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DISCLOSURES
Carlos Francisco Silva, MD No financial disclosures. Opinions my own.
DISCLOSURES Carlos Francisco Silva, MD No financial disclosures. - - PowerPoint PPT Presentation
DISCLOSURES Carlos Francisco Silva, MD No financial disclosures. - - PowerPoint PPT Presentation
DISCLOSURES Carlos Francisco Silva, MD No financial disclosures. Opinions my own. THANKS FOR THE INVITATION CONTENT to discuss what is value in Radiology the problem of nearly 30% of waste in imaging exams Choosing Wisely campaign and
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THANKS FOR THE INVITATION
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CONTENT
to discuss what is value in Radiology the problem of nearly 30% of waste in imaging exams Choosing Wisely campaign and Appropriateness Criteria in Radiology practical examples of valuable reports in Radiology to introduce the Radiology Consult
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WHAT IS VALUE IN RADIOLOGY
Michael E. Porter, Ph.D. What Is Value in Health Care? N Engl J Med 2010; 363:2477-2481
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WHAT IS VALUE IN RADIOLOGY
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WHAT IS VALUE IN RADIOLOGY
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30% OF WASTE IN IMAGING EXAMS
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WASTE REDUCTION / CHOOSING WISELY
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WASTE REDUCTION / CHOOSING WISELY
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CHOOSING WISELY / APPROPRIATENESS CRITERIA IN RADIOLOGY
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CHOOSING WISELY / APPROPRIATENESS CRITERIA IN RADIOLOGY
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CHOOSING WISELY / APPROPRIATENESS CRITERIA IN RADIOLOGY
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CHOOSING WISELY / APPROPRIATENESS CRITERIA IN RADIOLOGY
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CHOOSING WISELY / APPROPRIATENESS CRITERIA IN RADIOLOGY
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CHOOSING WISELY / APPROPRIATENESS CRITERIA IN RADIOLOGY
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CHOOSING WISELY / APPROPRIATENESS CRITERIA IN RADIOLOGY
Thorax-Abdomen-Pelvic CT scan request info: Cutaneous Melanoma. Initial Staging. CT scan Protocol? Check EHR: Melanoma stage pT1a
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CHOOSING WISELY / APPROPRIATENESS CRITERIA IN RADIOLOGY
Other frequent mistakes:
- forgeting to compare to previous CT/MRI/US
studies
- missing information on previous reports
- good info request but wrong patient
- missing/erroneous lab data
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CHOOSING WISELY / APPROPRIATENESS CRITERIA IN RADIOLOGY
Leading re reas asons s why ph y phys ysicians icians, even though being totally aware of the problem, co continue tinued d to o
- rd
rder r low val alue ue tests an and pro roce cedures dures were:
- malpractice concerns (87%);
- desire to reduce uncertainty (84%);
- “just to be safe” (78%);
- desire to keep patients happy and patients´ insistence (>70%).
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CHOOSING WISELY / APPROPRIATENESS CRITERIA IN RADIOLOGY
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CHOOSING WISELY / APPROPRIATENESS CRITERIA IN RADIOLOGY
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VALUABLE REPORTS IN RADIOLOGY
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VALUABLE REPORTS IN RADIOLOGY
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VALUABLE REPORTS IN RADIOLOGY
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VALUABLE REPORTS IN RADIOLOGY
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THE RADIOLOGY CONSULT
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THE RADIOLOGY CONSULT
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