EHR Interventions for Contrast Media Shortage Impact CT Utilization

August 3, 2022 – According to an open access article in the ARRS American Journal of Roentgenology (AJR)interventions based on electronic health record (EHR) order entry implemented in response to the global shortage of iodinated contrast media significantly reduced the utilization of contrast-enhanced CT in a large health system.

“The results indicate the ability to rapidly achieve changes in physician behavior and subsequent clinical practice through system-wide EHR changes,” wrote first author Daniel I. Glazer of the Center for Imaging-Based Evidence from Brigham and Women’s Hospital in Boston, MA. .

The retrospective study by Glazer and colleagues included 78,792 patients who underwent at least one CT scan (outpatient, inpatient, or emergency department) from April 1 to July 3 of 2022. On May 10, an initial EHR intervention created a sidebar alert after any contrast. -Improved body CT orders, noting the current iohexol shortage and recommending alternative imaging modalities. A second EHR-based intervention on May 16, 2022, required referrers to enter detailed clinical information for all contrast-enhanced body CT orders, which radiologists used to protocol the exams.

Ultimately, the mean number of patients undergoing contrast-enhanced CT per weekday during the preintervention, first postintervention, and second postintervention periods was 726, 689, and 639; the mean number of contrast-enhanced CT orders was 154, 143, and 131.

Noting that their health system spanned two large academic medical centers, seven community hospitals, three specialty hospitals, and several affiliated ambulatory care centers, all using a single EHR (Hyperspace, Epic Systems, Verona, WI): “the number of patients undergoing contrast – Enhanced CT exams per day decreased by 12.0% and the number of CT orders with contrast media decreased by 15.2% per day,” concluded the authors of this AJR article.

For more information:

Content related to gadolinium concerns

Global Contrast Media Shortage: Strategies for Conservation

AJR publishes Best Practices for Iodinated Contrast Media Shortages

Voluntary dismissal of Chuck Norris Gadolinium case involving Bracco

VIDEO: How severe is MRI gadolinium retention in the brain and body? An interview with Max Wintermark, MD

VIDEO “Major Concerns Remain for Safety of Gadolinium Contrast in MRI at RSNA 2017,” an interview with Emanuel Kanal, MD

Radiology has failed to adequately assess and monitor the safety of MRI gadolinium contrast

Recent developments in contrast media

FDA Committee Votes to Expand Warning Labels for Gadolinium-Based Contrast Agents

The European Medicines Agency publishes an update on gadolinium contrast agents

Source link

You May Also Like

About the Author: SteveSossin

Welcome! I keep up on all the latest cbd and thc news!