Low efficacy radiography of children.
Radiographic procedures performed at a 100-bed pediatric hospital were reviewed jointly by a radiologist and the primary physician staff. The reviewers judged several procedures to be performed unnecessarily, with undue patient risk or cost. Low efficacy examinations were divided into two categories: (1) low-yield examinations with significant gonadal radiation as well as significant cost, and (2) low-yield examinations with low gonadal radiation but significant cost. A joint policy recommendation was then delivered to the house staff concerning appropriate indications for the performance of these low-yield procedures. This active review process is submitted as a model for other medical facilities that seek to reduce risk and cost to the pediatric patient.
D000792:Angiography; D001466:Barium Sulfate; D002648:Child; D002675:Child, Preschool; D003362:Cost-Benefit Analysis; D006259:Craniocerebral Trauma / Q000000981:diagnostic imaging; D004733:Enema; D004775:Enuresis / Q000000981:diagnostic imaging; D005069:Evaluation Studies as Topic; D005767:Gastrointestinal Diseases / Q000000981:diagnostic imaging; D006801:Humans; D007680:Kidney Neoplasms / Q000000981:diagnostic imaging; D010146:Pain / Q000000981:diagnostic imaging; D011859:Radiography; D011860:Radiography, Abdominal; D012306:Risk; D012640:Seizures / Q000000981:diagnostic imaging; D012886:Skull / Q000000981:diagnostic imaging; D014567:Urography; D009396:Wilms Tumor / Q000000981:diagnostic imaging
D001466:Barium Sulfate