作者: Jacob Kurowski , Sunpreet Kaur , Yiannis Katsogridakis , Barry K. Wershil , Lee M. Bass
DOI: 10.1016/J.JPEDS.2015.06.009
关键词: Surgery 、 Emergency department 、 Cost savings 、 Abdominal radiograph 、 Rectal examination 、 Abdominal pain 、 Chart review 、 Constipation 、 Medicine 、 In patient
摘要: Objectives To determine abdominal radiograph use and frequency of digital rectal examinations in children presenting to the emergency department (ED) with pain suspected constipation impact an educational module on their use. Study design Retrospective chart review patients evaluated at a pediatric ED because complaint who had discharge diagnosis over two 2-month periods, one before after module. Results Comparing pre- posteducational there was significant decrease utilization (69.5% vs 26.4%, respectively, P ≤ .001) increase performance examination (22.9% 47.3%, ≤ .001). We demonstrated 33.6% reduction as part examination. Overall, we 43.1% receiving radiograph. When time costs are considered, this results cost savings. Conclusions An reviewing established criteria for presented providers increased decreased ultimately diagnosed constipation. The change also associated radiation exposure these patients.