Affordable Access

deepdyve-link
Publisher Website

Qualitative Study to Understand Ordering of CT Angiography to Diagnose Pulmonary Embolism in the Emergency Room Setting.

Authors
  • Gyftopoulos, Soterios1
  • Smith, Silas W2
  • Simon, Emma3
  • Kuznetsova, Masha3
  • Horwitz, Leora I3
  • Makarov, Danil V4
  • 1 Department of Radiology, NYU Langone Medical Center, New York, New York. Electronic address: [email protected]
  • 2 Department of Emergency Medicine, NYU Langone Medical Center, New York, New York.
  • 3 Department of Population Health, NYU Langone Medical Center, New York, New York.
  • 4 Department of Population Health, NYU Langone Medical Center, New York, New York; VA New York Harbor Healthcare System, New York, New York; Department of Urology, NYU Langone Medical Center, New York, New York.
Type
Published Article
Journal
Journal of the American College of Radiology : JACR
Publication Date
Oct 19, 2017
Identifiers
DOI: 10.1016/j.jacr.2017.08.022
PMID: 29055608
Source
Medline
Keywords
License
Unknown

Abstract

EM providers were the main drivers of CTPA ordering, and there was a marginalized role for the radiologist. Experience- and gestalt-based heuristics were the main influencers of CTPA ordering. Our findings suggest that a more nuanced intervention than simply including a d-dimer and a prediction score in each preimaging workup may be necessary to curb overordering of CTPA in patients suspected of PE.

Report this publication

Statistics

Seen <100 times