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Introduction:Magnetic Resonance Imaging, or MRI, can include a specialized imaging technique of the urinary system known as Magnetic Resonance Urography (MRU). This radiation-free technique uses strong magnetic fields and radio waves to produce detailed images with the help of a computer. MRU is particularly effective for visualizing fluid-filled structures like the kidneys, ureters, and bladder.Applications of MRI in the Genitourinary SystemKidneys and Ureters: MRI detects tumors, cysts,...
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Radiological investigations, including X-rays and computed tomography (CT) scans, are critical for diagnosing and evaluating various medical conditions. These imaging techniques provide valuable insights into the body's internal structures, aiding in the detection of abnormalities, assessment of disease progression, and development of treatment strategies. This article delves into two primary radiological investigations, chest X-rays and CT scans, outlining their purpose, procedures, and...
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Effect of computerized physician order entry on imaging study indication.

Joshua M Pevnick1, Andrew J Herzik2, Ximin Li3

  • 1Division of General Internal Medicine, Department of Medicine, Cedars-Sinai Health System, Los Angeles, California.

Journal of the American College of Radiology : JACR
|January 6, 2015
PubMed
Summary
This summary is machine-generated.

Computerized Physician Order Entry (CPOE) significantly improved imaging indication quality in US hospitals. This study demonstrates CPOE enhances communication between clinicians and radiologists, benefiting patient care.

Keywords:
Computerized physician order entrydiagnostic imagingmedical informaticsreferral and consultation

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Area of Science:

  • Health Informatics
  • Radiology
  • Clinical Decision Support

Background:

  • Previous research on Computerized Physician Order Entry (CPOE) and imaging indication quality was limited to a single institution and a specific electronic health record system.
  • A broader understanding of CPOE's impact on indication quality across diverse US hospitals is needed.

Purpose of the Study:

  • To evaluate the effect of CPOE implementation on the quality of imaging indications in a generalizable inpatient setting.
  • To utilize both a pre-existing and a novel instrument for measuring indication quality.

Main Methods:

  • Retrospective analysis of 100 randomly selected inpatient abdominal CT scan indications.
  • Data collected during two months prior to CPOE implementation (January-February 2012) and two months post-implementation (May-June 2012).
  • Indication quality assessed using an 8-point explicit scoring scale and a novel 7-point implicit Likert scale.

Main Results:

  • Explicit indication scores increased by 93% (pre-CPOE mean 1.4 ± 0.2 to post-CPOE mean 2.7 ± 0.3, P < .01).
  • Implicit indication scores increased by 26% (pre-CPOE mean 4.3 ± 0.3 to post-CPOE mean 5.4 ± 0.2, P < .05).
  • Both increases were statistically significant, indicating improved quality.

Conclusions:

  • CPOE implementation demonstrably enhanced imaging indication quality in a generalizable inpatient setting.
  • The findings, supported by two independent scoring systems, suggest CPOE improves communication from ordering clinicians to radiologists.
  • CPOE appears to be a valuable tool for enhancing the clarity and utility of imaging orders.