From: Interventions to reduce low-value imaging – a systematic review of interventions and outcomes
Components in interventions | Country | Setting | Reduction | Reference |
---|---|---|---|---|
Clinical decision support system | USA | Hospital | 31% | [75] |
Feedback to referrers | USA | Hospital | 38% | [131] |
Multiple measures for referrers, imaging staff, and patients | Canada | Hospital | 43% | [81] |
Required action from referrers | Canada | Tertiary care center | 48% | [117] |
Education | USA | Medical center | 50% | [37] |
Specialist involved in ordering examinations | USA | Hospital | 54%-points | [96] |
Education and guideline implementation for referrers and imaging staff | USA | Hospital/Emergency department | 30–58% | |
Combination of new clinical procedures | USA | Hospital | 60% | [86] |
Education, feedback, and hand-outs | USA | Academic medical center | 30–62% | |
Guideline implementation | USA, Australia | Hospital/tertiary hospital | 50–62% | |
Education, alerts, and new procedure for referrers | USA | Hospital/tertiary hospital | 35–64% | |
Health information exchange | USA | Hospital | 61–64% lower odds for repeat examination |