …, 2017 - jmir.org
Background The Canadian Computed Tomography (CT) Head Rule, a clinical decision rule
designed to safely reduce imaging in minor head injury, has been rigorously validated and …

Implementation of the Canadian CT head rule and its association with use of computed tomography among patients with head injury

AL Sharp, BZ Huang, T Tang, E Shen… - Annals of emergency …, 2018 - Elsevier
Study objective Approximately 1 in 3 computed tomography (CT) scans performed for head
injury may be avoidable. We evaluate the association of implementation of the Canadian CT …

Incidence of intracranial bleeding in anticoagulated patients with minor head injury: a systematic review and meta‐analysis of prospective studies

H Minhas, A Welsher, M Turcotte… - British journal of …, 2018 - Wiley Online Library
Guidelines advise performing a computed tomography head scan for all anticoagulated
head injured patients, but the risk of intracranial haemorrhage (ICH) after a minor head …

Overuse of brain CT scan for evaluating mild head trauma in adults

F Shobeirian, Z Ghomi, R Soleimani, R Mirshahi… - Emergency …, 2021 - Springer
Introduction CT scan is crucial in evaluating head trauma. However, its inappropriate use
will cause unnecessary radiation exposure to patient and financial burden to health systems …

Implementation of electronic clinical decision support for pediatric appendicitis

AB Kharbanda, M Madhok, E Krause… - …, 2016 - publications.aap.org
METHODS: We conducted a quasi-experimental study of children 3 to 18 years old who
presented with possible appendicitis to the pediatric emergency department (ED) between …