Educational intervention to reduce inappropriate transthoracic echocardiograms: the need for sustained intervention
| Autor: | David M. Dudzinski, Rajan Sacha Bhatia, Michael H. Picard, Creagh E. Milford, Rory B. Weiner |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
Pediatrics medicine.medical_specialty Heart Diseases Cardiology Unnecessary Procedures Appropriate Use Criteria Primary outcome Intervention (counseling) medicine Prevalence Humans Radiology Nuclear Medicine and imaging Practice Patterns Physicians' Aged Control period Aged 80 and over business.industry Significant difference Resident education Middle Aged United States Discontinuation body regions Echocardiography Emergency medicine Practice Guidelines as Topic Clinical Competence Guideline Adherence Cardiology and Cardiovascular Medicine business Radiology Boston |
| Zdroj: | Echocardiography (Mount Kisco, N.Y.). 31(8) |
| ISSN: | 1540-8175 |
| Popis: | Background We previously demonstrated that an Appropriate Use Criteria (AUC)-based educational intervention reduced inappropriate transthoracic echocardiograms (TTE) on an inpatient medical service. Whether improved TTE ordering is sustained after discontinuation of the intervention is unknown. Methods We conducted a prospective, time series analysis of an educational intervention designed to reduce inappropriate TTE. Ordering patterns during the intervention were compared with a preintervention control period and a postintervention period. The goal of the present analysis was to determine the TTE ordering patterns after discontinuation of the educational intervention. The primary outcome was the proportion of inappropriate TTEs. Results Using the 2011 AUC 99.2% of all TTEs were classifiable. Compared to the control, there was a 26% reduction in the number of TTEs ordered per day during the intervention (3.9 vs. 2.9 TTEs, P |
| Databáze: | OpenAIRE |
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