Minimizing Medical Radiation Exposure by Incorporating a New Radiation "Vital Sign" into the Electronic Medical Record: Quality of Care and Patient Safety.
Minimizing Medical Radiation Exposure by Incorporating a New Radiation "Vital Sign" into the Electronic Medical Record: Quality of Care and Patient Safety.
复制标题
通过将新的辐射“生命体征”纳入电子病历中，最大限度地减少医疗辐射暴露：护理质量和患者安全。
作者：
Jonathan Lukoff;Jaime Olmos
人们清楚地认识到，迫切需要减少不必要和有害的医用电离辐射照射。我们提出了一个新的辐射“生命体征”，它包括累积辐射暴露，以根据对额外暴露于医疗辐射的潜在危害的个性化评估来创建风险评分。我们建议将风险评分与使用电离辐射的程序的实时、循证、临床决策支持联系起来。此外，我们还提供建议，尽量减少不必要或低产量的使用。优先考虑使用较少或不使用电离辐射、医学上适当、患者可接受和对患者更安全的方法和方式。
There is a clearly perceived and imminent need to decrease unnecessary and detrimental exposure to medical ionizing radiation. We propose a new radiation "vital sign" that incorporates cumulative radiation exposure to create a risk score on the basis of an individualized assessment of potential harm from additional exposure to medical radiation. We propose to then tie the risk score to real-time, evidence-based, clinical decision support for procedures that use ionizing radiation. Additionally, we offer recommendations that minimize unnecessary or low-yield uses. Preference is given to approaches and modalities that use less or no ionizing radiation and that are medically appropriate, acceptable to, and safer for patients.
DOI：
10.1056/nejmoa0901249
发表时间：
2009-08-27
期刊：
The New England journal of medicine
影响因子：
--
作者：
Fazel R;Krumholz HM;Wang Y;Ross JS;Chen J;Ting HH;Shah ND;Nasir K;Einstein AJ;Nallamothu BK
通讯作者：
Nallamothu BK
影响因子：
--
作者：
Smith-Bindman R;Lipson J;Marcus R;Kim KP;Mahesh M;Gould R;Berrington de González A;Miglioretti DL
通讯作者：
Miglioretti DL