Emerg Radiol DOI 10.1007/s10140-014-1217-1
ORIGINAL ARTICLE
Computed tomography utilization rates after the placement of a scanner in an emergency department: a single-center experience Daniel Runde & Kaushal Shah & Leily Naraghi & Brandon Godbout & Jonathan Kirschner & David Newman & Dan Wiener & Jarone Lee
Received: 24 February 2014 / Accepted: 21 March 2014 # Am Soc Emergency Radiol 2014
Abstract The convenience of a computed tomography (CT) scanner in the emergency department (ED) may impact utilization rates. Our primary aim was to determine the rate of utilization before and after the placement of an ED CT scanner. Secondary aims were to determine the rate of utilization by anatomic region and during a 5-month period when the ED scanner was unavailable. We performed an electronic chart review of our ED with an annual census of 70,000 patients. We identified all patients over the age of 21 who had a CT scan performed from January 2008 to October 2010. Predetermined data elements were extracted by trained, hypothesis-blinded abstractors. Comparisons overall and within scan subtype were
D. Runde (*) Department of Emergency Medicine, Harbor-UCLA Medical Center, David Geffen School of Medicine UCLA, Box 21, 1000, W Carson St. Torrance, Los Angeles, CA 90509-2910, USA e-mail: [email protected] K. Shah : D. Newman Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA L. Naraghi : J. Lee Division of Trauma, Emergency Surgery and Surgical Critical Care, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA B. Godbout Department of Emergency Medicine, Lenox Hill Hospital, New York, NY, USA J. Kirschner Department of Emergency Medicine, Indiana University School of Medicine, Indianapolis, IN, USA D. Wiener Department of Emergency Medicine, Mount Sinai St. Luke’s and Roosevelt, Icahn School of Medicine at Mount Sinai, New York, NY, USA
performed using seasonal matching. We found a CT utilization rate of 114 per 1,000 patient visits before and 139 per 1,000 patient visits after the placement of a CT scanner in the ED (p
ORIGINAL ARTICLE
Computed tomography utilization rates after the placement of a scanner in an emergency department: a single-center experience Daniel Runde & Kaushal Shah & Leily Naraghi & Brandon Godbout & Jonathan Kirschner & David Newman & Dan Wiener & Jarone Lee
Received: 24 February 2014 / Accepted: 21 March 2014 # Am Soc Emergency Radiol 2014
Abstract The convenience of a computed tomography (CT) scanner in the emergency department (ED) may impact utilization rates. Our primary aim was to determine the rate of utilization before and after the placement of an ED CT scanner. Secondary aims were to determine the rate of utilization by anatomic region and during a 5-month period when the ED scanner was unavailable. We performed an electronic chart review of our ED with an annual census of 70,000 patients. We identified all patients over the age of 21 who had a CT scan performed from January 2008 to October 2010. Predetermined data elements were extracted by trained, hypothesis-blinded abstractors. Comparisons overall and within scan subtype were
D. Runde (*) Department of Emergency Medicine, Harbor-UCLA Medical Center, David Geffen School of Medicine UCLA, Box 21, 1000, W Carson St. Torrance, Los Angeles, CA 90509-2910, USA e-mail: [email protected] K. Shah : D. Newman Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA L. Naraghi : J. Lee Division of Trauma, Emergency Surgery and Surgical Critical Care, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA B. Godbout Department of Emergency Medicine, Lenox Hill Hospital, New York, NY, USA J. Kirschner Department of Emergency Medicine, Indiana University School of Medicine, Indianapolis, IN, USA D. Wiener Department of Emergency Medicine, Mount Sinai St. Luke’s and Roosevelt, Icahn School of Medicine at Mount Sinai, New York, NY, USA
performed using seasonal matching. We found a CT utilization rate of 114 per 1,000 patient visits before and 139 per 1,000 patient visits after the placement of a CT scanner in the ED (p
