Shah Summit,  Mcgonagill Phillip,  Hu Houchon,  Sankaran Akila,  Krishnamurthy Rajesh,  Krishnamurthy Ramkumar

Final Pr. ID: Poster #: SCI-030

The likelihood of sedation for an MRI exam in a patient under 8 years is high. Disadvantages of sedation usage include direct complications, suspected long-term effects, and higher costs. Sedation reduction techniques include the use of an MRI simulator, accelerated MRI scans, abbreviated protocols, and swaddle and sleep techniques. We evaluated the clinical image quality and cost effectiveness associated with an MRI simulator training program. Read More

Authors:  Shah Summit , Mcgonagill Phillip , Hu Houchon , Sankaran Akila , Krishnamurthy Rajesh , Krishnamurthy Ramkumar

Keywords:  MRI Sedation, Quality Improvement, Cost

Iles Benjamin,  Samora Julie,  Singh Satbir,  Ruess Lynne

Final Pr. ID: Poster #: SCI-035

Treatment pathways for isolated distal radius fractures in children are evolving and becoming more tailored to specific fracture types, including different management plans for stable buckle fractures (BFs) versus unstable distal radius fractures (DRFs). We propose a measurement rule to aid differentiation of stable BFs from unstable DRFs in children.
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Authors:  Iles Benjamin , Samora Julie , Singh Satbir , Ruess Lynne

Keywords:  Quality Improvement, Radiography, Children

Ruess Lynne,  Samora Julie

Final Pr. ID: Poster #: SCI-026

To test radiographic diagnostic accuracy for distinguishing between stable distal radius buckle fractures (BF) from other distal radius fractures (DRF) after introducing a measurement guideline.
Background: Management of pediatric forearm fractures has become fracture specific, as treatment of the common stable BF is trending toward home management with a removable wrist splint while other potentially unstable, DRF require immobilization and orthopaedic follow-up. Diagnostic accuracy between BF and DRF is therefore imperative. We developed and suggested our radiologists use a measurement guideline to aid diagnosis with this general rule: an isolated distal radius fracture in a child > 7y is not likely to be a BF if the fracture-to-physis distance is < 1 cm. Read More

Authors:  Ruess Lynne , Samora Julie

Keywords:  Quality Improvement, fracture, radiography

Sousae Sean,  Simmons Curtis,  Bailey Smita,  Cutler Kayci,  Youssfi Mostafa,  Reynolds Kristine,  Oliver Clay,  Pfeifer Cory

Final Pr. ID: Poster #: SCI-006

Growth in our hospital has resulted in multiple new locations opening which has resulted in staffing by ultrasound technologists lesser experienced in appendicitis imaging. Likewise, our ordering providers have increased their push to reduce CT utilization. Our aim was to improve the appendix visualization frequency by 10% over 6 months to reduce exposure to ionizing radiation, reduce cost for families, lower risk to patients, reduce length of stay in the emergency department, and shorten the time to diagnosis. Read More

Authors:  Sousae Sean , Simmons Curtis , Bailey Smita , Cutler Kayci , Youssfi Mostafa , Reynolds Kristine , Oliver Clay , Pfeifer Cory

Keywords:  Appendicitis, Quality Improvement, Ultrasound

Harris Chris

Final Pr. ID: Poster #: SCI-001 (R)

Background: Brain MRI has become an integral tool in the diagnosis and management of neonates with possible brain injury. In a large quaternary care neonatal intensive care unit (NICU), MRIs are routinely performed for the identification of white matter lesions in preterm infants, prognostication in hypoxic ischemic encephalopathy, peri-operative evaluation of patients with meningomyeloceles and hydrocephalus among other indications. Patients are often sedated in order to obtain high quality images, but sedation comes with complications. As these studies become an integral part of our practice in the NICU, we have identified a need to minimize the use of sedation to obtain clinically acceptable neonatal brain MRIs. Read More

Authors:  Harris Chris

Keywords:  Quality Improvements, Reduce Sedation, MRI brains

Shah Summit,  Krishnamurthy Ramkumar,  Kelleher Sean,  Krishnamurthy Rajesh

Final Pr. ID: Poster #: SCI-029

Two major insurance companies have recently enacted policies requiring outpatient advanced imaging at free-standing imaging facilities for adults. Examining the potential clinical and economic implications of non-subspecialized interpretations in children is important. We evaluated the rate of major discrepancies and changes in management arising from second interpretations by a dedicated pediatric facility. Read More

Authors:  Shah Summit , Krishnamurthy Ramkumar , Kelleher Sean , Krishnamurthy Rajesh

Keywords:  Healthcare Policy, Reimbursement, Quality Improvement