Changing primary care requesting practices for MRI knee: A quality improvement project.
The objectives of this work were first to examine referral practices from primary care for MRI knee in patients ≥45 years old and then to develop a new referral pathway to reduce the number of inappropriate MRI knee referrals. Following this, the aim was to re-assess the effect of the intervention a...
| Publicado en: | Radiography Vol. 29; no. 3; pp. 519 - 526 |
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| Autores principales: | , , |
| Formato: | research Journal Article |
| Publicado: |
W B Saunders
May2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=163768983&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 163768983 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10788174 DPD jtl: Radiography issn: 10788174 maglogo: N pubinfo: dt: May2023 vid: 29 iid: 3 pid: 1351 pub: W B Saunders place: Philadelphia, Pennsylvania artinfo: ui: 163768983 163768983 163768983 10.1016/j.radi.2023.02.026 163768983 ppf: 519 ppct: 7 formats: tig: atl: Changing primary care requesting practices for MRI knee: A quality improvement project. aug: au: Robinson, E. Rajayogeswaran, B. Walton, E. affil: FRCR, North Bristol NHS Trust, UK sug: subj: Quality Improvement Primary Health Care Referral and Consultation Evaluation Critical Path Unnecessary Procedures Magnetic Resonance Imaging Knee Joint Radiography Human Middle Age Retrospective Design Descriptive Statistics Implementation Science Guideline Adherence Middle Aged: 45-64 years ab: The objectives of this work were first to examine referral practices from primary care for MRI knee in patients ≥45 years old and then to develop a new referral pathway to reduce the number of inappropriate MRI knee referrals. Following this, the aim was to re-assess the effect of the intervention and identify further areas for improvement. A baseline retrospective analysis of knee MRIs requested from primary care in symptomatic patients ≥45years over a two-month period was undertaken. A new referral pathway was implemented in consensus with orthopaedic specialists and the clinical commissioning group (CCG), via the CCG resource webpage and local education. Following implementation, a repeat data analysis was undertaken. The number of MRI knees acquired from primary care referrals reduced by 42% after the new pathway was implemented. 67% (46/69) were compliant with the new guidelines. The number of patients having an MRI knee without a prior plain radiograph was 14/69 (20%) compared to 55/118 (47%) prior the pathway changes. The new referral pathway reduced the number of knee MRI acquisitions in primary care patients ≥45 years by 42%. Changing the pathway has decreased the number of patients undergoing MRI knee without a prior radiograph from 47% to 20%. These outcomes bring our standards towards the evidence-based recommendations of the Royal College of Radiology and have reduced our outpatient waiting list for MRI knee. Implications for practice: Implementing a new referral pathway with the local CCG can successfully reduce the number of inappropriate MRI knee acquisitions from primary care referrals in older symptomatic patients. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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