Electronic Health Record Order Entry–Based Interventions in Response to a Global Iodinated Contrast Media Shortage: Impact on Contrast-Enhanced CT Utilization

Optimizing the Use of Iodinated Contrast Media for CT: Managing Shortages and Planning for a Sustainable and Secure Supply

“…In addition to the strategies proposed by the previously stated agencies, clinicians at hospital systems globally have described their experiences and plans for managing ICM shortages, including those reported by institutions in Australia, 4,20,31,32 Germany, 33 and the US. 1,5,7,16,17,19,[34][35][36][37][38]…”

“…• Using electronic medical records and ordering systems to provide alerts and ensure awareness of ICM shortages, flag potentially redundant imaging, and provide clinical decision-support tools to guide users to alternate imaging options. 2,5,35 ঐ Digital contrast media injection management systems may enable more consistent recording of all information on ICM type and dosage in patients' electronic medical records. This may allow more complete tracking of ICM usage and of any contrastrelated adverse events.…”

Shortage of iodinated contrast media: Status and possible chances – A systematic review

“…1 ). The remaining 22 papers [ [4] , [5] , [6] , [7] , [8] , [9] , [10] , [11] , [12] , [13] , [14] , [15] , [16] , [17] , [18] , [19] , [20] , [21] , [22] , [23] , [24] , [25] ] served as basis for the following analysis, and contain a variety of different study types such as retrospective studies (n = 4), clinical perspectives (n = 3), special reports (n = 2), review articles (n = 5; including two narrative reviews), and others (n = 8). All articles are either published in the USA (n = 17) or in Australia (n = 5).…”

“…The Royal Australian and New Zealand College of Radiologists as well as authors from Yale have published further guidance on how to preserve ICM [ 4 ]. Following the persisting shortage, more publications discussing this issue have been released [ [5] , [6] , [7] , [8] , [9] , [10] , [11] , [12] , [13] , [14] , [15] , [16] , [17] , [18] , [19] , [20] , [21] , [22] , [23] , [24] , [25] ].…”

“…We distinguish between reduced dose per examination, reduced number of examinations and the total reduction from these two parameters. First author (year) [ref] Reduced CM dose Reduced examination frequency Total ICM reduction Forouzandeh F et al 2022 [ 15 ] 46% Allen L et al 2022 [ 8 ] 50% Salazar G et al 2022 [ 20 ] 50% Barreto I et al 2022 [ 10 ] 66% 34% Amukotuwa SA et al 2022 [ 5 ] 93% 85% Amukotuwa SA et al 2022 [ 7 ] 16% 59% 65% Amukotuwa SA et al 2022 [ 13 ] 16% 61% 67% Bammer R et al 2022 [ 21 ] 88% 75% 72% Davenport MS et al 2022 [ 14 ] 25% 78% 83% Gopireddy DR et al 2023 [ 25 ] 80% Rosander A et al 2023 [ 23 ] 43% 50% Glazer D et al 2023 [ 16 ] 12% …”