2017
“Choosing Wisely” Imaging Recommendations: Initial Implementation in New England Emergency Departments
Raja AS, Venkatesh A, Mick N, Zabbo CP, Hasegawa K, Espinola JA, Bittner JC, Camargo CA. “Choosing Wisely” Imaging Recommendations: Initial Implementation in New England Emergency Departments. Western Journal Of Emergency Medicine 2017, 18: 454-458. PMID: 28435496, PMCID: PMC5391895, DOI: 10.5811/westjem.2017.1.32677.Peer-Reviewed Original ResearchConceptsNew England Emergency DepartmentsEvidence-based interventionsEmergency departmentClinical pathwayExact testMultiple evidence-based interventionsLow-risk patientsFisher's exact testPulmonary embolismRisk patientsComputerized decision supportMinor traumaComputerized decision support systemImaging recommendationsCommon interventionAmerican CollegeLower riskResponse rateInstitutional review board reviewPatientsInitial mailingRepeat mailingInterventionBoard reviewDescriptive statistics
2012
Evaluation of Pulmonary Embolism in the Emergency Department and Consistency With a National Quality Measure: Quantifying the Opportunity for Improvement
Venkatesh AK, Kline JA, Courtney DM, Camargo CA, Plewa MC, Nordenholz KE, Moore CL, Richman PB, Smithline HA, Beam DM, Kabrhel C. Evaluation of Pulmonary Embolism in the Emergency Department and Consistency With a National Quality Measure: Quantifying the Opportunity for Improvement. JAMA Internal Medicine 2012, 172: 1028-1032. PMID: 22664742, PMCID: PMC3775003, DOI: 10.1001/archinternmed.2012.1804.Peer-Reviewed Original ResearchMeSH KeywordsAdultAge FactorsAgedDiagnosis, DifferentialEmergency Service, HospitalFemaleFibrin Fibrinogen Degradation ProductsHumansLogistic ModelsMaleMiddle AgedMultivariate AnalysisOdds RatioProspective StudiesPulmonary EmbolismQuality ImprovementQuality of Health CareRadiation InjuriesRadiographyRisk AssessmentSensitivity and SpecificityUnited StatesUnnecessary ProceduresConceptsNegative D-dimer test resultD-dimer test resultPulmonary embolismLow pretest probabilityD-dimer testEmergency departmentNational Quality ForumED patientsPretest probabilitySecondary analysisNQF measureMulticenter observational studyLow-risk patientsPatient-level predictorsUS emergency departmentsD-dimer testingMultivariable logistic regressionNational quality measuresInappropriate imagingAdult patientsPrimary outcomeMalignant diseaseObservational studyPatientsUnnecessary irradiation