| Improved pediatric multidetector body CT using a size-based color-coded format. | |
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MedLine Citation:
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PMID: 11856705 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: CT technique should be adjusted while scanning infants and children. One format that has proven successful in simplifying pediatric care and reducing medical error is the size-based, color-coded Broselow-Luten pediatric system. This color-coded system can serve as a format for CT protocols. The purpose of this investigation was to compare variation (or error) occurrence and technologist preference for conventional and color-coded formats for pediatric multidetector body CT protocols. MATERIALS AND METHODS: Multidetector CT examinations were set up using either a conventional or a color-coded format for a period of 6 weeks each. Variations (errors) from protocol parameters (including tube current, detector configuration, table speed, and IV contrast media dose) were tabulated. Qualitative assessment consisted of a survey of CT technologists (n = 20) for preference in six areas related to ease of use and clarity of the formats. RESULTS: There were 44 CT examinations (n = 30 infants and children) in the conventional group and 55 CT examinations (n = 31 infants and children) in the color-coded protocol format group. Overall, the number of errors was significantly less in the color-coded group (p < 0.01), with a significantly lower error percentage in individual parameters affecting radiation dose, including tube current, detector configuration, and table speed (p < 0.05). In all areas, the color-coded format was preferred over the conventional format (p < 0.0003). CONCLUSION: Color-coded CT formatting is an extension of a clinical color-coded system. This system provides an easy, expeditious, consistent, and preferable format for general pediatric body CT protocols. Most importantly, the color-coded system can reduce variations (errors) in the radiology department. |
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Authors:
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Donald P Frush; Britt Soden; Karen S Frush; Carolyn Lowry |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: AJR. American journal of roentgenology Volume: 178 ISSN: 0361-803X ISO Abbreviation: AJR Am J Roentgenol Publication Date: 2002 Mar |
Date Detail:
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Created Date: 2002-02-21 Completed Date: 2002-03-12 Revised Date: 2008-02-15 |
Medline Journal Info:
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Nlm Unique ID: 7708173 Medline TA: AJR Am J Roentgenol Country: United States |
Other Details:
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Languages: eng Pagination: 721-6 Citation Subset: AIM; IM |
Affiliation:
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Division of Pediatric Radiology, Department of Radiology, McGovern-Davison Children's Health Center, Rm. 1905, Duke University Health System, Box 3808, Erwin Rd., Durham, NC 27710, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Age Factors Allied Health Personnel Body Weight* Child Child, Preschool Contrast Media / administration & dosage Female Humans Infant Male Questionnaires Radiation Dosage Radiography, Abdominal Radiography, Thoracic Technology, Radiologic Tomography Scanners, X-Ray Computed* Tomography, X-Ray Computed / methods* |
| Chemical | |
Reg. No./Substance:
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0/Contrast Media |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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