{"id":"https://openalex.org/W2168055283","doi":"https://doi.org/10.1136/jamia.1997.0040511","title":"Automated Evidence-based Critiquing of Orders for Abdominal Radiographs: Impact on Utilization and Appropriateness","display_name":"Automated Evidence-based Critiquing of Orders for Abdominal Radiographs: Impact on Utilization and Appropriateness","publication_year":1997,"publication_date":"1997-11-01","ids":{"openalex":"https://openalex.org/W2168055283","doi":"https://doi.org/10.1136/jamia.1997.0040511","mag":"2168055283","pmid":"https://pubmed.ncbi.nlm.nih.gov/9391938"},"language":"en","primary_location":{"id":"doi:10.1136/jamia.1997.0040511","is_oa":true,"landing_page_url":"https://doi.org/10.1136/jamia.1997.0040511","pdf_url":"https://academic.oup.com/jamia/article-pdf/4/6/511/2360932/4-6-511.pdf","source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://academic.oup.com/jamia/article-pdf/4/6/511/2360932/4-6-511.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5042235649","display_name":"Linda H. Harpole","orcid":null},"institutions":[{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1283280774","https://openalex.org/I48633490"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"L. H. Harpole","raw_affiliation_strings":["Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA. harpo003@mc.duke.edu","the Center for Applied Medical Information Systems Research (GJK, DWB), Brigham and Women's Hospital, Harvard Medical School, Boston, MA","Affiliations of the authors: Section for Clinical Epidemiology, Division of General Internal Medicine, Department of Medicine (LHH, JF, DWB)","Department of Radiology (RK)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA. harpo003@mc.duke.edu","institution_ids":["https://openalex.org/I1283280774"]},{"raw_affiliation_string":"the Center for Applied Medical Information Systems Research (GJK, DWB), Brigham and Women's Hospital, Harvard Medical School, Boston, MA","institution_ids":["https://openalex.org/I1283280774","https://openalex.org/I136199984"]},{"raw_affiliation_string":"Affiliations of the authors: Section for Clinical Epidemiology, Division of General Internal Medicine, Department of Medicine (LHH, JF, DWB)","institution_ids":[]},{"raw_affiliation_string":"Department of Radiology (RK)","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5022181642","display_name":"Ramin Khorasani","orcid":"https://orcid.org/0000-0002-2681-3574"},"institutions":[{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1283280774","https://openalex.org/I48633490"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"R. Khorasani","raw_affiliation_strings":["Affiliations of the authors: Section for Clinical Epidemiology, Division of General Internal Medicine, Department of Medicine (LHH, JF, DWB); Department of Radiology (RK); and the Center for Applied Medical Information Systems Research (GJK, DWB), Brigham and Women's Hospital, Harvard Medical School, Boston, MA","Affiliations of the authors: Section for Clinical Epidemiology, Division of General Internal Medicine, Department of Medicine (LHH, JF, DWB)","the Center for Applied Medical Information Systems Research (GJK, DWB), Brigham and Women's Hospital, Harvard Medical School, Boston, MA","Department of Radiology (RK)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Affiliations of the authors: Section for Clinical Epidemiology, Division of General Internal Medicine, Department of Medicine (LHH, JF, DWB); Department of Radiology (RK); and the Center for Applied Medical Information Systems Research (GJK, DWB), Brigham and Women's Hospital, Harvard Medical School, Boston, MA","institution_ids":["https://openalex.org/I1283280774"]},{"raw_affiliation_string":"Affiliations of the authors: Section for Clinical Epidemiology, Division of General Internal Medicine, Department of Medicine (LHH, JF, DWB)","institution_ids":[]},{"raw_affiliation_string":"the Center for Applied Medical Information Systems Research (GJK, DWB), Brigham and Women's Hospital, Harvard Medical School, Boston, MA","institution_ids":["https://openalex.org/I1283280774","https://openalex.org/I136199984"]},{"raw_affiliation_string":"Department of Radiology (RK)","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111444022","display_name":"Julie Fiskio","orcid":null},"institutions":[{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1283280774","https://openalex.org/I48633490"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"J. Fiskio","raw_affiliation_strings":["Affiliations of the authors: Section for Clinical Epidemiology, Division of General Internal Medicine, Department of Medicine (LHH, JF, DWB); Department of Radiology (RK); and