{"id":"https://openalex.org/W1973943589","doi":"https://doi.org/10.1097/pts.0000000000000116","title":"An Appeal for Safe and Appropriate Imaging of Children","display_name":"An Appeal for Safe and Appropriate Imaging of Children","publication_year":2014,"publication_date":"2014-07-02","ids":{"openalex":"https://openalex.org/W1973943589","doi":"https://doi.org/10.1097/pts.0000000000000116","mag":"1973943589","pmid":"https://pubmed.ncbi.nlm.nih.gov/24988212"},"language":"en","primary_location":{"id":"doi:10.1097/pts.0000000000000116","doi":"https://doi.org/10.1097/pts.0000000000000116","is_oa":false,"landing_page_url":"https://doi.org/10.1097/pts.0000000000000116","pdf_url":null,"source":{"id":"https://openalex.org/S29620287","display_name":"Journal of Patient Safety","issn_l":"1549-8417","issn":["1549-8417","1549-8425"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Patient Safety","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5113532263","display_name":"Stephen J. Swensen","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1285204247","display_name":"Cincinnati Children's Hospital Medical Center","ror":"https://ror.org/01hcyya48","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1285204247"]},{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723"]},{"id":"https://openalex.org/I27804330","display_name":"Brown University","ror":"https://ror.org/05gq02987","country_code":"US","type":"education","lineage":["https://openalex.org/I27804330"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Stephen J. Swensen","raw_affiliation_strings":["From the *Mayo Clinic, Rochester, Minnesota; \u2020Washington University School of Medicine, St. Louis, Missouri; \u2021The Hastings Center, Garrison, New York; \u00a7Children's Hospitals Solutions for Patient Safety, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; \u2225Citizen Advocacy Center Redding, Washington, DC; \u00b6Connecticut Center for Patient Safety, Redding, Connecticut; **Washington State Hospital Association, Seattle, Washington; \u2020\u2020Warren Alpert Medical School of Brown University, Providence, Rhode Island; \u2021\u2021Consumer Reports Health, Yonkers, New York; and \u00a7\u00a7National Institute for Children's Health Quality; and \u2225\u2225Department of Radiology, Mayo Clinic Jacksonville, Jacksonville, Florida","Mayo Clinic, Rochester, Minnesota","Washington State Hospital Association, Seattle, Washington"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the *Mayo Clinic, Rochester, Minnesota; \u2020Washington University School of Medicine, St. Louis, Missouri; \u2021The Hastings Center, Garrison, New York; \u00a7Children's Hospitals Solutions for Patient Safety, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; \u2225Citizen Advocacy Center Redding, Washington, DC; \u00b6Connecticut Center for Patient Safety, Redding, Connecticut; **Washington State Hospital Association, Seattle, Washington; \u2020\u2020Warren Alpert Medical School of Brown University, Providence, Rhode Island; \u2021\u2021Consumer Reports Health, Yonkers, New York; and \u00a7\u00a7National Institute for Children's Health Quality; and \u2225\u2225Department of Radiology, Mayo Clinic Jacksonville, Jacksonville, Florida","institution_ids":["https://openalex.org/I1285204247","https://openalex.org/I1330342723","https://openalex.org/I27804330"]},{"raw_affiliation_string":"Mayo Clinic, Rochester, Minnesota","institution_ids":["https://openalex.org/I1330342723"]},{"raw_affiliation_string":"Washington State Hospital Association, Seattle, Washington","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5016363507","display_name":"James R. Duncan","orcid":"https://orcid.org/0000-0002-0337-8805","observed_orcids":["https://orcid.org/0000-0002-0337-8805"]},"institutions":[{"id":"https://openalex.org/I204465549","display_name":"Washington University in St. Louis","ror":"https://ror.org/01yc7t268","country_code":"US","type":"education","lineage":["https://openalex.org/I204465549"]},{"id":"https://openalex.org/I27804330","display_name":"Brown University","ror":"https://ror.org/05gq02987","country_code":"US","type":"education","lineage":["https://openalex.org/I27804330"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"James