You are seeing this message because your Web browser does not support basic Web standards. Find out more about why this message is appearing and what you can do to make your experience on this site better.


ABOUT JAMA
Advanced Search

Welcome   | My Account | E-mail Alerts | Access Rights | Sign In


  Vol. 276 No. 19, November 20, 1996 TABLE OF CONTENTS
  JAMA
  •  Online Features
  ARTICLE
 This Article
 •Send to a friend
 • Save in My Folder
 •Save to citation manager
 •Permissions
 Citing Articles
 •Citation map
 •Citing articles on HighWire
 •Contact me when this article is cited
 Related Content
 •Similar articles in JAMA

Effect of mandatory radiology consultation on inpatient imaging use. A randomized controlled trial

R. L. Bree, E. A. Kazerooni and S. J. Katz
Department of Radiology, University of Michigan Medical Center, Ann Arbor 48109-0030, USA.

OBJECTIVE: To determine if a mandatory radiology consultation service can decrease radiology resource use on inpatient internal medicine services. DESIGN AND SETTING: Randomized controlled trial on 4 internal medicine services at a university hospital. PATIENTS AND OTHER PARTICIPANTS: Six radiologists performed the intervention on 2 internal medicine services over a 12-month period. A total of 1022 patients were admitted to the 2 intervention services and 1178 patients were admitted to the 2 control services. Each was staffed by an attending internist and 3 house officers. INTERVENTION: Each radiology examination required approval by the attending radiologist before it was performed. MAIN OUTCOME MEASURE: Relative resource costs (relative value units [RVUs]), number of examinations per patient, proportion of patients with 1 or more tests, and mean length of stay (LOS). RESULTS: Mean RVUs for the intervention group were 356.1, and for the control group, 336.0 (P=.5). Mean examinations per patient for both groups was 4.4. Mean LOS for the intervention group was 6.0 days, and for the control group, 6.1 days (P=.8). CONCLUSIONS: An inpatient radiology consultation service, with a goal to reduce resource use, did not achieve its goal. A more appropriate use of time and expense for radiology utilization management may be in the outpatient setting.

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Opportunity Missed: Medical Consultation, Resource Use, and Quality of Care of Patients Undergoing Major Surgery
Auerbach et al.
Arch Intern Med 2007;167:2338-2344.
ABSTRACT | FULL TEXT  

Inpatient Radiology Utilization: Trends over the Past Decade
Matin et al.
Am. J. Roentgenol. 2006;186:7-11.
ABSTRACT | FULL TEXT  

Randomized Controlled Trials
Stolberg et al.
Am. J. Roentgenol. 2004;183:1539-1544.
FULL TEXT  

Are Bad Outcomes from Questionable Clinical Decisions Preventable Medical Errors? A Case of Cascade Iatrogenesis
Hofer and Hayward
ANN INTERN MED 2002;137:327-333.
ABSTRACT | FULL TEXT  

Patients' Role in the Use of Radiology Testing for Common Office Practice Complaints
Wilson et al.
Arch Intern Med 2001;161:256-263.
ABSTRACT | FULL TEXT  

Promoting the Online Use of Radiology Appropriateness Criteria
Tjahjono and Kahn
RadioGraphics 1999;19:1673-1681.
ABSTRACT | FULL TEXT  

Techniques to Improve Physicians' Use of Diagnostic Tests: A New Conceptual Framework
Solomon et al.
JAMA 1998;280:2020-2027.
ABSTRACT | FULL TEXT  

MANDATORY RADIOLOGY CONSULTATION: NO IMPACT ON INPATIENT CARE
JWatch General 1996;1996:3-3.
FULL TEXT  





HOME | CURRENT ISSUE | PAST ISSUES | TOPIC COLLECTIONS | CME | SUBMIT | SUBSCRIBE | HELP
CONDITIONS OF USE | PRIVACY POLICY | CONTACT US | SITE MAP
 
© 1996 American Medical Association. All Rights Reserved.