Comparison of routine and on-demand prescription of chest radiographs in mechanically ventilated adults: a multicentre, cluster-randomised, two-period crossover study.

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Bibliographic Details
Title: Comparison of routine and on-demand prescription of chest radiographs in mechanically ventilated adults: a multicentre, cluster-randomised, two-period crossover study.
Authors: Hejblum, G., Boëlle, P.-Y., Vibert, J.-F., Guidet, B., Simon, T., Chalumeau-Lemoine, L., Ioos, V., Guider, B., Salomon, L.
Source: Lancet. 11/14/2009, Vol. 374 Issue 9702, p1687-1693. 7p. 1 Diagram, 3 Charts, 2 Graphs.
Subjects: Chest X rays, Intensive care units, Critical care medicine, Chest diseases, High-frequency ventilation (Therapy), Hospitals
Geographic Terms: France
Abstract: The article discusses a study which assessed the efficiency and effectiveness of routine versus on-demand chest radiographs for optimum care of mechanically ventilated patients using a two-period cluster-randomised design. The study randomly assigned 21 intensive care units (ICU) at hospitals in France to use a routine or an on-demand prescriptions for chest radiographs. Findings of the study suggest the adoption of an on-demand strategy in preference to a routine strategy to decrease the use of chest radiographs in mechanically ventilated patients without a reduction in their safety or quality of care.
Database: Psychology and Behavioral Sciences Collection
Description
Abstract:The article discusses a study which assessed the efficiency and effectiveness of routine versus on-demand chest radiographs for optimum care of mechanically ventilated patients using a two-period cluster-randomised design. The study randomly assigned 21 intensive care units (ICU) at hospitals in France to use a routine or an on-demand prescriptions for chest radiographs. Findings of the study suggest the adoption of an on-demand strategy in preference to a routine strategy to decrease the use of chest radiographs in mechanically ventilated patients without a reduction in their safety or quality of care.
ISSN:01406736
DOI:10.1016/S0140-6736(09)61459-8