R. Duncan","raw_affiliation_strings":["Warren Alpert Medical School of Brown University, Providence, Rhode Island","Washington University School of Medicine, St. Louis, Missouri"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Warren Alpert Medical School of Brown University, Providence, Rhode Island","institution_ids":["https://openalex.org/I27804330"]},{"raw_affiliation_string":"Washington University School of Medicine, St. Louis, Missouri","institution_ids":["https://openalex.org/I204465549"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5083630920","display_name":"Rosemary Helen Gibson","orcid":"https://orcid.org/0000-0002-3747-095X","observed_orcids":["https://orcid.org/0000-0002-3747-095X"]},"institutions":[{"id":"https://openalex.org/I1308814778","display_name":"Hastings Center","ror":"https://ror.org/02pmr4c75","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I1308814778"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Rosemary Gibson","raw_affiliation_strings":["Consumer Reports Health, Yonkers, New York","The Hastings Center, Garrison, New York"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Consumer Reports Health, Yonkers, New York","institution_ids":[]},{"raw_affiliation_string":"The Hastings Center, Garrison, New York","institution_ids":["https://openalex.org/I1308814778"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5086638680","display_name":"Stephen E. Muething","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1285204247","display_name":"Cincinnati Children's Hospital Medical Center","ror":"https://ror.org/01hcyya48","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1285204247"]},{"id":"https://openalex.org/I4210086106","display_name":"National Institute for Children\u2019s Health Quality","ror":"https://ror.org/00hq8sy61","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I4210086106"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Stephen E. Muething","raw_affiliation_strings":["Children\u2019s Hospitals Solutions for Patient Safety, Cincinnati Children\u2019s Hospital Medical Center, Cincinnati, Ohio","National Institute for Children\u2019s Health Quality"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Children\u2019s Hospitals Solutions for Patient Safety, Cincinnati Children\u2019s Hospital Medical Center, Cincinnati, Ohio","institution_ids":["https://openalex.org/I1285204247"]},{"raw_affiliation_string":"National Institute for Children\u2019s Health Quality","institution_ids":["https://openalex.org/I4210086106"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5047516200","display_name":"Rebecca LeBuhn","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210146710","display_name":"Mayo Clinic in Florida","ror":"https://ror.org/03zzw1w08","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723","https://openalex.org/I4210146710"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Rebecca LeBuhn","raw_affiliation_strings":["Citizen Advocacy Center Redding, Washington, DC","Department of Radiology, Mayo Clinic Jacksonville, Jacksonville, Florida"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Citizen Advocacy Center Redding, Washington, DC","institution_ids":[]},{"raw_affiliation_string":"Department of Radiology, Mayo Clinic Jacksonville, Jacksonville, Florida","institution_ids":["https://openalex.org/I4210146710"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5027299684","display_name":"Jean Rexford","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jean Rexford","raw_affiliation_strings":["Connecticut Center for Patient Safety, Redding, Connecticut"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Connecticut Center for Patient Safety, Redding, Connecticut","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5067795298","display_name":"Carol A. Wagner","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Carol Wagner","raw_affiliation_strings":["Mayo Clinic, Rochester, Minnesota","Washington State Hospital Association, Seattle, Washington"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mayo