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Posters For Accident Departments: Simple Method Of Sustaining Reduction In X Ray Examinations

Eugene McNally, Gerald De Lacey, Philippa Lovell and Theo Welch
BMJ: British Medical Journal
Vol. 310, No. 6980 (Mar. 11, 1995), pp. 640-642
Published by: BMJ
Stable URL: http://www.jstor.org/stable/29726604
Page Count: 3
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Posters For Accident Departments: Simple Method Of Sustaining Reduction In X Ray Examinations
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Abstract

Objective—To assess whether a simple strategy would sustain a reduction in the number of unnecessary x ray examinations. Design—Use of posters to display guidelines encouraging the more effective use of radiology in patients with head injuries, twisted ankles, neck injuries, and abdominal pain. Setting—Accident department of a large metropolitan district general hospital. Patients—15 875 patients attending the accident department over two years. Main outcome measure—Proportion of patients having radiography. Results—Referrals for skull radiography fell from 56% to 20% and those for abdominal radiography fell from 31% to 7%. Referral patterns for adults attending with twisted ankles and cervical spine injuries did not change. Reductions were sustained over two years. Conclusion—Carefully designed posters provide a simple method of reducing unnecessary x ray examinations.

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