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The current manuscript details the recommendations arising from an NIH-NHLBI/NCI-sponsored symposium entitled “Patient-Centered Imaging-Shared Decision Making for Cardiac Imaging Procedures with Exposure to Ionizing Radiation,” held at Emory University on November 15-17, 2012. Accordingly, both dedicated radiological protection organizations (,) and medical societies (-) have put forth documents to educate members of the cardiovascular imaging community aimed at improving physician decision making with regards to radiation safety. The goal of radiological protection is the safeguarding of people from potentially harmful effects of ionizing radiation, while ensuring the benefits related to its use. The latter brings to the forefront the issue of patient safety and avoiding unnecessary potential harm to patients as a result of procedural overuse. Importantly, refraining from providing services that are unlikely to benefit is a key element of quality healthcare. The Institute of Medicine's six aims for quality improvement are safety, effectiveness, patient-centeredness, timeliness, efficiency, and equity all of these are critical elements for driving patient-centered imaging. The Institute of Medicine report on healthcare quality of nearly a decade ago defined key dimensions of quality healthcare delivery as those that provide services based on the highest level of scientific evidence and that demonstrate a clear benefit in terms of improved patient-centered outcomes. These issues have prompted concerns as to the extent to which current practice patterns are aligned with patient-centered imaging quality, particularly those related to radiation safety principles of justification and optimization. Recent surveys of cardiac laboratory practices identified deficiencies in radiation safety patterns including unwarranted exposure levels and underutilization of the American College of Cardiology's (ACC) appropriate use criteria (AUC) to guide patient referrals for testing (-). Cardiac imaging procedures have come under increasing scrutiny as a result of high utilization volume, concerns over inappropriate use, a lack of adherence to quality control, and the potential of cancer risks attributable to ionizing radiation exposure. An imaging protocol with effective dose ≤3mSv is considered very low risk, not warranting extensive discussion or written consent. Results Use of ionizing radiation during an imaging procedure should be disclosed to all patients by the ordering provider at the time of ordering, and reinforced by the performing provider team. Kc Miller Procedure Cards 4 On Flowvella Review.Kc Miller Procedure Cards 4 On Flowvella For Mac.
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