Clinic, Rochester, Minnesota","institution_ids":["https://openalex.org/I1330342723"]},{"raw_affiliation_string":"Washington State Hospital Association, Seattle, Washington","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5063093852","display_name":"R. Stephen Smith","orcid":"https://orcid.org/0000-0002-0455-6415","observed_orcids":["https://orcid.org/0000-0002-0455-6415"]},"institutions":[{"id":"https://openalex.org/I204465549","display_name":"Washington University in St. Louis","ror":"https://ror.org/01yc7t268","country_code":"US","type":"education","lineage":["https://openalex.org/I204465549"]},{"id":"https://openalex.org/I27804330","display_name":"Brown University","ror":"https://ror.org/05gq02987","country_code":"US","type":"education","lineage":["https://openalex.org/I27804330"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Stephen R. Smith","raw_affiliation_strings":["Warren Alpert Medical School of Brown University, Providence, Rhode Island","Washington University School of Medicine, St. Louis, Missouri"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Warren Alpert Medical School of Brown University, Providence, Rhode Island","institution_ids":["https://openalex.org/I27804330"]},{"raw_affiliation_string":"Washington University School of Medicine, St. Louis, Missouri","institution_ids":["https://openalex.org/I204465549"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5027153684","display_name":"Becky DeMers","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Becky DeMers","raw_affiliation_strings":["Mayo Clinic, Rochester, Minnesota","Washington State Hospital Association, Seattle, Washington"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mayo Clinic, Rochester, Minnesota","institution_ids":["https://openalex.org/I1330342723"]},{"raw_affiliation_string":"Washington State Hospital Association, Seattle, Washington","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5002308949","display_name":"Richard L. Morin","orcid":"https://orcid.org/0000-0003-1804-6544","observed_orcids":["https://orcid.org/0000-0003-1804-6544"]},"institutions":[{"id":"https://openalex.org/I4210146710","display_name":"Mayo Clinic in Florida","ror":"https://ror.org/03zzw1w08","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723","https://openalex.org/I4210146710"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Richard L. Morin","raw_affiliation_strings":["Citizen Advocacy Center Redding, Washington, DC","Department of Radiology, Mayo Clinic Jacksonville, Jacksonville, Florida"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Citizen Advocacy Center Redding, Washington, DC","institution_ids":[]},{"raw_affiliation_string":"Department of Radiology, Mayo Clinic Jacksonville, Jacksonville, Florida","institution_ids":["https://openalex.org/I4210146710"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5085191341","display_name":"John S Santa","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1308814778","display_name":"Hastings Center","ror":"https://ror.org/02pmr4c75","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I1308814778"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"John Santa","raw_affiliation_strings":["Consumer Reports Health, Yonkers, New York","The Hastings Center, Garrison, New York"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Consumer Reports Health, Yonkers, New York","institution_ids":[]},{"raw_affiliation_string":"The Hastings Center, Garrison, New York","institution_ids":["https://openalex.org/I1308814778"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5044430058","display_name":"Charles J. Homer","orcid":"https://orcid.org/0000-0002-8671-5335","observed_orcids":["https://orcid.org/0000-0002-8671-5335"]},"institutions":[{"id":"https://openalex.org/I1285204247","display_name":"Cincinnati Children's Hospital Medical Center","ror":"https://ror.org/01hcyya48","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1285204247"]},{"id":"https://openalex.org/I4210086106","display_name":"National Institute for Children\u2019s Health Quality","ror":"https://ror.org/00hq8sy61","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I4210086106"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Charles