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- W4323253396 abstract "<h3>Objective.</h3> —To determine if a mandatory radiology consultation service can decrease radiology resource use on inpatient internal medicine services. <h3>Design and Setting.</h3> —Randomized controlled trial on 4 internal medicine services at a university hospital. <h3>Patients and Other Participants.</h3> —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. <h3>Intervention.</h3> —Each radiology examination required approval by the attending radiologist before it was performed. <h3>Main Outcome Measure.</h3> —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). <h3>Results.</h3> —Mean RVUs for the intervention group were 356.1, and for the control group, 336.0 (<i>P</i>=.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 (<i>P</i>=.8). <h3>Conclusions.</h3> —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." @default.
- W4323253396 created "2023-03-06" @default.
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- W4323253396 date "1996-11-20" @default.
- W4323253396 modified "2023-10-16" @default.
- W4323253396 title "Effect of Mandatory Radiology Consultation on Inpatient Imaging Use" @default.
- W4323253396 doi "https://doi.org/10.1001/jama.1996.03540190067031" @default.
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