| Contents: |
Intro; Contents; Contributors; Part I: Introduction; Framing the Issues; Part II: Imaging Appropriateness; Guideline Development; References; Clinical Decision Support Tools for Order Entry; 1 Definitions; 2 Trends in Imaging Use and Costs; 3 General Features of Effective Clinical Decision Support During Radiology Order Entry; 4 Effectiveness of Clinical Decision Support in Radiology; 5 Experience from Large Scale Implementation of Imaging CDS; 6 Emerging Challenges and Opportunities for Imaging Clinical Decision Support; 7 Future Direction; References; Part III: Imaging Protocols. Informed Use of Medical Radiation in Diagnostic Imaging1 Introduction; 2 The Association of Safety and Quality for Medical Radiation; 3 Factors Contributing to the Current Profile for Radiation (and Risk) in Medical Imaging; 4 Radiation and Risk; 5 Strategies for Safe Use of Ionizing Radiation in Medical Imaging; 6 Radiation Risk Dialogues; References; Approach to CT Dose Optimization: Role of Registries and Benchmarking; 1 Factors Affecting CT Radiation Doses; 2 CT Dose Descriptors; 3 ACR DIR and European Guidelines; 4 Scenarios for CT Dose Optimization; 5 Summary; References. Part IV: Modality OperationsClinical Audit; 1 Definition of Clinical Audit; 2 The Purpose and Role of Audit; 3 Models of Audit; 4 Internal vs. External Audit; 5 Scope of Clinical Audit; 5.1 Structure; 5.2 Process; 5.3 Outcome; 6 Source of Target Standards; 7 Ownership and Accuracy of Audit Data; 8 Education and Training; References; Quality Metrics: Definition, Creation, Presentation, and Use; 1 Overview; 2 What Is Quality?; 3 Why Measure Quality?; 4 Characteristics of Good Quality Metrics; 5 Examples of Imaging Quality Metrics; 5.1 Safety; 5.2 Timeliness; 5.3 Effectiveness. 5.4 Patient Centered6 Creation, Presentation, and Distribution of Quality Metrics; 7 Managing Change; References; Part V: Reporting; Reporting: Recommendations/Guidelines; 1 Scope of the Problem; 2 Guidelines for Incidental Findings; 3 Inconsistencies in Managing Incidental Findings; 4 Guidelines for Other Conditions; 5 Medicolegal Implications of Using Guidelines; 6 Costs Associated with Managing Incidental Findings; 7 Processes for Developing Guidelines; 8 Nature and Form of Guidelines; 9 Integrating Guidelines into Reports; References. Structured Reporting: The Value Concept for Radiologists1 Introduction; 2 Definition of Structured Reporting; 3 Constrained Vocabularies, Lexicons, and Common Data Elements; 4 Legislative Framework Promoting Structured Reporting; 5 Development of Report Templates as a Team; 6 The Value Proposition of Structured Reporting; 7 Limitations and Concerns; References; Clinical Decision Support at the Radiologist Point of Care; 1 Introduction; 2 Addressing the Challenge of Report Variability; 3 Cracking the Code of Interpretive Variability; 4 The Open CAR/DS Framework. |
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