J. Homer","raw_affiliation_strings":["Children\u2019s Hospitals Solutions for Patient Safety, Cincinnati Children\u2019s Hospital Medical Center, Cincinnati, Ohio","National Institute for Children\u2019s Health Quality"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Children\u2019s Hospitals Solutions for Patient Safety, Cincinnati Children\u2019s Hospital Medical Center, Cincinnati, Ohio","institution_ids":["https://openalex.org/I1285204247"]},{"raw_affiliation_string":"National Institute for Children\u2019s Health Quality","institution_ids":["https://openalex.org/I4210086106"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":7,"corresponding_author_ids":["https://openalex.org/A5027153684","https://openalex.org/A5067795298","https://openalex.org/A5113532263"],"corresponding_institution_ids":["https://openalex.org/I1285204247","https://openalex.org/I1330342723","https://openalex.org/I27804330"],"apc_list":null,"apc_paid":null,"fwci":0.7807,"has_fulltext":false,"cited_by_count":7,"citation_normalized_percentile":{"value":0.71398682,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":96},"biblio":{"volume":"10","issue":"3","first_page":"121","last_page":"124"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10844","display_name":"Radiation Dose and Imaging","score":0.9535999894142151,"subfield":{"id":"https://openalex.org/subfields/2741","display_name":"Radiology, Nuclear Medicine and Imaging"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10844","display_name":"Radiation Dose and Imaging","score":0.9535999894142151,"subfield":{"id":"https://openalex.org/subfields/2741","display_name":"Radiology, Nuclear Medicine and Imaging"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13555","display_name":"Healthcare cost, quality, practices","score":0.038600001484155655,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11894","display_name":"Radiology practices and education","score":0.003700000001117587,"subfield":{"id":"https://openalex.org/subfields/2741","display_name":"Radiology, Nuclear Medicine and Imaging"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/pediatric-radiology","display_name":"pediatric radiology","score":0.7540000081062317},{"id":"https://openalex.org/keywords/ionizing-radiation-exposure","display_name":"ionizing radiation exposure","score":0.6259999871253967},{"id":"https://openalex.org/keywords/radiation-induced-cancer-risk","display_name":"radiation-induced cancer risk","score":0.7200000286102295},{"id":"https://openalex.org/keywords/ct-overuse","display_name":"CT overuse","score":0.7200000286102295},{"id":"https://openalex.org/keywords/incidental-finding","display_name":"incidental finding","score":0.593999981880188},{"id":"https://openalex.org/keywords/pulmonary-nodules","display_name":"pulmonary nodules","score":0.4869999885559082},{"id":"https://openalex.org/keywords/risk-benefit-assessment","display_name":"risk-benefit assessment","score":0.546999990940094},{"id":"https://openalex.org/keywords/parental-trust","display_name":"parental trust","score":0.33500000834465027},{"id":"https://openalex.org/keywords/health-care-waste","display_name":"health care waste","score":0.531000018119812},{"id":"https://openalex.org/keywords/fleischner-society-guidelines","display_name":"Fleischner Society guidelines","score":0.7839999794960022},{"id":"https://openalex.org/keywords/patient-and-family-experiences","display_name":"patient and family experiences","score":0.44200000166893005},{"id":"https://openalex.org/keywords/health-care-costs","display_name":"health care costs","score":0.6359999775886536},{"id":"https://openalex.org/keywords/health-equity","display_name":"health equity","score":0.3440000116825104}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6499189138412476},{"id":"https://openalex.org/C31601959","wikidata":"https://www.wikidata.org/wiki/Q931309","display_name":"Medical imaging","level":2,"score":0.4712928831577301},{"id":"https://openalex.org/C190892606","wikidata":"https://www.wikidata.org/wiki/Q3512464","display_name":"Radiological