• Emerg Med Australas · Jun 2024

    Observational Study

    Choosing Wisely audit: CT KUB ordering in emergency department renal colic presentations.

    • Fahad Yousif and Katie Campbell.
    • Emergency Department, The Royal Melbourne Hospital, Melbourne, Victoria, Australia.
    • Emerg Med Australas. 2024 Jun 1; 36 (3): 485487485-487.

    ObjectiveOur aim was to safely reduce unnecessary CT KUBs (kidneys, ureters, bladder) in patients with renal colic.MethodsThis was a before and after intervention observational study of 74 patients in April 2023 and 57 patients in October 2023.ResultsSeventy-five per cent of patients with suspected renal colic underwent a CT KUB in the pre-audit period. Following education, an update in the ED Renal Colic Policy, electronic medical record ordering and short stay pathway, a re-audit was undertaken in October 2023 resulting in an absolute reduction of 15% of CT KUBs ordered.ConclusionsAudit interventions can reduce unnecessary CT KUBs in renal colic.© 2024 Australasian College for Emergency Medicine.

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