MAY/JUNE 2014 RADIOLOGY MANAGEMENT 16
Reducing Pediatric C T Usage through Web-Based Education
on these EDs. Measuring patient and family use of the PEMguidelines.org website
could also provide insight on the impact
and effectiveness of this component of
the initiative. Gathering qualitative data
on clinician reception of the initiative
could also aid in measuring the extent to
which this program influenced clinician
decision making. While the PEMguidelines.org website was created specifically
for use by Fairview Health System’s physicians and patients, the website is free and
open to clinicians and patients and families outside of this system. Other health
systems and hospitals can use this multi-step, evidence based approach as a model
for addressing pediatric imaging.
1Pearce MS. Patterns in paediatric CT use: an
international and epidemiological perspective. Journal of medical imaging and radiation oncology. 2011; 55( 2):107.
2Dorfman AL, Fazel R, Einstein AJ, et al. Use of
medical imaging procedures with ionizing
radiation in children: A population-based
study. Archives of Pediatrics & Adolescent
Medicine. 2011;165( 5):458–464.
3Pearce MS, Salotti JA, Little MP, et al. Radiation
exposure from CT scans in childhood and
subsequent risk of leukaemia and brain
tumours: a retrospective cohort study. The
4Squires DA. Explaining high health care
spending in the United States: an international comparison of supply, utilization,
prices, and quality. Issue Brief (
Commonwealth Fund). May 2012;10: 1–14.
5Parker L, Nazarian LN, Gingold EL, Palit CD,
Hoey CL, Frangos AJ. Cost and radiation
savings of partial substitution of ultrasound for CT in appendicitis evaluation: a
national projection. American Journal of
6Kupperman N et al. Identification of children
at very low risk of clinically important
brain injuries after head trauma: A
prosepctive cohort study The Lancet. 2009;
7Samuel M. Pediatric appendicitis score. Journal
of Pediatric Surgery. 2002; 37( 6):877–881.
8Kharbanda AB, Dudley NC, Bajaj L, et al.
Validation and refinement of a prediction
rule to identify children at low risk for
acute appendicitis. ARCH PEDIATR
ADOLESC MED. 2012;166( 8):738–744.
9Hendrickson MA, Macgregor-Hannah M &
Kharbanda AB. Implementation of an electronic clinical decision support tool for
pediatric appendicitis within a large hospital network. Poster accecpted for presentation at: The Pediatric Academic Societies
Annual Meeting; 2014 May 3–6; Vancouver,
Kristin Frenn, BS, is a clinical research coordinator at
Children’s Hospitals and Clinics of Minnesota. She in
the process of completing a master’s degree at the
University of Minnesota School of Public Health in
Maternal and Child Health with an emphasis in
epidemiology. Kristin has spent the last 11 years
working on research related to children’s health
and well-being. She can be contacted at Kristin.
Marissa Hendrickson, MD, is an assistant professor
of pediatric emergency medicine at the University
of Minnesota Amplatz Children’s Hospital.
Dr. Hendrickson received her medical degree from
Case Western Reserve University. She completed her
residency in pediatrics and her fellowship in pediatric
emergency medicine at Rainbow Babies and
Children’s Hospital in Cleveland. Dr. Hendrickson’s
research interests lie in the development of electronic
clinical pathways and the measurement and
improvement of healthcare quality. She can be
contacted at email@example.com.
Anupam B. Kharbanda, MD, MSc is the director of
research for emergency services at Children’s Hospitals
and Clinics of Minnesota. He attended medical school
at the University of Iowa and completed his residency
training in pediatrics and served as chief resident at
Columbia University. Dr. Kharbanda completed a
fellowship in pediatric emergency medicine at Boston
Children’s Hospital, Harvard Medical School. He
received a master’s in biostatistics at Columbia
University. Dr. Kharbanda is currently working on
several projects related to evidence-based care
pathways, electronic decision support, and quality
improvement within the pediatric emergency
department. He can be contacted at Anupam.