weapon","level":2,"score":0.4653981626033783},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.42981240153312683},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.42875584959983826},{"id":"https://openalex.org/C544519230","wikidata":"https://www.wikidata.org/wiki/Q32566","display_name":"Computed tomography","level":2,"score":0.4216378629207611},{"id":"https://openalex.org/C19527891","wikidata":"https://www.wikidata.org/wiki/Q1120908","display_name":"Medical physics","level":1,"score":0.3243982195854187},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D002648","descriptor_name":"Child","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003952","descriptor_name":"Diagnostic Imaging","qualifier_ui":"Q000009","qualifier_name":"adverse effects","is_major_topic":false},{"descriptor_ui":"D003952","descriptor_name":"Diagnostic Imaging","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011839","descriptor_name":"Radiation, Ionizing","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018570","descriptor_name":"Risk Assessment","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D061214","descriptor_name":"Patient Safety","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1097/pts.0000000000000116","doi":"https://doi.org/10.1097/pts.0000000000000116","is_oa":false,"landing_page_url":"https://doi.org/10.1097/pts.0000000000000116","pdf_url":null,"source":{"id":"https://openalex.org/S29620287","display_name":"Journal of Patient Safety","issn_l":"1549-8417","issn":["1549-8417","1549-8425"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Patient Safety","raw_type":"journal-article"},{"id":"pmid:24988212","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/24988212","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of patient safety","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9922999739646912,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":32,"referenced_works":["https://openalex.org/W1969623487","https://openalex.org/W1970118485","https://openalex.org/W1984781901","https://openalex.org/W1999529880","https://openalex.org/W2012745284","https://openalex.org/W2020550871","https://openalex.org/W2025084502","https://openalex.org/W2031267008","https://openalex.org/W2037801955","https://openalex.org/W2056562339","https://openalex.org/W2066488154","https://openalex.org/W2069726332","https://openalex.org/W2085294890","https://openalex.org/W2085932143","https://openalex.org/W2088814919","https://openalex.org/W2091475267","https://openalex.org/W2101071339","https://openalex.org/W2110485392","https://openalex.org/W2122546849","https://openalex.org/W2124435581","https://openalex.org/W2130876592","https://openalex.org/W2131389518","https://openalex.org/W2131585832","https://openalex.org/W2137571255","https://openalex.org/W2138025351","https://openalex.org/W2142858362","https://openalex.org/W2143580356","https://openalex.org/W2153746053","https://openalex.org/W2164656708","https://openalex.org/W2170260757","https://openalex.org/W4244341064","https://openalex.org/W4406475211"],"related_works":["https://openalex.org/W2118680890","https://openalex.org/W2317434797","https://openalex.org/W2952270256","https://openalex.org/W2412941119","https://openalex.org/W7100316814","https://openalex.org/W7125808117","https://openalex.org/W2263227287","https://openalex.org/W2046678183","https://openalex.org/W4376286556","https://openalex.org/W4379375730"],"abstract_inverted_index":{"DO":[0],"YOU":[1],"AGREE?":[2],"\u25cb":[3,14,23,47,66],"That":[4,15,24,48,67],"our":[5,71,75,741,776,787,795,1155],"nation\u2019s":[6],"children":[7,44,61,113,382,432,558,583,742,802,1209],"deserve":[8],"safe":[9,552,589,624,790,1055,1214],"and":[10,87,92,129,195,219,225,275,338,414,482,501,504,543,553,610,634,702,726,736,810,847,853,869,895,936,975,1009,1056,1099,1112,1244,1263,1283,1293,1306],"appropriate":[11,554,1057],"medical":[12,19,36,106,439,570,907,1035,1058,1113,1196,1304],"imaging.":[13],"when":[16,112,804],"used":[17,352],"properly,":[18],"imaging":[20,107,132,440,515,534,555,571,582,637,705,718,800,939,1036,1059,1087,1144,1197,1208,1266,1305],"is":[21,235,450,463,483,516,595,754,1063,1068,1217],"lifesaving.":[22],"there":[25,753],"are":[26,192,369,397,433,792,818],"risks":[27,41,111,370,404],"to":[28,45,53,77,142,360