Journal club: Requiring clinical justification to override repeat imaging decision support: impact on CT use.

ABSTRACT:

Objective

The purpose of this study was to determine the impact of requiring clinical justification to override decision support alerts on repeat use of CT.

Subjects and methods

This before and after intervention study was conducted at a 793-bed tertiary hospital with computerized physician order entry and clinical decision support systems. When a CT order is placed, decision support alerts the orderer if the patient's same body part has undergone CT within the past 90 days. The study cohort included all 28,420 CT orders triggering a repeat alert in 2010. The intervention required clinical justification, selected from a predetermined menu, to override repeat CT decision support alerts to place a CT order; otherwise the order could not be placed and was dropped. The primary o

SUBMITTER: O'Connor SD 

PROVIDER: S-EPMC4269471 | biostudies-literature | 2014 Nov

REPOSITORIES: biostudies-literature