title: Boots on the ground: how to influence your local radiology departments to use appropriate CT dose.
abstract: Most pediatric CT examinations (as many as 85%) are performed at non-pediatric-focused facilities. In contrast to children's hospitals and pediatric emergency departments, the number of CT examinations is increasing at these non-pediatric facilities. Compliance with diagnostic reference levels (DRLs) for dose has been shown to be poor at several metropolitan centers. Several high-yield interventions are worth exploring in an effort to achieve more optimal imaging care of children, such as electronic transfer of images to prevent duplication of examinations as well as personal feedback to referring institutions on dose, indications and quality by the pediatric referral center.
authors.affiliation: Department of Radiology, Wayne State University School of Medicine, Children's Hospital of Michigan, 3901 Beaubien Blvd., Detroit, MI, 48201, USA, tslovis@med.wayne.edu.
authors.forename: Thomas L
authors.initials: TL
authors.lastname: Slovis
mesh_terms: D000465:Algorithms; D002648:Child; D019544:Equipment Failure Analysis / Q000295:instrumentation / Q000592:standards; D019983:Guideline Adherence; D006801:Humans; D015279:Organizational Culture; D018802:Patient-Centered Care / Q000458:organization & administration; D010372:Pediatrics / Q000592:standards*; D017410:Practice Guidelines as Topic; D011829:Radiation Dosage; D011871:Radiology / Q000592:standards*; D011872:Radiology Department, Hospital / Q000458:organization & administration*; D011874:Radiometry / Q000295:instrumentation / Q000592:standards*; D012016:Reference Values; D014057:Tomography, X-Ray Computed / Q000295:instrumentation / Q000592:standards*; D014481:United States