,366,383,403,426,435,546,556,596,621,698,759,768,798,900,924,930,966,981,1031,1043,1084,1107,1167,1286,1290,1297],"almost":[29],"every":[30,325],"aspect":[31],"of":[32,39,70,105,131,165,187,315,334,357,363,405,419,430,471,506,527,533,559,581,601,630,680,714,738,821,823,844,850,872,883,904,984,1026,1088,1207,1235,1259,1275,1303],"health":[33,81],"care.":[34],"For":[35],"imaging,":[37],"one":[38],"the":[40,56,68,110,134,153,188,242,283,328,347,400,417,469,557,574,579,598,606,611,641,652,663,681,724,727,734,750,772,807,812,819,829,841,864,873,902,963,989,999,1033,1082,1200,1205,1232,1240,1245,1272,1298,1301],"includes":[42],"exposing":[43,381],"radiation.":[46,374,407,1145],"parents":[49],"must":[50,1189,1226],"be":[51,291,577,1032,1091,1168,1203],"able":[52],"trust":[54],"that":[55,64,380,491,550,566,730,752,947,1052,1231],"teams":[57],"who":[58],"image":[59],"their":[60,392,928,1089],"have":[62,342,423,494,540,723,764,855,1085,1227],"earned":[63],"privilege.":[65],"future":[69],"nation":[72],"depends":[73],"on":[74,513,531,801,927,1136],"ability":[76],"create":[78,547,1049],"a":[79,143,159,174,199,227,232,278,386,446,464,541,548,619,755,765,783,859,884,1045,1050,1065,1070,1133,1174],"better":[80,90,784],"care":[82,739,1037],"system":[83,549,1051],"with":[84,122,147,218,294,309,346,372,442,618,651,749,794,806,811,1100],"superior":[85],"patient":[86,335,457,1140],"family":[88,271,284,896],"experience,":[89],"outcomes,":[91],"lower":[93],"cost.":[94],"If":[95],"so,":[96],"we":[97,645,780,917,1028,1041,1048],"need":[98,1223],"your":[99],"help.":[100,1224],"THE":[101,562,913],"HARMS":[102],"The":[103,115,119,123,171,203,270,288,408,509,603,671,693,708,816,1011,1092,1096,1101,1146,1237,1269],"benefits":[104],"far":[108,399],"outweigh":[109],"receive":[114],"Right":[116,120,124,672,694,709,1093,1097,1102],"Exam,":[117,1094],"ordered":[118,1095],"Way,":[121,1098],"Radiation":[125,710,832,1103],"Dose.1\u20136":[126],"However,":[127,970],"overuse":[128,532],"misuse":[130],"change":[133],"benefit-risk":[135],"ratio.":[136],"Recently,":[137],"an":[138,167,180,303,311,996],"11-year-old":[139],"girl":[140],"presented":[141],"Midwestern":[144],"emergency":[145],"department":[146],"abdominal":[148],"pain.":[149],"To":[150],"investigate":[151],"if":[152],"cause":[154],"was":[155,223,267,272,944,957,962,1002],"appendicitis,":[156],"she":[157],"received":[158,302],"computed":[160],"tomographic":[161],"(CT)":[162],"scan":[163,205,244],"instead":[164],"following":[166,664],"\u201cUltrasound":[168],"First\u201d":[169],"policy.":[170],"CT":[172,204,217,234,262,296,473,704,717],"showed":[173],"normal":[175],"appendix":[176],"but":[177,388],"also":[178,744],"revealed":[179],"incidental":[181,500],"lung":[182,279],"nodule.":[183],"In":[184,941],"this":[185,240,259,322,358,364,560,1116],"region":[186],"Midwest,":[189],"such":[190,257,459],"nodules":[191],"very":[193,273],"common":[194],"usually":[196],"result":[197],"from":[198,1142],"benign":[200],"fungal":[201],"infection.":[202],"report":[206],"read:":[207],"\u201c3":[208],"mm":[209],"nodule,":[210],"unknown":[211],"malignant":[212],"potential.\u201d":[213],"A":[214],"follow-up":[215,254,263],"chest":[216,703],"without":[220,1176],"contrast":[221],"material":[222],"recommended":[224],"performed":[226],"few":[228],"weeks":[229,977],"later":[230],"although":[231],"dual-phase":[233,700],"widely":[236],"considered":[237],"inappropriate":[238],"for":[239,264,394,456,519,536,613,628,647,658,740,771,786,831,910,920,968,978,1022,1038,1060,1247,1257,1278,1281],"situation;":[241],"second":[243],"added":[245],"nothing.":[246],"Furthermore,":[247,261],"international":[248],"Fleischner":[249],"Society":[250],"guidelines":[251],"recommend":[252,662],"against":[253,286],"in":[255,318,327,391,453,468,474,485,573,834,1115,1154,1199,1300],"situations":[256],"as":[258,460,667,858,880],"one.7":[260],"2":[265,1130],"years":[266,822,974,1021,1128,1152],"inappropriately":[268],"recommended.":[269],"concerned":[274],"asked":[276],"about":[277,960],"biopsy.":[280,287],"After":[281],"discussion,":[282],"decided":[285],"nodule":[289],"will":[290],"followed":[292],"up":[293],"subsequent":[295],"scans.":