Abstract:
PURPOSE:To describe a program for controlling intravenous use of low-osmolar contrast agents (LOCAs). MATERIALS AND METHODS:The department of radiology at the authors' institution adopted a policy of selective use of intravenously administered LOCAs. Clinical indications for LOCA use were specified after consultation with the administration, risk managers, legal department, and ethics committee of the hospital. The guidelines were then publicized throughout the department and hospital, and a contrast agent data form was developed to collect data on all cases. Monitoring mechanisms were instituted. RESULTS:Over the next 23 months, 11,373 patients received intravenous iodinated contrast agents, of whom 28.1% were deemed to be at high risk and were given LOCAs. Monthly tracking showed no evidence of a trend toward increasing use of LOCAs. CONCLUSION:Clear definition of use guidelines, close monitoring, and feedback can stabilize LOCA use at acceptably low levels.
journal_name
Radiologyjournal_title
Radiologyauthors
Levin DC,Gardiner GA Jr,Karasick S,Shaber GS,Wechsler RJ,McArdle GH,Lockard CD,Harford RJdoi
10.1148/radiology.189.3.8234700subject
Has Abstractpub_date
1993-12-01 00:00:00pages
753-7issue
3eissn
0033-8419issn
1527-1315journal_volume
189pub_type
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