Electronic health record-based interventions for reducing inappropriate imaging in the clinical setting : a systematic review of the evidence

There are widespread concerns within Veterans Affairs (VA) healthcare and in non-VA US healthcare that the costs of healthcare are rising at unsustainable rates. One driver of cost is the increasing use of radiology imaging procedures, particularly advanced imaging techniques such as computed tomogr...

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Main Author: Shekelle, Paul G.
Corporate Authors: Quality Enhancement Research Initiative (U.S.), West Los Angeles VA Medical Center Evidence-Based Synthesis Program Center, United States Department of Veterans Affairs
Format: eBook
Language:English
Published: Washington (DC) Department of Veterans Affairs, Health Services Research & Development Service January 2015, 2015
Series:Evidence-based synthesis program
Subjects:
Online Access:
Collection: National Center for Biotechnology Information - Collection details see MPG.ReNa
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100 1 |a Shekelle, Paul G. 
245 0 0 |a Electronic health record-based interventions for reducing inappropriate imaging in the clinical setting  |h Elektronische Ressource  |b a systematic review of the evidence  |c prepared for, Department of Veterans Affairs, Veterans Health Administration, Quality Enhancement Research Initiative, Health Services Research & Development Service ; prepared by, Evidence-based Synthesis Program (ESP) Center, West Los Angeles VA Medical Center ; principal investigator, Paul G. Shekelle ; contributing investigators, Caroline Lubick Goldzweig, Greg Orshansky, Neil M. Paige, Brett A. Ewing ; research associates, Isomi M. Miake-Lye, Jessica M. Beroes 
246 3 1 |a EHR interventions for reducing inappropriate imaging 
260 |a Washington (DC)  |b Department of Veterans Affairs, Health Services Research & Development Service  |c January 2015, 2015 
300 |a 1 PDF file (iv, 52 pages)  |b illustrations 
505 0 |a Includes bibliographical references 
653 |a Cost Savings 
653 |a United States 
653 |a Health Services Misuse / prevention & control 
653 |a Evidence-Based Medicine 
653 |a Health Care Costs 
653 |a Diagnostic Imaging / statistics & numerical data 
653 |a Diagnostic Imaging / economics 
710 2 |a Quality Enhancement Research Initiative (U.S.) 
710 2 |a West Los Angeles VA Medical Center  |b Evidence-Based Synthesis Program Center 
710 2 |a United States  |b Department of Veterans Affairs 
041 0 7 |a eng  |2 ISO 639-2 
989 |b NCBI  |a National Center for Biotechnology Information 
490 0 |a Evidence-based synthesis program 
500 |a Title from PDF cover 
856 |u https://www.ncbi.nlm.nih.gov/books/NBK293893  |3 Volltext 
082 0 |a 610 
082 0 |a 330 
520 |a There are widespread concerns within Veterans Affairs (VA) healthcare and in non-VA US healthcare that the costs of healthcare are rising at unsustainable rates. One driver of cost is the increasing use of radiology imaging procedures, particularly advanced imaging techniques such as computed tomography (CT) scanning, magnetic resonance imaging (MRI), and CT angiography. Most authorities agree that more appropriate use of certain imaging tests could both improve quality and save costs. The recognition that more appropriate use of imaging could improve quality and reduce costs has led to the development of interventions to encourage more appropriate radiology utilization. Some of these interventions have made use of the clinical decision support capabilities of electronic health records (EHR). VA has been a leader in the use of electronic health records and clinical decision support. In recognition of the risks and costs associated with inappropriate imaging, VA leadership has requested an evidence synthesis which evaluates studied methods for reducing inappropriate imaging that center around the electronic health record (EHR)