the Center for Applied Medical Information Systems Research (GJK, DWB), Brigham and Women's Hospital, Harvard Medical School, Boston, MA","the Center for Applied Medical Information Systems Research (GJK, DWB), Brigham and Women's Hospital, Harvard Medical School, Boston, MA","Department of Radiology (RK)","Affiliations of the authors: Section for Clinical Epidemiology, Division of General Internal Medicine, Department of Medicine (LHH, JF, DWB)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Affiliations of the authors: Section for Clinical Epidemiology, Division of General Internal Medicine, Department of Medicine (LHH, JF, DWB); Department of Radiology (RK); and the Center for Applied Medical Information Systems Research (GJK, DWB), Brigham and Women's Hospital, Harvard Medical School, Boston, MA","institution_ids":["https://openalex.org/I1283280774"]},{"raw_affiliation_string":"the Center for Applied Medical Information Systems Research (GJK, DWB), Brigham and Women's Hospital, Harvard Medical School, Boston, MA","institution_ids":["https://openalex.org/I1283280774","https://openalex.org/I136199984"]},{"raw_affiliation_string":"Department of Radiology (RK)","institution_ids":[]},{"raw_affiliation_string":"Affiliations of the authors: Section for Clinical Epidemiology, Division of General Internal Medicine, Department of Medicine (LHH, JF, DWB)","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5029481717","display_name":"Gilad J. Kuperman","orcid":"https://orcid.org/0000-0002-4130-1577"},"institutions":[{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1283280774","https://openalex.org/I48633490"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"G. J. Kuperman","raw_affiliation_strings":["Affiliations of the authors: Section for Clinical Epidemiology, Division of General Internal Medicine, Department of Medicine (LHH, JF, DWB); Department of Radiology (RK); and the Center for Applied Medical Information Systems Research (GJK, DWB), Brigham and Women's Hospital, Harvard Medical School, Boston, MA","Affiliations of the authors: Section for Clinical Epidemiology, Division of General Internal Medicine, Department of Medicine (LHH, JF, DWB)","the Center for Applied Medical Information Systems Research (GJK, DWB), Brigham and Women's Hospital, Harvard Medical School, Boston, MA","Department of Radiology (RK)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Affiliations of the authors: Section for Clinical Epidemiology, Division of General Internal Medicine, Department of Medicine (LHH, JF, DWB); Department of Radiology (RK); and the Center for Applied Medical Information Systems Research (GJK, DWB), Brigham and Women's Hospital, Harvard Medical School, Boston, MA","institution_ids":["https://openalex.org/I1283280774"]},{"raw_affiliation_string":"Affiliations of the authors: Section for Clinical Epidemiology, Division of General Internal Medicine, Department of Medicine (LHH, JF, DWB)","institution_ids":[]},{"raw_affiliation_string":"the Center for Applied Medical Information Systems Research (GJK, DWB), Brigham and Women's Hospital, Harvard Medical School, Boston, MA","institution_ids":["https://openalex.org/I1283280774","https://openalex.org/I136199984"]},{"raw_affiliation_string":"Department of Radiology (RK)","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5036110536","display_name":"David W. Bates","orcid":"https://orcid.org/0000-0001-6268-1540"},"institutions":[{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1283280774","https://openalex.org/I48633490"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"D. W. Bates","raw_affiliation_strings":["Affiliations of the authors: Section for Clinical Epidemiology, Division of General Internal Medicine, Department of Medicine (LHH, JF, DWB); Department of Radiology (RK); and the Center for Applied Medical Information Systems Research (GJK, DWB), Brigham and Women's Hospital, Harvard Medical School, Boston, MA","the Center for Applied Medical Information Systems Research (GJK, DWB), Brigham and Women's Hospital, Harvard Medical School, Boston, MA","Department of Radiology (RK)","Affiliations of the authors: Section for Clinical Epidemiology, Division of General Internal Medicine, Department of Medicine (LHH, JF, DWB)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Affiliations of the authors: Section for Clinical Epidemiology, Division of General Internal Medicine, Department of Medicine (LHH, JF, DWB); Department of Radiology (RK); and the Center for Applied Medical Information Systems Research (GJK, DWB), Brigham and Women's Hospital, Harvard Medical School, Boston, MA","institution_ids":["https://openalex.org/I1283280774"]},{"raw_affiliation_string":"the