News | February 16, 2012

Large, Tertiary-Care Hospital Successfully Implements Radiology CPOE With Clinical Decision Support

February 16, 2012 — In an effort to reduce the inappropriate use of medical imaging and improve quality of care, a large, tertiary-care hospital has successfully implemented a computerized physician order entry (CPOE) system with clinical decision support for radiology, according to a study in the February issue of the Journal of the American College of Radiology. Significant increases in meaningful use (for electronically created studies, from 0.4 percent to 61.9 percent; for electronically signed studies, from 0.4 percent to 92.2 percent) and the adoption of CPOE (from 0.5 percent to 94.6 percent) were observed.

The meaningful use of health care IT can improve patient safety, efficiency and the quality of care. Initial studies have showed that with decision support, the percentage of low-utility imaging studies may decrease by as much as 57 percent.

The study was performed in a health care delivery network with Brigham and Women’s Hospital in Boston, Mass. After pilot testing and user feedback, a Web-enabled CPOE system with embedded imaging decision support was phased into clinical use between 2000 and 2010 across outpatient, emergency department and in-patient settings.

A total of 4.1 million imaging studies were performed during the study period. The use of electronically created studies was greatest in the emergency department and in-patient settings. Meaningful use varied across specialties; surgical subspecialties had the lowest rates of electronically created studies.

“Our study shows that an imaging CPOE system with embedded decision support that is integrated into the health care enterprise IT infrastructure and the relevant electronic medical record platform and optimized with in the clinicians’ workflow can be successfully and broadly accepted clinically,” said Ivan K. Ip, M.D., MPH, lead author of the study.   

For more information: www.jacr.org

 

Related Content

National Clinical Decision Support Company (NDSC) has an exclusive deal with the American College of Radiology (ACR) to provide medical imaging appropriate use criteria (AUC).

National Clinical Decision Support Company (NDSC) has an exclusive deal with the American College of Radiology (ACR) to provide medical imaging appropriate use criteria (AUC). 

Feature | Clinical Decision Support | January 18, 2018
January 18, 2018 — Change Healthcare announced the acquisition of National Decision Support Company (NDSC), a leader
News | Clinical Decision Support | January 12, 2018
January 12, 2018 — GE Healthcare has entered into a strategic, long-term partnership with Roche to jointly develop an
Technology | PACS Accessories | January 03, 2018
January 3, 2018 — medQ Inc. recently announced the launch of its Q/ris MIPS Reporting module.
ACR Appropriateness Criteria Adds and Revises Topics for December 2017
News | Clinical Decision Support | December 29, 2017
December 29, 2017 — Radiologists can enhance the quality and effectiveness of care with the newest release of the ACR
News | Enterprise Imaging | December 21, 2017
Vital Images showcased enhancements to its enterprise imaging solutions at the Radiological Society of North America (...
Videos | Artificial Intelligence | December 21, 2017
ITN and DAIC Editor Dave Fornell shows several examples of how vendors are incorporating AI, deep learning algorithms
Mirada Medical and Optellum Debut AI-Based Lung Cancer Diagnosis Solution at RSNA 2017
News | Computed Tomography (CT) | December 14, 2017
Optellum, a high-tech startup in lung cancer and machine learning, and Mirada Medical recently announced a partnership...
Medexprim's Radiomics Enabler Goes Open Source
Technology | PACS Accessories | December 06, 2017
December 6, 2017 — Medexprim announced its Radiomics Enabler, meant to enhance medical images archives for research,
How to allow legacy PACS systems to use a global worklist even with older, disparate PACS systems. Carestream.
Sponsored Content | Whitepapers | PACS | December 06, 2017
Myth: Legacy PACS systems in an M&A environment can not support a global worklist.
Ikonopedia and Konica Minolta Showcase Integrated Breast Imaging Workflow and Reporting at RSNA
News | Breast Imaging | December 05, 2017
Ikonopedia and Konica Minolta Healthcare Americas Inc. showcased integrated breast imaging workflow and reporting at...
Overlay Init