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Initiative to Reduce Chest X-ray Use for Pediatric Patients with Acute Asthma Exacerbations

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Background: Chest radiography is not routinely recommended for pediatric patients with a history of asthma who present with acute asthma exacerbations. However, chest x-rays (CXR) are frequently obtained on these… Click to show full abstract

Background: Chest radiography is not routinely recommended for pediatric patients with a history of asthma who present with acute asthma exacerbations. However, chest x-rays (CXR) are frequently obtained on these patients, contributing to unnecessary radiation exposure and cost. Initial implementation of an asthma clinical practice guideline (CPG) reduced CXR ordering, but not to our goal. Objective: To use quality improvement methodology to decrease the percentage of CXR obtained for pediatric patients with acute asthma exacerbations from 29.5% to < 20% by December 2016. Methods: We included children ≥2 …

Keywords: use; patients acute; acute asthma; initiative reduce; pediatric patients; asthma exacerbations

Journal Title: Pediatrics
Year Published: 2018

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