Effect of the Low Risk Ankle Rule on the frequency of radiography in children with ankle injuries.

ABSTRACT:

Background

The Low Risk Ankle Rule is a validated clinical decision rule that has the potential to safely reduce radiography in children with acute ankle injuries. We performed a phased implementation of the Low Risk Ankle Rule and evaluated its effectiveness in reducing the frequency of radiography in children with ankle injuries.

Methods

Six Canadian emergency departments participated in the study from Jan. 1, 2009, to Aug. 31, 2011. At the 3 intervention sites, there were 3 consecutive 26-week phases. In phase 1, no interventions were implemented. In phase 2, we activated strategies to implement the ankle rule, including physician education, reminders and a computerized decision support system. In phase 3, we included only the decision support system. No interventions wer

SUBMITTER: Boutis K 

PROVIDER: S-EPMC3796622 | biostudies-literature | 2013 Oct

REPOSITORIES: biostudies-literature