[PDF][PDF] Countering cognitive biases in minimising low value care

IA Scott, J Soon, AG Elshaug, R Lindner - Medical Journal of Australia, 2017 - mja.com.au
Cognitive biases in decision making may make it difficult for clinicians to reconcile evidence
of overuse with highly ingrained prior beliefs and intuition. Such biases can predispose …

Factors associated with imaging overuse in the emergency department: a systematic review

M Tung, R Sharma, JS Hinson, S Nothelle… - The American journal of …, 2018 - Elsevier
Background Emergency departments (ED) are sites of prevalent imaging overuse; however,
determinants that drive imaging in this setting are not well-characterized. We systematically …

Trend in radiologist workload compared to number of admissions in the emergency department

CD Lantsman, Y Barash, E Klang, L Guranda… - European Journal of …, 2022 - Elsevier
Introduction Recent years have shown an increase in radiologists' workload, both during
regular working hours and during on-call. We aimed to quantify the 8-year trend in on-call …

Barriers and facilitators to reduce low-value care: a qualitative evidence synthesis

SA van Dulmen, CA Naaktgeboren, P Heus… - BMJ open, 2020 - bmjopen.bmj.com
Objective To assess barriers and facilitators to de-implementation. Design A qualitative
evidence synthesis with a framework analysis. Data sources Medline, Embase, Cochrane …

Use of CT for head trauma: 2007–2015

B Burstein, JEM Upton, HF Terra, MI Neuman - Pediatrics, 2018 - publications.aap.org
METHODS: This was a cross-sectional analysis of the National Hospital Ambulatory Care
Medical Survey database of nationally representative ED visits from 2007 to 2015. We …

Mild traumatic brain injury in the United States: demographics, brain imaging procedures, health-care utilization and costs

V Pavlov, P Thompson-Leduc, L Zimmer, J Wen… - Brain injury, 2019 - Taylor & Francis
Objective: To characterize mild traumatic brain injury (mTBI) patients in the USA, describing
location of diagnosis, timing, and modality of imaging procedures, health-care resource …

Shared decisionmaking in the emergency department: a guiding framework for clinicians

MA Probst, HK Kanzaria, EM Schoenfeld… - Annals of emergency …, 2017 - Elsevier
Shared decisionmaking has been proposed as a method to promote active engagement of
patients in emergency care decisions. Despite the recent attention shared decisionmaking …

Radiation dose and risk to the lens of the eye during CT examinations of the brain

R Poon, MK Badawy - Journal of medical imaging and …, 2019 - Wiley Online Library
Cataracts are the leading cause of blindness and visual disability worldwide. Of the known
contributing factors to this condition, ionising radiation is considered the primary concern in …

[HTML][HTML] Patient-centered decision support: formative usability evaluation of integrated clinical decision support with a patient decision aid for minor head injury in the …

ER Melnick, EP Hess, G Guo, M Breslin, K Lopez… - Journal of medical …, 2017 - jmir.org
Background The Canadian Computed Tomography (CT) Head Rule, a clinical decision rule
designed to safely reduce imaging in minor head injury, has been rigorously validated and …

Overuse of brain CT scan for evaluating mild head trauma in adults

F Shobeirian, Z Ghomi, R Soleimani, R Mirshahi… - Emergency …, 2021 - Springer
Introduction CT scan is crucial in evaluating head trauma. However, its inappropriate use
will cause unnecessary radiation exposure to patient and financial burden to health systems …