To assess whether a simple strategy would sustain a reduction in the number of unnecessary x ray examinations.
Design-Use of posters to display guidelines encouraging the more effective use of radiology in patients with head injuries, twisted ankles, neck injuries, and abdominal pain.
Setting-Accident department of a large metropolitan district general hospital.
Patients-15 875 patients attending the accident department over two years, Main outcome measure-Proportion of patients having radiography.
Referrals for skull radiography fell from 56% to 20% and those for abdominal radiography fell from 31% to 7%. Referral patterns for adults attending with twisted ankles and cervical spine injuries did not change.
Reductions were sustained over two years.
Conclusion-Carefully designed posters provide a simple method of reducing unnecessary x ray examinations.
Mots-clés Pascal : Economie santé, Radiographie, Guide pratique, Médecin généraliste, Indication, Homme, Affiche, Service hospitalier, Urgence, Radiodiagnostic
Mots-clés Pascal anglais : Health economy, Radiography, Handbook, General practitioner, Indication, Human, Poster, Hospital ward, Emergency, Radiodiagnosis
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0207843
Code Inist : 002B30A04B. Création : 09/06/1995.