- •Survey data from a large national sample of volunteer hospital-based EDs shows wide variation in imaging utilization
- •ED sites with sustained participation in a national QI initiative showed significant reductions in imaging utilization
- •Imaging utilization rates from top-performing ED sites can serve as performance improvement targets for future QI efforts
- •Efforts to translate the Choosing Wisely campaign into practice should utilize benchmarking to sustain practice improvements
Abbreviations:E-QUAL (The Emergency Quality Network), QI (Quality Improvement)
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- Choosing wisely: helping physicians and patients make smart decisions about their care.JAMA. 2012; 307: 1801-1802https://doi.org/10.1001/jama.2012.476
- Use of advanced radiology during visits to US emergency departments for injury-related conditions, 1998-2007.JAMA. 2010; 304: 1465-1471https://doi.org/10.1001/jama.2010.1408
- Hospital readmissions and the affordable care act: paying for coordinated quality care.JAMA. 2011; 306: 1794-1795https://doi.org/10.1001/jama.2011.1561
- Measuring low-value care in medicare.JAMA Intern Med. 2014; 174: 1067-1076https://doi.org/10.1001/jamainternmed.2014.1541
- “Choosing wisely” imaging recommendations: initial implementation in New England emergency departments.West J Emerg Med. 2017; 18: 454-458https://doi.org/10.5811/westjem.2017.1.32677
- Improving emergency physician performance using audit and feedback: a systematic review.Am J Emerg Med. 2015; 33: 1505-1514https://doi.org/10.1016/j.ajem.2015.07.039
- Early trends among seven recommendations from the choosing wisely campaign.JAMA Intern Med. 2015; 175: 1913-1920https://doi.org/10.1001/jamainternmed.2015.5441
- Emergency physicians’ attitudes and preferences regarding computed tomography, radiation exposure, and imaging decision support.Acad Emerg Med. 2014; 21: 768-777https://doi.org/10.1111/acem.12410
- Emergency physician knowledge, attitudes, and behavior regarding ACEP’s choosing wisely recommendations: a survey study.Acad Emerg Med. 2017; 24: 668-675https://doi.org/10.1111/acem.13167
- Emergency physician perceptions of medically unnecessary advanced diagnostic imaging.Acad Emerg Med. 2015; 22: 390-398https://doi.org/10.1111/acem.12625
- The science of choosing wisely — overcoming the therapeutic illusion.New England Journal of Medicine. 2016; 374: 1203-1205https://doi.org/10.1056/NEJMp1516803
- Reduce avoidable imaging initiative.
Center for Medicare and Medicaid Services. Inpatient hospital compare preview help guide. https://www.qualityreportingcenter.com/globalassets/iqr_resources/prhc/pr_apr-2019_ip-hc-preview-report_helpguide_vfinal508.pdf. Published April 2019.
- Emergency department performance measures updates: proceedings of the 2014 emergency department benchmarking alliance consensus summit.Acad Emerg Med. 2015; 22: 542-553https://doi.org/10.1111/acem.12654
- Variation in use of head computed tomography by emergency physicians.Am J Med. 2012; 125: 356-364https://doi.org/10.1016/j.amjmed.2011.06.023
- Increasing utilization of emergency department neuroimaging in Medicare beneficiaries from 1994 to 2015.Am J Emerg Med. 2018; 36: 680-683https://doi.org/10.1016/j.ajem.2017.12.057
- Recent trends in imaging use in hospital settings: implications for future planning.J Am Coll Radiol. 2017; 14: 331-336https://doi.org/10.1016/j.jacr.2016.08.025
Viau JA, Chaudry H, Hannigan A, Boutet M, Mukarram M, Thiruganasambandamoorthy V. The yield of computed tomography of the head among patients presenting with syncope: a systematic review. Acad Emerg Med. doi:https://doi.org/10.1111/acem.13568.
- An emergency medicine–primary care partnership to improve rural population health: expanding the role of emergency medicine.Ann Emerg Med. 2017; 70: 640-647https://doi.org/10.1016/j.annemergmed.2017.06.025