Center for Applied Medical Information Systems Research (GJK, DWB), Brigham and Women's Hospital, Harvard Medical School, Boston, MA","institution_ids":["https://openalex.org/I1283280774","https://openalex.org/I136199984"]},{"raw_affiliation_string":"Department of Radiology (RK)","institution_ids":[]},{"raw_affiliation_string":"Affiliations of the authors: Section for Clinical Epidemiology, Division of General Internal Medicine, Department of Medicine (LHH, JF, DWB)","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":5,"corresponding_author_ids":["https://openalex.org/A5042235649"],"corresponding_institution_ids":["https://openalex.org/I1283280774","https://openalex.org/I136199984"],"apc_list":{"value":3967,"currency":"USD","value_usd":3967},"apc_paid":null,"fwci":2.5474,"has_fulltext":false,"cited_by_count":88,"citation_normalized_percentile":{"value":0.89361814,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":99},"biblio":{"volume":"4","issue":"6","first_page":"511","last_page":"521"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11894","display_name":"Radiology practices and education","score":0.7378000020980835,"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/T11894","display_name":"Radiology practices and education","score":0.7378000020980835,"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/T12574","display_name":"Clinical Reasoning and Diagnostic Skills","score":0.10890000313520432,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"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":0.019200000911951065,"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"}}],"keywords":[{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.6441035270690918},{"id":"https://openalex.org/keywords/phase","display_name":"Phase (matter)","score":0.5766197443008423},{"id":"https://openalex.org/keywords/interpretation","display_name":"Interpretation (philosophy)","score":0.5030974745750427},{"id":"https://openalex.org/keywords/randomized-controlled-trial","display_name":"Randomized controlled trial","score":0.4435608983039856},{"id":"https://openalex.org/keywords/appropriateness-criteria","display_name":"Appropriateness criteria","score":0.41968071460723877},{"id":"https://openalex.org/keywords/medical-physics","display_name":"Medical physics","score":0.33231401443481445},{"id":"https://openalex.org/keywords/radiology","display_name":"Radiology","score":0.26069116592407227},{"id":"https://openalex.org/keywords/surgery","display_name":"Surgery","score":0.18861496448516846},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.16630840301513672}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6441035270690918},{"id":"https://openalex.org/C44280652","wikidata":"https://www.wikidata.org/wiki/Q104837","display_name":"Phase (matter)","level":2,"score":0.5766197443008423},{"id":"https://openalex.org/C527412718","wikidata":"https://www.wikidata.org/wiki/Q855395","display_name":"Interpretation (philosophy)","level":2,"score":0.5030974745750427},{"id":"https://openalex.org/C168563851","wikidata":"https://www.wikidata.org/wiki/Q1436668","display_name":"Randomized controlled trial","level":2,"score":0.4435608983039856},{"id":"https://openalex.org/C3017466473","wikidata":"https://www.wikidata.org/wiki/Q17012884","display_name":"Appropriateness criteria","level":2,"score":0.41968071460723877},{"id":"https://openalex.org/C19527891","wikidata":"https://www.wikidata.org/wiki/Q1120908","display_name":"Medical physics","level":1,"score":0.33231401443481445},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.26069116592407227},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.18861496448516846},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.16630840301513672},{"id":"https://openalex.org/C199360897","wikidata":"https://www.wikidata.org/wiki/Q9143","display_name":"Programming language","level":1,"score":0.0},{"id":"https://openalex.org/C178790620","wikidata":"https://www.wikidata.org/wiki/Q11351","display_name":"Organic chemistry","level":1,"score":0.0},{"id":"https://openalex.org/C185592680","wikidata":"https://www.wikidata.org/wiki/Q2329","display_name":"Chemistry","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D003199","descriptor_name":"Computer Systems","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D003199","descriptor_name":"Computer Systems","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D003199","descriptor_name":"Computer Systems","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D003658","descriptor_name":"Decision Making, Computer-Assisted","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D003658","descriptor_name":"Decision