Barriers to computed tomography radiation risk communication in the emergency department: A qualitative analysis of patient and physician perspectives

Academic Emergency Medicine

Volumn 21, Issue 2, 2014, Pages 122-129

  Robey, Thomas E ^a,b   Edwards, Kelly ^c   Murphy, Mary K ^b  

^a WATERBURY HOSPITAL   (United States)

^b YALE UNIVERSITY   (United States)

^c UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ATTITUDE OF HEALTH PERSONNEL; ATTITUDE TO HEALTH; DISCLOSURE; EMERGENCY SERVICE, HOSPITAL; ETHICS, MEDICAL; FEMALE; FOCUS GROUPS; HUMANS; MALE; MIDDLE AGED; PATIENT EDUCATION AS TOPIC; PHYSICIAN-PATIENT RELATIONS; QUALITATIVE RESEARCH; RADIATION DOSAGE; RADIATION EFFECTS; RISK; TOMOGRAPHY, X-RAY COMPUTED;

EID: 84893982215     PISSN: 10696563     EISSN: 15532712     Source Type: Journal    
DOI: 10.1111/acem.12311     Document Type: Review

References (31)

1. Larson DB, Johnson LW, Schnell BM, Salisbury SR, Forman HP,. National trends in CT use in the emergency department: 1995-2007. Radiology 2011; 258: 164-73.
2. Baumann BM, Chen EH, Mills AM, et al. Patient perceptions of computed tomographic imaging and their understanding of radiation risk and exposure. Ann Emerg Med 2011; 58: 1-7.
3. Brenner DJ, Hall EJ,. Computed tomography-an increasing source of radiation exposure. N Engl J Med 2007; 357: 2277-84.
4. Smith-Bindman R, Lipson J, Marcus R, et al. Radiation dose associated with common computed tomography examinations and the associated lifetime attributable risk of cancer. Arch Intern Med 2009; 169: 2078-86.
5. Martin DR, Semelka RC,. Health effects of ionising radiation from diagnostic CT. Lancet 2006; 367: 1712-4.
6. Pearce MS, Salotti JA, Little MP, et al. Radiation exposure from CT scans in childhood and subsequent risk of leukaemia and brain tumours: a retrospective cohort study. Lancet 2012; 380: 499-505.
7. Board of Radiation Effects Research Division on Earth and Life Sciences. National Research Council of the National Academies. Health Risks From Exposure to Low Levels of Ionizing Radiation: BEIR VII Phase 2. Washington, DC: National Academies Press, 2006.
8. Freudenberg LS, Beyer T,. Subjective perception of radiation risk. J Nucl Med 2011; 52 (Suppl 2): 29S-35.
9. Lee CI, Flaster HV, Haims AH, Monico EP, Forman HP,. Diagnostic CT scans: institutional informed consent guidelines and practices at academic medical centers. AJR Am J Roentgenol 2006; 187: 282-7.
10. Lee CI, Haims AH, Monico EP, Brink JA, Forman HP,. Diagnostic CT scans: assessment of patient, physician, and radiologist awareness of radiation dose and possible risks. Radiology 2004; 231: 393-8.
11. Quinn AD, Taylor CG, Sabharwal T, Sikdar T,. Radiation protection awareness in non-radiologists. Br J Radiol 1997; 70: 102-6.
12. Rice HE, Frush DP, Harker MJ, Farmer D,. Waldhausen JH; APSA Education Committee. Peer assessment of pediatric surgeons for potential risks of radiation exposure from computed tomography scans. J Pediatr Surg 2007; 42: 1157-64.
13. Shiralkar S, Rennie A, Snow M, Galland RB, Lewis MH, Gower-Thomas K,. Doctors' knowledge of radiation exposure: questionnaire study. BMJ 2003; 327: 371-2.
14. Thomas KE, Parnell-Parmley JE, Haidar S, et al. Assessment of radiation dose awareness among pediatricians. Pediatr Radiol 2006; 36: 823-32.
15. Creswell JW, Plano Clark VL,. Designing and Conducting Mixed Methods Research. Thousand Oaks, CA: Sage Publications, Inc., 2012.
16. Patton MQ,. Qualitative Research and Evaluation Methods. Thousand Oaks, CA: Sage Publications Inc, 2002.
17. Post LA, Plantz DM,. Emergency medicine research: to infinity and beyond!. Acad Emerg Med 2011; 18: 1090-3.
18. Stewart DW, Shamdasani PN,. Focus Groups: Theory and Practice. Thousand Oaks, CA: Sage Publications Inc, 2007.
19. Taylor HA, Hull SC, Kass NE,. Qualitative Methods. In:, Sugarman J, Sulmasy DP, editors. Methods in Medical Ethics. Washington, DC: Georgetown University Press, 2010, pp 193-214.
20. Curtler HM,. Ethical Argument: Critical Thinking in Ethics. New York, NY: Oxford University Press, 2004.
21. Hsieh HF, Shannon SE,. Three approaches to qualitative content analysis. Qual Health Res 2005; 15: 1277-88.
22. Bulas D, Goske M, Applegate K, Wood B,. Image gently: improving health literacy for parents about CT scans for children. Pediatr Radiol 2009; 39: 112-6.
23. Jacob K, Vivian G, Steel JR,. X-ray dose training: are we exposed to enough? Clin Radiol 2004; 59: 928-34.
24. Berrington de González A, Mahesh M, Kim KP, et al. Projected cancer risks from computed tomographic scans performed in the United States in 2007. Arch Intern Med 2009; 169: 2071-7.
25. Sodickson A, Baeyens PF, Andriole KP, et al. Recurrent CT, cumulative radiation exposure, and associated radiation-induced cancer risks from CT of adults. Radiology 2009; 251: 175-84.
26. Larson DB, Rader SB, Forman HP, Fenton LZ,. Informing parents about CT radiation exposure in children: it's OK to tell them. AJR Am J Roentgenol 2007; 189: 271-5.
27. Brink JA, Goske MJ, Patti JA,. Informed decision making trumps informed consent for medical imaging with ionizing radiation. Radiology 2012; 262: 11-4.
28. Elwyn G, Frosch D, Thomson R, et al. Shared decision making: a model for clinical practice. J Gen Intern Med 2012; 27: 1361-7.
29. Goske MJ, Bulas D,. Improving health literacy: informed decision-making rather than informed consent for CT scans in children. Pediatr Radiol 2009; 39: 901-3.
30. Flynn D, Knoedler MA, Hess EP, et al. Engaging patients in health care decisions in the emergency department through shared decision-making: a systematic review. Acad Emerg Med 2012; 19: 959-67.
31. Robey TE, Murphy MK, Edwards K,. Should we communicate radiation risk from CT scans to patients? A mixed-methods and normative ethical analysis. National Meeting of the Society for Academic Emergency Medicine, Atlanta, GA, May 15, 2013.