Journal of the American Association of Nurse Practitioners
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J Am Assoc Nurse Pract · May 2020
Reducing chest radiography utilization in the medical intensive care unit.
Daily chest radiographs (CXRs) have long been a routine part of care. However, evidence as well as changing technology has promoted on-demand CXRs as beneficial to patient care. We found that a substantial number of routine daily CXRs were being ordered, with some of the orders staying active even after extubation. ⋯ By an orchestrated process that included creating awareness and desire to change CXR ordering practices, we were able to decrease routine CXRs and increase on-demand utilization while maintaining counterbalance measures.