Thus far, Thompson and Kuryla have found that they were able to upload good quality stethoscope recordings from over 92% of patients enrolled in the study. They also found that the app’s accuracy in determining which patients should be referred to a cardiologist is similar to that of a pediatric cardiologist listening to the recordings.
“The stethoscope is an important tool among a health care provider’s instruments,” says Thompson. “Still, there is variability in the way that providers use it and interpret their results, so our aim is to reduce that variability.”
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Abstract: Reducing inappropriate use of echocardiography in children: screening heart murmurs with an AI-enabled stethoscope.
ELECTRONIC MEDICAL RECORD ‘ALERT’ REMINDS PHYSICIANS THEY MAY WANT TO RETHINK THAT SCAN
Experts at Johns Hopkins recognized a pattern of unnecessary imaging for patients in the hospital who develop acute kidney injury and designed an intervention using patients’ electronic medical records to alert physicians that a repeat scan may not add value to patients’ care.
Johns Hopkins radiology fellow Nebiyu Adenaw, M.D., and radiologist Pamela Johnson, M.D., say that abdominal ultrasounds should only be performed on patients at high risk for a kidney obstruction, especially when the patient has had a recent CT scan. So, they tested whether an alert on electronic medical records could make physicians change their minds and cancel orders for repeat scans among patients who had already received an abdominal CT scan within 72 hours.
They found that 96 orders (16%) for repeat scans were canceled among 614 patients in a six-month period. The researchers found no evidence that the 96 patients had compromised care because of the cancelled scans. Most of the orders that weren’t cancelled called for scans on the gallbladder and were situations where the physician had consulted with a radiologist.
“This initiative underscores the importance of evaluating patient outcomes when reducing unnecessary tests, to confirm that quality and safety of care are maintained or improved, which is the mission of the High Value Practice Academic Alliance,” says Johnson.
Abstract: Decreasing Duplicative Imaging: Clinical Decision Support Intervention to Reduce Unnecessary Abdominal Ultrasound Following Abdominal CT
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