Methodology: 4.5/5
Usefulness: 5/5
Beno S, al. CJEM. 2022 Aug;24(5):535-543.
Editorial: Reducing overuse of CT imaging in pediatric trauma: a model example of the Model for Improvement.
Question and Methods: The aim of this QI project was to reduce unnecessary CT abdomen on pediatric trauma activations who were identified as being low risk of IAI.
Findings: significant reduction in overall imaging rates, reflecting reduction in low risk patients, from 51.0% to 29.7%. The absolute reduction for this outcome is 21.3
Limitations: Did not specify exact stakeholders (such as which allied health professionals, families etc)
Interpretation: Pediatric trauma is rare at TOH and we are less familiar with relevant CDR. We would urgently consult pediatric TTL or defer to CT.
JC Supervisor: Dr. Jeff Perry
Authors
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Dr. Sheena Nandalal is a FRCPC Emergency Medicine resident at the University of Ottawa, and previously was a pediatric RN !
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Dr. Rosenberg is an emergency physician at the Ottawa Hospital, associate professor at the University of Ottawa, and Director of the Digital Scholarship and Knowledge Dissemination Program.
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Dr. Perry is an Emergency Physician and full Professor in the department of Epidemiology and Community Medicine. He has a special research interest in subarachnoid hemorrhage, TIA and stroke.
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