Choosing wisely in emergency medicine: Early results and insights from the ACEP emergency quality network (E-QUAL).

ABSTRACT:

Purpose

To characterize performance among ED sites participating in the Emergency Quality Network (E-QUAL) Avoidable Imaging Initiative for clinical targets on the American College of Emergency Physicians Choosing Wisely list.

Methods

This was an observational study of quality improvement (QI) data collected from hospital-based ED sites in 2017-2018. Participating EDs reported imaging utilization rates (UR) and common QI practices for three Choosing Wisely targets: Atraumatic Low Back Pain, Syncope, or Minor Head Injury.

Results

305 ED sites participated in the initiative. Among all ED sites, the mean imaging UR for Atraumatic Low Back Pain was 34.7% (IQR 26.3%-42.6%) for XR, 19.1% (IQR 11.4%-24.9%) for CT, and 0.09% (IQR 0%-0.9%) for MRI. The mean CT UR for Syncope w

SUBMITTER: Venkatesh AK 

PROVIDER: S-EPMC7365747 | biostudies-literature | 2021 Jan

REPOSITORIES: biostudies-literature