Are We Doing The Right Study?

Armao, Diane; Elías, Jorge; Semelka, Richard C.

doi:10.1002/9781118642276.ch6

Cited by 4 publications

(1 citation statement)

References 76 publications

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“…The practice of using the same radiation exposure factors for CT examinations of children as those for adults is not uncommon [16, 17], and continues today, particularly in non-pediatric focused facilities [18]. Of the estimated 8 million CT studies performed on children, up to 6.8 million are performed at sites outside the auspices of a dedicated pediatric facility [19].…”

Section: Introductionmentioning

confidence: 99%

A Toolkit for Pediatric CT Dose Reduction in Community Hospitals

Armao

Hartman

Shea³

et al. 2016

Journal of the American College of Radiology

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“Eighty percent of success is just showing up.”Woody AllenPediatric CT radiation dose optimization is a challenging process for pediatric-focused facilities and community hospitals alike. Ongoing experience and trial-and-error approaches to dose reduction in the large academic hospital setting may position these centers to help community hospitals who strive for CT quality improvement. In this pilot project, we describe our hands-on approach to develop a partnership between an academic medical center and a community hospital to develop a toolkit for implementing CT dose reduction. Our aims were to 1) assess the acceptability of an interactive educational program and electronic toolkit booklet, 2) conduct a limited test of the efficacy of the toolkit in promoting knowledge and readiness to change, and 3) assess the acceptability and practicality of a collaborative approach to implementing dose-reduction protocols in community hospitals. In partnering with the community hospital, we found that they had size specific radiation doses 2 to 3 times higher than those at our center. Survey results following a site visit with interactive educational presentations revealed an increase in knowledge, stronger opinions about the health risks of radiation from CT scans, and willingness and perceived ability to reduce pediatric CT doses.

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