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Unnecessary variation cloaked as discretion in medical decisions

Published online by Cambridge University Press:  04 March 2015

Niranjan Kissoon
Niranjan Kissoon*
Affiliation:
BC Children's Hospital and Sunny Hill Health Centre for Children and Department of Pediatrics and Emergency Surgery, University of British Columbia; Child and Family Research Institute, Vancouver, BC; and World Federation of Paediatric Intensive and Critical Care Societies, Geneva, Switzerland
*
BC Children's Hospital and Sunny Hill Health Centre for Children and Department of Pediatrics and Emergency Surgery, University of British Columbia, B24C - 4480 Oak Street, Vancouver, BC V6H 3V4

Abstract

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Keywords

childrenemergency medicineguidelinesqualityradiology
Type
Editorial/Commentary
Information
Canadian Journal of Emergency Medicine , Volume 15 , Issue 1 , January 2013 , pp. 1 - 2
Copyright
Copyright © Canadian Association of Emergency Physicians 2013

References

REFERENCES

1.Guttmann, A, Weinstein, M, Austin, P, et al. Variability in the emergency department use of discretionary radiographs in children with common respiratory conditions: the mixed effect of access to pediatrician care. CJEM 2012.Google Scholar
2.Schuh, S, Lalani, A, Allen, U, et al. Evaluation of the utility of radiography in acute bronchiolitis. J Pediatr 2007;150:429–33, doi:10.1016/j.jpeds.2007.01.005.CrossRefGoogle ScholarPubMed
3.Gentile, NT, Ufberg, J, Barnum, M, et al. Guidelines reduce s-ray and blood gas utilization in acute asthma. Am J Emerg Med 2003;21:451–3, doi:10.1016/S0735-6757(03)00165-7.CrossRefGoogle Scholar
4.Battle, CE, Hutchings, H, Evans, PA. Expert opinion of the risk factors for morbidity and mortality in blunt chest wall trauma: results of a national postal questionnaire survey of emergency departments in the United Kingdom. Injury 2012 Jan 6. [Epub ahead of print]Google Scholar
5.Chamberlain, MC, Reid, SR, Madhok, M. Utilization of emergency ultrasound in pediatric emergency departments. Pediatr Emerg Care 2011;27:628–32, doi:10.1097/PEC.0b013e3182259908.CrossRefGoogle ScholarPubMed
6.Lougheed, MD, Garvey, N, Chapman, KR, et al. Variations and gaps in management of acute asthma in Ontario emergency departments. Chest 2009;135:724–36, doi:10.1378/chest.08-0371.Google Scholar
7.Knapp, JF, Hall, M, Sharma, V. Benchmarks for the emergency department care of children with asthma, bronchiolitis and croup. Pediatr Emerg Care 2010;26:364–9, doi:10.1097/PEC.0b013e3181db2262.Google Scholar
8.Grol, R, Grimshaw, J. From best evidence to best practice: effective implementation of change in patients’ care. Lancet 2003;362:1225–30, doi:10.1016/S0140-6736(03)14546-1.CrossRefGoogle ScholarPubMed
9.Scott, DS, Grimshaw, J, Klassen, TP, et al. Understanding implementation processes of clinical pathways and clinical practice guidelines in pediatric contexts: a study protocol. Implement Sci 2011;6:133, doi:10.1186/1748-5908-6-133.Google Scholar
10.Richer, LP, Laycock, K, Millar, K, et al. Treatment of children with migraine in emergency departments: national practice variation study. Pediatrics 2010;126:e150-5, doi:10.1542/peds.2009-2337.Google Scholar