caa a22 4500 606171320 CHVBK 20210128100722.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s10140-015-1335-4 doi (NATIONALLICENCE)springer-10.1007/s10140-015-1335-4 Evaluation of an initiative to reduce radiation exposure from CT to children in a non-pediatric-focused facility [Elektronische Daten] [Einat Blumfield, Jonathan Zember, Mark Guelfguat, Amit Blumfield, Harold Goldman] We would like to share our experience of reducing pediatric radiation exposure. Much of the recent literature regarding successes of reducing radiation exposure has come from dedicated children's hospitals. Nonetheless, over the past two decades, there has been a considerable increase in CT imaging of children in the USA, predominantly in non-pediatric-focused facilities where the majority of children are treated. In our institution, two general hospitals with limited pediatric services, a dedicated initiative intended to reduce children's exposure to CT radiation was started by pediatric radiologists in 2005. The initiative addressed multiple issues including eliminating multiphase studies, decreasing inappropriate scans, educating referring providers, training residents and technologists, replacing CT with ultrasound or MRI, and ensuring availability of pediatric radiologists for consultation. During the study period, the total number of CT scans decreased by 24%. When accounting for the number of scans per visit to the emergency department (ED), the numbers of abdominal and head CT scans decreased by 37.2 and 35.2%, respectively. For abdominal scans, the average number of phases per scan decreased from 1.70 to 1.04. Upon surveying the pediatric ED staff, it was revealed that the most influential factors on ordering of scans were daily communication with pediatric radiologists, followed by journal articles and lectures by pediatric radiologists. We concluded that a non-pediatric-focused facility can achieve dramatic reduction in CT radiation exposure to children; however, this is most effectively achieved through a dedicated, multidisciplinary process led by pediatric radiologists. American Society of Emergency Radiology, 2015 Image Gently nationallicence ALARA nationallicence Pediatric radiology nationallicence Radiation reduction nationallicence Emergency department nationallicence Utilization nationallicence Blumfield Einat Albert Einstein College of Medicine Jacobi Medical Center, 1400 Pelham Parkway South, 10461, Bronx, NY, USA aut Zember Jonathan Albert Einstein College of Medicine Jacobi Medical Center, 1400 Pelham Parkway South, 10461, Bronx, NY, USA aut Guelfguat Mark Albert Einstein College of Medicine Jacobi Medical Center, 1400 Pelham Parkway South, 10461, Bronx, NY, USA aut Blumfield Amit Cornell University, 14853, Ithaca, NY, USA aut Goldman Harold Albert Einstein College of Medicine Jacobi Medical Center, 1400 Pelham Parkway South, 10461, Bronx, NY, USA aut Emergency Radiology Springer Berlin Heidelberg 22/6(2015-12-01), 631-641 1070-3004 22:6<631 2015 22 10140 https://doi.org/10.1007/s10140-015-1335-4 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10140-015-1335-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Blumfield Einat Albert Einstein College of Medicine Jacobi Medical Center, 1400 Pelham Parkway South, 10461, Bronx, NY, USA aut NATIONALLICENCE 700 1- Zember Jonathan Albert Einstein College of Medicine Jacobi Medical Center, 1400 Pelham Parkway South, 10461, Bronx, NY, USA aut NATIONALLICENCE 700 1- Guelfguat Mark Albert Einstein College of Medicine Jacobi Medical Center, 1400 Pelham Parkway South, 10461, Bronx, NY, USA aut NATIONALLICENCE 700 1- Blumfield Amit Cornell University, 14853, Ithaca, NY, USA aut NATIONALLICENCE 700 1- Goldman Harold Albert Einstein College of Medicine Jacobi Medical Center, 1400 Pelham Parkway South, 10461, Bronx, NY, USA aut NATIONALLICENCE 773 0- Emergency Radiology Springer Berlin Heidelberg 22/6(2015-12-01), 631-641 1070-3004 22:6<631 2015 22 10140