Publications by authors named "Sean P LaVine"
Article Synopsis
- Many internal medicine admission services request chest X-rays (CXRs) for patients already in the emergency department, which often do not provide any real clinical benefit and can lead to negative outcomes like unnecessary radiation exposure and increased costs.
- In 2016, guidelines were implemented by the ED and internal medicine teams to reduce these unnecessary CXRs, guiding healthcare providers on when they are truly needed.
- The study aimed to analyze changes in the rate of CXRs before and after these guidelines were introduced and to identify patient characteristics that might predict the likelihood of receiving a CXR.
Introduction Unnecessary "admission electrocardiograms (EKGs)" on admitted patients waiting ("boarding") in the emergency department (ED) are often ordered. We introduced evidence-based EKG ordering guidelines and determined changes in the percent of patients with "preadmission" and "admission" EKGs ordered before vs. after guideline introduction and which patient characteristics predicted EKG ordering.
View Article and Find Full Text PDF