title

آیا درخواست ام آر آی زانو مطابق راهنمای استاندارد کلینیکی است؟

رفاهی, سهیلا and کچوئی, امیر رضا and فرساد پور, مجید and شهراینی, رامین and گودرزیان, مریم and مولوی طالقانی, یاسمین and فوجی, سمیرا and امیری, پرستو and ملک کاهی, اکرم and سالاری, مژده and وجدانی, مرجان (1394) آیا درخواست ام آر آی زانو مطابق راهنمای استاندارد کلینیکی است؟. Acta Medica Mediterranea ــ 32 (4). pp. 1207-1211. شاپا 2283-9720

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Title

IS PRESCRIPTION OF KNEE MRI ACCORDING TO STANDARD CLINICAL GUIDELINE?

English Abstract

Background: Knee pain is one of the most common complaints that caused patients visit their physician. Among all medical imaging technologies; using Magnetic Resonance Imaging (MRI) is significant. The aim of this study was to determine the appropriateness of knee MRI prescription in Sabzevar Vasei hospital in 2014. Materials and methods: This study is descriptive and analytic, while the statistical population included 115 patients referred to MRI Unit in Sabzevar Vasei hospital, while they were selected randomly. A questionnaire was used for data collection and to determine the appropriateness of prescription; a local clinical guideline was used as well. Data analysis was done by using SPSS16, descriptive statistics, Spearman test, Pearson chi-square and Fisher exact tests. Results: Among 115 prescribed knee MRI patients, 52 prescriptions (45.2%) were inappropriate, 2 prescriptions (1.7%) were uncertain and 61 prescriptions (53%) were considered appropriate. The financial burden arising from inappropriate prescriptions was 39204000 Rials. Besides, there is a significant difference between the appropriate prescriptions and patients' gender, occupation, education, the specialty of a prescriber physician as well as referral institution (P <0.05). Conclusion: Considering the high rate of inappropriate prescriptions, it is essential to find some reasons and to do continuous monitoring. The use of local clinical guidelines can improve the quality of the health system and avoid additional costs.

Item Type:Article
زبان سند : انگلیسی
نویسنده اول :سهیلا رفاهی
نویسنده :امیر رضا کچوئی
نویسنده مسئول :مرجان وجدانی
Additional Information:Impact Factor (2015) 0.154 Indexed in: ISI, Scopus, Google Scholar
کلیدواژه ها (انگلیسی):appropriateness , MRI , knee , hospital
Subjects:W Health professions > W.50 Medical ethics
W Health professions
WN Radiology . Diagnostic Imaging
Divisions:Faculty of Medicine > Department of Basic Sciences > Department of Medical Physics
ID Code:7912
Deposited By: MS Soheila Refahi
Deposited On:29 Aug 1395 12:05
Last Modified:29 Aug 1395 12:05

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