Ordering of computed tomography scans for head and cervical spine: a qualitative study exploring influences on doctors' decision-making.
Hendrika Laetitia HattinghZoe Alexandra MichaleffPeter FawzyLeanne DuKarlene WillcocksK Meng TanGerben KeijzersPublished in: BMC health services research (2022)
CT ordering is complex and multifaceted. Multiple factors are considered by ED doctors during decisions to order CT scans for head or c-spine injuries. Increased education on the use of clinical decision support tools and an overall strategy to improve awareness of low-value care is needed. Strategies to reduce low-yield CT ordering will need to be sustainable, sophisticated and supportive to achieve lasting change.
Keyphrases
- computed tomography
- dual energy
- contrast enhanced
- image quality
- positron emission tomography
- clinical decision support
- magnetic resonance imaging
- healthcare
- decision making
- emergency department
- palliative care
- quality improvement
- optic nerve
- electronic health record
- magnetic resonance
- health insurance
- affordable care act