Abstract:
BACKGROUND:In November 2010, the American College of Cardiology Foundation published revised appropriateness criteria (AC) for cardiac computed tomography (CT). We evaluated adherence to these criteria by providers of different subspecialties at a tertiary referral center. METHODS:Reports of 383 consecutive patients who underwent clinically indicated cardiac CT from December 1, 2010, to July 31, 2011, were reviewed by physicians with appropriate training in cardiac CT. Scans were classified as appropriate, inappropriate, or uncertain based on the revised 2010 AC. Studies that did not fall under any of the specified indications were labeled as unclassified. Adherence to the AC was also analyzed as a function of provider type. Research scans were excluded from this analysis. RESULTS:Three hundred eight exams (80%) were classified as appropriate; 26 (7%), as inappropriate; 30 (8%), as uncertain; and 19 (5%), as unclassified. Of the 19 (5%) unclassified cardiac CT exams, the most common indication was for evaluation of suspected aortic dissection. Three hundred five exams (80%) were referred by cardiologists; 73 (19%), by internists; and 5 (1%), by neurologists. Of the 305 cardiology-referred studies, 221 (73%) were ordered by general cardiologists; 28 (9%), by interventional cardiologists; and 56 (19%), by electrophysiologists. There was no significant difference in adherence to the criteria between provider specialties or between cardiology subspecialties (P > 0.05). CONCLUSIONS:high across provider specialties.
journal_name
J Patient Safjournal_title
Journal of patient safetyauthors
Sidhu MS,Lumish H,Uthamalingam S,Engel LC,Abbara S,Brady TJ,Hoffmann U,Ghoshhajra BBdoi
10.1097/PTS.0000000000000124subject
Has Abstractpub_date
2016-03-01 00:00:00pages
40-3issue
1eissn
1549-8417issn
1549-8425journal_volume
12pub_type
杂志文章abstract::Implanted medical devices (IMDs) are extremely common, yet they are not systematically documented on hospital admission. Through structured patient interviews, we determined the prevalence of IMDs in hospital inpatients. Using medical record review, we evaluated the sensitivity of the medical record reporting of IMDs ...
journal_title:Journal of patient safety
pub_type: 杂志文章
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更新日期:2018-09-01 00:00:00
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journal_title:Journal of patient safety
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journal_title:Journal of patient safety
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doi:10.1097/PTS.0000000000000345
更新日期:2019-03-01 00:00:00
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journal_title:Journal of patient safety
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更新日期:2020-05-13 00:00:00
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journal_title:Journal of patient safety
pub_type: 杂志文章
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更新日期:2020-09-01 00:00:00
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更新日期:2020-09-08 00:00:00
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journal_title:Journal of patient safety
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doi:10.1097/PTS.0000000000000799
更新日期:2020-12-14 00:00:00
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更新日期:2010-09-01 00:00:00
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更新日期:2020-09-08 00:00:00
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journal_title:Journal of patient safety
pub_type: 杂志文章
doi:10.1097/PTS.0000000000000577
更新日期:2019-02-09 00:00:00
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journal_title:Journal of patient safety
pub_type: 杂志文章
doi:10.1097/PTS.0b013e31824badce
更新日期:2012-09-01 00:00:00
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journal_title:Journal of patient safety
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doi:10.1097/PTS.0000000000000630
更新日期:2019-10-22 00:00:00
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journal_title:Journal of patient safety
pub_type: 杂志文章
doi:10.1097/PTS.0000000000000637
更新日期:2020-03-11 00:00:00
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journal_title:Journal of patient safety
pub_type: 杂志文章
doi:10.1097/PTS.0000000000000051
更新日期:2014-06-01 00:00:00
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journal_title:Journal of patient safety
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doi:10.1097/PTS.0000000000000711
更新日期:2020-06-01 00:00:00
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journal_title:Journal of patient safety
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doi:10.1097/PTS.0000000000000641
更新日期:2020-03-24 00:00:00
abstract:OBJECTIVES:Relatively little is known about rates of outpatient adverse drug events (ADEs), and most health systems do not routinely identify them. We developed a computerized ADE measurement process and used it to detect ADEs from electronic health records and then categorized them according to type, preventability, a...
journal_title:Journal of patient safety
pub_type: 杂志文章
doi:10.1097/PTS.0b013e3181dcae06
更新日期:2010-06-01 00:00:00
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journal_title:Journal of patient safety
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doi:10.1097/PTS.0000000000000310
更新日期:2016-08-03 00:00:00
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更新日期:2020-03-11 00:00:00
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journal_title:Journal of patient safety
pub_type: 杂志文章
doi:10.1097/PTS.0000000000000193
更新日期:2018-12-01 00:00:00
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journal_title:Journal of patient safety
pub_type: 杂志文章
doi:10.1097/PTS.0000000000000368
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journal_title:Journal of patient safety
pub_type: 杂志文章
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更新日期:2018-11-21 00:00:00
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journal_title:Journal of patient safety
pub_type: 杂志文章
doi:10.1097/PTS.0000000000000151
更新日期:2017-12-01 00:00:00
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journal_title:Journal of patient safety
pub_type: 杂志文章
doi:10.1097/PTS.0000000000000107
更新日期:2017-03-01 00:00:00
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journal_title:Journal of patient safety
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doi:10.1097/PTS.0b013e3182948a51
更新日期:2015-03-01 00:00:00
abstract:OBJECTIVE:Underreporting near-miss errors undermines hospitals' ability to improve patient safety. The objective of this analysis was to determine the extent to which punitive work climate, inadequate error feedback to staff, or insufficient preventative procedures are associated with decreased frequency of near-miss e...
journal_title:Journal of patient safety
pub_type: 杂志文章
doi:10.1097/PTS.0000000000000125
更新日期:2016-06-01 00:00:00
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更新日期:2019-06-01 00:00:00
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doi:10.1097/pts.0b013e3181fe255d
更新日期:2010-12-01 00:00:00