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The primary objectives are:
Once the drivers of ED CT utilization are identified, interventions including education, incentives for compliance with evidence-based best practices, and interventions for noncompliance could be targeted appropriately.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group 1 | All consecutive emergency department patients undergoing CT during study hours will be prospectively enrolled, except for those meeting pre-specified exclusion criteria. |
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| Measure | Description | Time Frame |
|---|---|---|
| CT scans utilization | Results will be categorized by body region of CT and patient age. For each CT region and age category, the percentage of CT scans requested by each demographic group (e.g., patient, emergency physician, etc.), will be reported, with 95% confidence intervals. CTs not requested by emergency physicians, the percentage of each type of scan requested by each demographic group will be reported, with 95% confidence intervals. | January 2014 - January 2015 |
| Measure | Description | Time Frame |
|---|---|---|
| Abnormal vs. normal CT scans | The frequency of abnormal CT results and clinical interventions will be calculated, for CTs requested by emergency physicians and for those not requested by emergency physicians (this includes all other parties). | January 2014 - January 2015 |
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Inclusion Criteria:
- Patients from age 0 to <17 years, and patients age 18 years and older with traumatic and non-traumatic presentations, who visit Adult and Pediatric EDs and receive a CT scan during their ED visit
Exclusion Criteria:
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Patients from age 0 to <17 years, and patients age 18 years and older with traumatic and non-traumatic presentations, who visit Adult and Pediatric EDs and receive a CT scan during their ED visit
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| Name | Affiliation | Role |
|---|---|---|
| Joshua S Broder, MD | Duke University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Duke University Hospital | Durham | North Carolina | 27710 | United States |
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| ID | Term |
|---|---|
| D004630 | Emergencies |
| D004194 | Disease |
| ID | Term |
|---|---|
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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