Making, Computer-Assisted","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D003658","descriptor_name":"Decision Making, Computer-Assisted","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010818","descriptor_name":"Practice Patterns, Physicians'","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010818","descriptor_name":"Practice Patterns, Physicians'","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010818","descriptor_name":"Practice Patterns, Physicians'","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011446","descriptor_name":"Prospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011446","descriptor_name":"Prospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011446","descriptor_name":"Prospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011860","descriptor_name":"Radiography, Abdominal","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":false},{"descriptor_ui":"D011860","descriptor_name":"Radiography, Abdominal","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":false},{"descriptor_ui":"D011860","descriptor_name":"Radiography, Abdominal","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":false},{"descriptor_ui":"D011860","descriptor_name":"Radiography, Abdominal","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D011860","descriptor_name":"Radiography, Abdominal","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D011860","descriptor_name":"Radiography, Abdominal","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D019317","descriptor_name":"Evidence-Based Medicine","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D019317","descriptor_name":"Evidence-Based Medicine","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D019317","descriptor_name":"Evidence-Based Medicine","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.1136/jamia.1997.0040511","is_oa":true,"landing_page_url":"https://doi.org/10.1136/jamia.1997.0040511","pdf_url":"https://academic.oup.com/jamia/article-pdf/4/6/511/2360932/4-6-511.pdf","source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},{"id":"pmid:9391938","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/9391938","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,"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 the American Medical Informatics Association : JAMIA","raw_type":null},{"id":"pmh:oai:pubmedcentral.nih.gov:61269","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/61269","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"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":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"J Am Med Inform Assoc","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1136/jamia.1997.0040511","is_oa":true,"landing_page_url":"https://doi.org/10.1136/jamia.1997.0040511","pdf_url":"https://academic.oup.com/jamia/article-pdf/4/6/511/2360932/4-6-511.pdf","source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Peace, Justice and strong institutions","id":"https://metadata.un.org/sdg/16","score":0.7900000214576721}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2168055283.pdf","grobid_xml":"https://content.openalex.org/works/W2168055283.grobid-xml"},"referenced_works_count":48,"referenced_works":["https://openalex.org/W101924006","https://openalex.org/W128346299","https://openalex.org/W129487138","https://openalex.org/W1525368043","https://openalex.org/W1589148358","https://openalex.org/W1815677294","https://openalex.org/W1966492874","https://openalex.org/W1966982455","https://openalex.org/W1975900276","https://openalex.org/W1979778427","https://openalex.org/W1981848174","https://openalex.org/W1985103579","https://openalex.org/W1987340946","https://openalex.org/W1988834945","https://openalex.org/W1994027868","https://openalex.org/W1998754678","https://openalex.org/W2009077386","https://openalex.org/W2009333875","https://openalex.org/W2009421678","https://openalex.org/W2014929747","https://openalex.org/W2021508455","https://openalex.org/W2023188466","https://openalex.org/W2023427972","https://openalex.org/W2028152502","https://openalex.org/W2032077175","https://openalex.org/W2032087426","https://openalex.org/W2046049228","https://openalex.org/W2046897888","https://openalex.org/W2056763980","https://openalex.org/W2062785658","https://openalex.org/W2066144622","https://openalex.org/W2067399244","https://openalex.org/W2070472909","https://openalex.org/W2077520372","https://openalex.org/W2078746809","https://openalex.org/W2084435202","https://openalex.org/W2085758860","https://openalex.org/W2089672754","https://openalex.org/W2096748032","https://openalex.org/W2102527024","https://openalex.org/W2125653619","https