[297],"This":[298,331,1216],"child":[299,1090],"has":[300,365,1081,1124,1160],"already":[301],"estimated":[304],"\u223c20":[305],"mSv,":[306],"which":[307],"carries":[308],"it":[310,585,943,971,1015,1018,1211],"increased":[312],"cancer":[313],"risk":[314,393,481,1141],"approximately":[316],"1":[317,438,881],"500.":[319],"Stories":[320],"like":[321],"likely":[323],"occur":[324],"day":[326],"United":[329],"States.8":[330],"unfortunate":[332],"sequence":[333],"harm,":[336],"waste,":[337],"needless":[339,477,906],"anxiety":[340],"could":[341],"been":[343,495,856,1126],"completely":[344],"avoided":[345],"Ultrasound":[348],"First":[349],"policy":[350],"being":[351],"at":[353,436],"many":[354],"centers.":[355],"None":[356,362],"had":[359],"happen.":[361,367],"There":[368,449,462,956],"associated":[371],"ionizing":[373,406,443],"Peer-reviewed":[375],"research":[376],"provides":[377,1054],"compelling":[378,766],"evidence":[379],"radiation":[384,444,454,814,908,1307],"causes":[385],"small":[387],"measurable":[389],"increase":[390],"cancer.":[395],"Children":[396],"by":[398,825],"most":[401,773],"susceptible":[402,774],"only":[409,803,1004],"substantive":[410],"disagreement":[411],"among":[412],"physicians":[413,980],"scientists":[415],"concerns":[416],"number":[418],"preventable":[420],"deaths.1,9\u201316":[421],"We":[422,539,564,661,722,747,763,778,877,1105,1163,1188,1229],"ample":[424],"opportunities":[425],"improve:":[427],"Approximately":[428],"40%":[429],"US":[431,934],"exposed":[434],"least":[437],"examination":[441],"during":[445],"3-year":[447],"period.17":[448],"50-fold":[451],"variation":[452,467,478],"exposure":[455,909],"conditions":[458],"headache.18,19":[461],"nearly":[465],"5-fold":[466],"use":[470,679,1302],"head":[472,676,701],"children.20":[475],"Such":[476],"creates":[479],"unnecessary":[480,514],"inexcusable":[484],"21st-century":[486],"America.":[487],"Beyond":[488],"radiation,":[489],"exams":[490],"never":[492],"should":[493,576,916,1202],"done":[496],"inflict":[497],"harm":[498,770],"through":[499],"false-positive":[502],"findings":[503],"misallocation":[505],"financial":[507],"resources.":[508],"wasted":[510],"money":[511],"spent":[512],"not":[517,918,1064,1069],"available":[518],"other":[520],"societal":[521],"purposes.":[522],"Currently,":[523],"America":[524],"squanders":[525],"billions":[526],"dollars":[528],"per":[529],"year":[530],"examinations":[535],"all":[537,631,898,1260],"patients.10,21\u201325":[538],"professional":[542,757,796,993,1158],"fiduciary":[544],"responsibility":[545],"delivers":[551],"country.":[561],"PROPOSAL":[563],"submit":[565],"no":[567,905,958],"hospital":[568,1194],"or":[569,1183,1195],"facility":[572,1198],"country":[575,1201],"granted":[578,1204],"privilege":[580,1206],"unless":[584,1210],"first":[586,669,1177],"meets":[587,1212],"fundamental":[588],"practice":[590,625],"performance":[591,626],"measures.":[592],"Our":[593,1157],"plan":[594],"engage":[597,1108],"American":[599,632,842,848,979,1233,1261,1273],"College":[600,849,1234],"Radiology,":[602,1236],"Joint":[604,1012,1238],"Commission,":[605,609,1239,1243],"Intersociety":[607,1241],"Accreditation":[608,1225,1242],"Centers":[612,1246],"Medicare":[614,1248],"&":[615,1249],"Medicaid":[616,1250],"Services":[617,1251],"proposal":[620],"include":[622],"3":[623,642,1254],"measures":[627,644,817],"accreditation":[629,648,879,1219,1258],"hospitals":[633,935,1262],"advanced":[635,937,1264],"diagnostic":[636,938,1143,1265],"facilities.":[638,1267],"By":[639],"design,":[640],"child-centered":[643],"propose":[646],"align":[649],"perfectly":[650],"National":[653,860,874],"Quality":[654,875],"Forum":[655],"Safe":[656,861],"Practice":[657,862],"Pediatric":[659,682,835],"Imaging.4":[660],"patient-centered":[665],"requirements":[666],"reasonable":[668],"steps.2":[670],"Exam":[673],"a.":[674,696,712],"Minor":[675],"trauma":[677],"imaging:":[678],"Emergency":[683],"Care":[684],"Applied":[685],"Research":[686],"Network":[687],"Clinical":[688],"Prediction":[689],"Rule":[690],"(Appendix":[691,706,720],"1)":[692],"Way":[695],"Protocols":[697],"reduce":[699,769],"2)":[707],"Dose":[711],"Use":[713],"size-specific":[715],"pediatric