Journal of hospital medicine : an official publication of the Society of Hospital Medicine
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Imaging use in the diagnostic workup of pulmonary embolism (PE) has increased markedly in the last 2 decades. Low PE prevalence and diagnostic yields suggest a significant problem of overuse. ⋯ A combined implementation of an electronic CDS and PFRs is more effective than purely educational or policy interventions, although evidence is limited. Future studies of high-methodological quality would strengthen the evidence concerning their efficacy, safety, facilitators, and barriers.
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Intensivist shortages have led to increasing hospitalist involvement in critical care delivery. ⋯ Hospitalists frequently deliver critical care services without adequate training or support, most prevalently in rural hospitals. Without major changes in intensivist staffi ng or patient distribution, this is unlikely to change.
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Editorial Comment
Too Much of a Good Thing: Appropriate CTPA Use in the Diagnosis of PE.