://openalex.org/W2323759524","https://openalex.org/W2397470068","https://openalex.org/W4238009134","https://openalex.org/W4238790970","https://openalex.org/W4297852610","https://openalex.org/W4318599021","https://openalex.org/W4328001476"],"related_works":["https://openalex.org/W2030826506","https://openalex.org/W4310067751","https://openalex.org/W2061896232","https://openalex.org/W2419293270","https://openalex.org/W2090515202","https://openalex.org/W4389195962","https://openalex.org/W2355769538","https://openalex.org/W158448926","https://openalex.org/W2400490777","https://openalex.org/W4313320911"],"abstract_inverted_index":{"OBJECTIVE:":[0],"Inappropriate":[1],"utilization":[2],"of":[3,12,20,29,52,64,84,101,130,139,141,161,164,169,201,251,256,333],"diagnostic":[4],"testing":[5],"has":[6],"been":[7],"well":[8],"documented.":[9],"The":[10,243,293],"purpose":[11],"this":[13],"study":[14],"was":[15,57,73,89,227],"to":[16,46,59,117,122,272,278,280,302,310,316,324,326],"measure":[17],"the":[18,27,77,85,99,128,131,137,142,145,158,165,167,170,222,281,331],"impact":[19],"presenting":[21],"real":[22],"time,":[23],"evidence-based":[24,42,94,311],"critiques":[25,43,95,119,132,147],"about":[26,136],"appropriateness":[28],"abdominal":[30],"radiograph":[31],"(KUB)":[32],"orders":[33],"on":[34],"physician":[35],"decision":[36],"making.":[37],"DESIGN:":[38],"Prospective":[39],"trial":[40],"where":[41,93],"were":[44,81,96,115,172,205,208,259,269,314,321],"presented":[45,97,149],"ordering":[47,102],"clinicians":[48],"in":[49,112,150,185,191,210,231,237,261,298],"two":[50,82],"kinds":[51],"situations:":[53],"(1)":[54],"a":[55,61,90,103,109,304],"KUB":[56],"likely":[58,271],"have":[60,303],"low":[62,202,305],"probability":[63],"providing":[65],"useful":[66],"information,":[67],"or":[68,144,177,277,290,339],"(2)":[69],"an":[70],"alternative":[71,225],"view(s)":[72,226,283],"more":[74,322],"appropriate":[75],"given":[76],"clinical":[78,296,306],"circumstance.":[79],"There":[80],"phases":[83],"trial:":[86],"Phase":[87,107,151,186,192,211,232,238,262],"1":[88,187,212,233],"9-week":[91],"period":[92,111],"at":[98,195],"time":[100],"KUB,":[104],"followed":[105],"by":[106],"2,":[108,214],"19-week":[110],"which":[113,299],"orderers":[114],"randomized":[116],"receive":[118],"either":[120],"amended":[121],"include":[123],"both":[124],"institutional":[125],"data":[126],"regarding":[127],"utility":[129,140],"and":[133,188,207,213],"stronger":[134,337],"messages":[135],"lack":[138],"study,":[143],"same":[146],"as":[148,174],"1,":[152],"depending":[153],"upon":[154,157],"indication.":[155],"Based":[156],"radiologist's":[159],"report":[160],"their":[162,318],"interpretation":[163],"exams,":[166],"results":[168,244],"examinations":[171],"scored":[173],"positive,":[175],"equivocal,":[176],"negative":[178],"using":[179],"structured":[180],"criteria.":[181],"RESULTS:":[182],"299":[183],"KUBs":[184,190,300],"385":[189],"2":[193,239,263],"received":[194],"least":[196],"one":[197],"critique.":[198],"Cancellation":[199],"rates":[200],"yield":[203],"films":[204,253,258],"low,":[206],"similar":[209],"8/258":[215],"(3%)":[216],"vs.":[217,234,254],"10/283":[218],"(4%).":[219],"Compliance":[220],"with":[221],"recommendation":[223],"for":[224],"higher:":[228],"19/104":[229],"(38%)":[230],"96/176":[235],"(55%)":[236],"(p":[240,264,274,284],"=":[241,275],"0.006).":[242],"differentiated":[245],"low-yield":[246,252],"from":[247],"non-low-yield":[248,257],"films:":[249],"5%":[250],"20%":[255],"positive":[260],"<":[265,285],"0.0001).":[266],"Surgical":[267],"physicians":[268,289],"less":[270],"cancel":[273,317],"0.07)":[276],"change":[279,325],"suggested":[282],"0.0001)":[286],"than":[287],"medical":[288],"nurses.":[291],"CONCLUSIONS:":[292],"intervention":[294],"identified":[295],"situations":[297],"appeared":[301],"yield.":[307],"In":[308],"response":[309],"critiques,":[312],"providers":[313],"reluctant":[315],"order,":[319],"but":[320],"willing":[323],"different":[327],"views.":[328],"To":[329],"reduce":[330],"number":[332],"inappropriate":[334],"radiographic":[335],"films,":[336],"incentives":[338],"interventions":[340],"may":[341],"be":[342],"required.":[343]},"counts_by_year":[{"year":2023,"cited_by_count":3},{"year":2022,"cited_by_count":3},{"year":2021,"cited_by_count":1},{"year":2020,"cited_by_count":3},{"year":2019,"cited_by_count":2},{"year":2018,"cited_by_count":1},{"year":2017,"cited_by_count":2},{"year":2016,"cited_by_count":4},{"year":2015,"cited_by_count":3},{"year":2014,"cited_by_count":2},{"year":2013,"cited_by_count":1},{"year":2012,"cited_by_count":6}],"updated_date":"2026-04-29T09:16:38.111599","created_date":"2025-10-10T00:00:00"}