Journal of paediatrics and child health
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J Paediatr Child Health · Mar 2005
Reduce the rads: a quality assurance project on reducing unnecessary chest X-rays in children with asthma.
To quantify and then reduce the number of unnecessary chest X-rays (CXR) being performed on children presenting with asthma. ⋯ This study determined that an unacceptably high rate of unnecessary CXR was being ordered in children presenting to hospital with asthma. It also showed how a clinically and statistically significant reduction in the overall number of CXR could be achieved, through a simple and easy to implement educational programme. Further measures are needed in addition to ongoing education in order to improve on this achievement.
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J Paediatr Child Health · Mar 2005
Pre-ambulatory infants with head trauma: a three-year retrospective study.
(i) To present the severity and documented mechanism of injury and clinical features of all infants less than 6 months old who presented with head trauma to a paediatric emergency department over a 3-year period; (ii) to evaluate the quality of their assessment; and (iii) to present the clinical features of those referred for assessment of possible inflicted injury. ⋯ The mechanism of injury and clinical findings can provide some guide as to the likelihood of an infant having sustained a major injury after head trauma. The assessment of infants with head trauma could be improved if currently available guidelines for children under 2 years old were adopted. However, infant-specific guidelines should be developed.