明智选择审核：急诊科肾绞痛病例的 CT KUB 排序。

IF 1.7 4区医学 Q2 EMERGENCY MEDICINE Emergency Medicine Australasia Pub Date : 2024-03-24 DOI:10.1111/1742-6723.14405

Fahad Yousif MBChB, FACEM, CCPU, Katie Campbell MBChB, BSc

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引用次数: 0

摘要

目的我们的目的是安全地减少肾绞痛患者不必要的 CT KUB（肾脏、输尿管、膀胱）检查：这是对 2023 年 4 月的 74 名患者和 2023 年 10 月的 57 名患者进行干预前后的观察研究：75%的疑似肾绞痛患者在审计前接受了 CT KUB 检查。经过教育、更新急诊室肾绞痛政策、电子病历下单和短期住院路径后，2023 年 10 月进行了重新审核，结果 CT KUB 下单量绝对减少了 15%：审计干预可以减少肾绞痛患者不必要的 CT KUB。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Choosing Wisely audit: CT KUB ordering in emergency department renal colic presentations

Objective

Our aim was to safely reduce unnecessary CT KUBs (kidneys, ureters, bladder) in patients with renal colic.

Methods

This was a before and after intervention observational study of 74 patients in April 2023 and 57 patients in October 2023.

Results

Seventy-five per cent of patients with suspected renal colic underwent a CT KUB in the pre-audit period. Following education, an update in the ED Renal Colic Policy, electronic medical record ordering and short stay pathway, a re-audit was undertaken in October 2023 resulting in an absolute reduction of 15% of CT KUBs ordered.

Conclusions

Audit interventions can reduce unnecessary CT KUBs in renal colic.

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来源期刊

Emergency Medicine Australasia 医学-急救医学

CiteScore

3.70

自引率

13.00%

发文量

217

审稿时长

6-12 weeks

期刊介绍： Emergency Medicine Australasia is the official journal of the Australasian College for Emergency Medicine (ACEM) and the Australasian Society for Emergency Medicine (ASEM), and publishes original articles dealing with all aspects of clinical practice, research, education and experiences in emergency medicine. Original articles are published under the following sections: Original Research, Paediatric Emergency Medicine, Disaster Medicine, Education and Training, Ethics, International Emergency Medicine, Management and Quality, Medicolegal Matters, Prehospital Care, Public Health, Rural and Remote Care, Technology, Toxicology and Trauma. Accepted papers become the copyright of the journal.