Clean Sweep Live Auction on Thur. March 28th. Click to view the full inventory

DOTmed Home MRI Oncology Ultrasound Molecular Imaging X-Ray Cardiology Health IT Business Affairs
News Home Parts & Service Operating Room CT Women's Health Proton Therapy Endoscopy HTMs Mobile Imaging
Current Location:
> This Story

Log in or Register to rate this News Story
Forward Printable StoryPrint Comment



CT Homepage

New approach identifies lung cancer patients most likely to respond to chemotherapy Combines radiomics and CT image assessment

BSWH to install Glassbeam's CLEAN blueprint to leverage machine uptime Will include integrated CMMS software by EQ2

Machine learning reduces false positives for lung cancer in low-dose CT False positives occur at rate of 96 percent

Siemens to unveil its SOMATOM go.Top Cardiovascular Edition CT at ACC 19 Ideal for the cardiovascular outpatient setting

Hitachi unveils new CT and ultrasound solutions at ECR Standard version of SCENARIA VIEW and three new Arietta ultrasound solutions

Canon showcases CT image reconstruction tech and software upgrade at ECR Removing noise while preserving signals

Universal measurement approach to CT X-ray proposed by researchers 'Only a small change to existing practice is required to unify their measurements.'

Philips debuts Incisive CT at ECR Includes industry-first "Tube for Life" guarantee policy

Personalized cardiac test could eliminate unnecessary catheterizations Examines flow of blood with AI and CT

NIH awards $1.8 million to Magnetic Insight for neurovascular MPI Detects magnetic nanoparticle tracers, enables deep-tissue imaging

Kaiser ERs reduce unnecessary CT scans with 'well-validated decision rules'

by John W. Mitchell , Senior Correspondent
Kaiser Permanente reduced head CT scans by more than five percent in its emergency departments by adopting the Canadian CT Head Rule (CCHR). The study was just published in the Annals of Emergency Medicine.

"Applying the Canadian CT Head Rule reduces unwarranted care and helps patients by avoiding the costs associated with CT imaging [and] radiation exposure," Dr. Adam L. Sharp, Kaiser Permanente Southern California Department of Research & Evaluation told HCB News. "Despite the concern for serious head injuries or concussions, not everyone needs a CT scan."

Story Continues Below Advertisement


Special-Pricing Available on Medical Displays, Patient Monitors, Recorders, Printers, Media, Ultrasound Machines, and Cameras.This includes Top Brands such as SONY, BARCO, NDS, NEC, LG, EDAN, EIZO, ELO, FSN, PANASONIC, MITSUBISHI, OLYMPUS, & WIDE.

The CCHR was developed to help doctors determine which minor head injury patients did not require a CT scan. In the U.S., the average price of a head CT scan is $1,200, according to New Choice Health. The study included about 43,000 adult trauma patients in 13 Kaiser Permanente community emergency departments in Southern California. Twelve of the 13 ERs reduced CT head scans by 5.3 percent.

According to Sharp, the health system integrated the change in protocols through its electronic health record. This occurred after review by medical leaders, pilot testing, and presentation to the medical staff before the plan was rolled out.

"It's never easy to change human behavior, especially physicians," he said. "There is a formal process which is undertaken at [Kaiser Pemenanate] before any clinical decision support is fully implemented. In the end, we had the support from all the participating ED clinical leaders which is important for this type of intervention to be successful."

A byproduct of the protocol change, Sharp reported, was that it avoids identifying incidentalomas. This is the incidental discovery of a head mass, which is usually benign and of no clinical significance. Such findings often mean more imaging testing, which increases costs to both payers and the patient, as well as exposure to radiation.

Sharp said the CCHR has good evidence to support its adoption. Several studies in the past decade or so have demonstrated the validity of CCHR guidelines. This includes a 2005 study published by the U.S. National Institutes of Health, which determined that "its use may result in reduced imaging rates."

Kaiser Permanente concluded from the study that this relatively simple intervention to implement the proven CCHR practices results in more effective, less expensive and higher quality emergency care.

"Patients should expect the best possible care available," said Sharp. "In many cases, that includes the application of well-validated decision rules like the CCHR, as well as integrated decision support helping to inform physicians and patients of the right care."

Back to HCB News
  Pages: 1

CT Homepage

You Must Be Logged In To Post A Comment

Increase Your
Brand Awareness
Auctions + Private Sales
Get The
Best Price
Buy Equipment/Parts
Find The
Lowest Price
Daily News
Read The
Latest News
Browse All
DOTmed Users
Ethics on DOTmed
View Our
Ethics Program
Gold Parts Vendor Program
Receive PH
Gold Service Dealer Program
Receive RFP/PS
Healthcare Providers
See all
HCP Tools
A Job
Parts Hunter +EasyPay
Get Parts
Recently Certified
View Recently
Certified Users
Recently Rated
View Recently
Certified Users
Rental Central
Rent Equipment
For Less
Sell Equipment/Parts
Get The
Most Money
Service Technicians Forum
Find Help
And Advice
Simple RFP
Get Equipment
Virtual Trade Show
Find Service
For Equipment
Access and use of this site is subject to the terms and conditions of our LEGAL NOTICE & PRIVACY NOTICE
Property of and Proprietary to DOTmed.com, Inc. Copyright ©2001-2019 DOTmed.com, Inc.