":[716,1139],"protocols":[719],"3)":[721],"knowledge":[725],"tools":[728],"today":[729],"can":[731,781],"substantially.":[732],"improve":[733,1295],"safety":[735,1255],"quality":[737,893],"(while":[743],"decreasing":[745],"costs).":[746],"start":[748],"premise":[751],"strong":[756],"obligation":[758,797],"do":[760,782,967],"nothing":[761],"less.":[762],"opportunity":[767],"population:":[775],"children.26":[777],"know":[779,1029,1164],"job":[785],"children.":[788],"These":[789],"practices":[791,923,1256],"consistent":[793],"perform":[799],"indicated,":[805],"proper":[808],"protocols,":[809],"correct":[813],"dose.":[815],"products":[820],"work":[824],"dedicated":[826],"professionals":[827,1114],"including":[828,887],"Alliance":[830],"Safety":[833],"Imaging,":[836],"Image":[837,839],"Gently,":[838],"Wisely,":[840],"Board":[843,1274],"Radiology":[845,1276],"Foundation,":[846],"Radiology.":[851],"Principles":[852],"recommendations":[854],"endorsed":[857],"after":[863,950,1005,1010],"thorough,":[865],"iterative":[866],"consensus":[867],"review":[868],"approval":[870],"process":[871],"Forum.4":[876],"see":[878],"part":[882],"multidimensional":[885],"strategy,":[886],"public":[888,1007,1110,1299],"reporting,":[889],"payment":[890],"policy,":[891],"collaborative":[892],"improvement,":[894],"engagement,":[897],"intended":[899],"achieve":[901],"goal":[903],"any":[911,1086],"child.":[912],"URGENCY":[914],"Why":[915],"wait":[919,1044],"these":[921,1213,1253],"uncontroversial":[922],"passively":[925],"diffuse":[926],"own":[929],"more":[931],"than":[932],"10,000":[933],"facilities?":[940],"1982,":[942],"crystal":[945],"clear":[946],"using":[948],"\u03b2-blockers":[949],"myocardial":[951,986],"infarction":[952,987],"significantly":[953],"lowered":[954],"mortality.27":[955],"debate":[959],"what":[961,1027,1165],"right":[964,1083],"thing":[965],"patients.":[969],"took":[972],"25":[973,1020],"6":[976],"treat":[982],"9":[983],"10":[985],"patients":[988],"safest":[990],"way.":[991],"Although":[992],"societies":[994],"played":[995],"important":[997],"role,":[998],"90%":[1000],"mark":[1001],"reached":[1003],"federal":[1006],"reporting":[1008],"Commission":[1013],"spurred":[1014],"on.28,29":[1016],"Will":[1017],"take":[1019],"voluntary":[1023],"passive":[1024],"diffusion":[1025],"now":[1030,1125],"best":[1034],"children?":[1039,1061],"Are":[1040],"willing":[1042],"generation":[1046],"before":[1047],"reliably":[1053],"\u201cSome":[1062],"number,":[1066],"soon":[1067],"time.\u201d":[1071],"Donald":[1072],"Berwick,":[1073],"MD":[1074],"MPP":[1075],"CALL":[1076],"TO":[1077],"ACTION":[1078],"Every":[1079],"parent":[1080],"Dose.30,31":[1104],"seek":[1106],"patients,":[1109],"organizations,":[1111],"movement":[1117],"(Accessed":[1118],"March":[1119],"12,":[1120],"2014:":[1121],"http://www.100kchildren.org/).":[1122],"It":[1123],"12":[1127],"since":[1129],"articles":[1131],"shined":[1132],"bright":[1134],"light":[1135],"potentially":[1137],"serious":[1138],"same":[1147],"questions":[1148],"were":[1149],"raised":[1150],"31":[1151],"ago":[1153],"literature.":[1156],"community":[1159],"acted":[1161],"gradually.32\u201334":[1162],"needs":[1166],"done.":[1169],"Who":[1170],"would":[1171],"ever":[1172],"drive":[1173],"car":[1175],"fastening":[1178],"his/her":[1179,1185],"child\u2019s":[1180],"seat":[1181],"belt":[1182],"securing":[1184],"infant":[1186],"carrier?":[1187],"dramatically":[1190],"accelerate":[1191],"improvement.":[1192],"No":[1193],"practices.":[1215],"why":[1218],"agencies":[1220],"exist.":[1221],"Parents":[1222],"meaning.":[1228],"request":[1230],"require":[1252],"ACKNOWLEDGMENT":[1268],"authors":[1270],"thank":[1271],"Foundation":[1277],"its":[1279,1288],"leadership":[1280],"convening":[1282],"connecting":[1284],"Americans":[1285],"support":[1287],"mission":[1289],"demonstrate,":[1291],"enhance,":[1292],"continuously":[1294],"accountability":[1296],"therapy.":[1308]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2023,"cited_by_count":1},{"year":2021,"cited_by_count":1},{"year":2018,"cited_by_count":1},{"year":2016,"cited_by_count":1},{"year":2015,"cited_by_count":2}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}