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dc.contributor.advisorConnelly, Susanen_US
dc.contributor.authorWaddell, Valerieen_US
dc.contributor.authorConnelly, Susanen_US
dc.date.accessioned2017-05-04T15:38:46Z
dc.date.available2018-05-13T08:40:21Z
dc.date.issued2017-05-13
dc.identifier.urihttp://hdl.handle.net/10504/112855
dc.description.abstractStudy Design: Quality improvement project.|Objectives. Reduce the amount of radiation exposure in the pediatric trauma population age 5 and older in relation to cervical spine clearance.|Background: The evaluation of pediatric cervical spine injuries must be accurate and timely to avoid missed injuries. The difficult clinical exam in pediatric trauma patients necessitates the use of radiologic exams to avoid missing catastrophic injuries. However, exposure to radiation at an early age increases the pediatric patients' risk of developing cancer (Kleinerman, 2006).|Methods: A retrospective chart review was conducted to assess radiation exposure in pediatric patients requiring evaluation for cervical spine clearance. Surgical staff and Emergency Department physicians received education on the risks related to pediatric radiation exposure and information related to the institution's diagnostic trends for cervical spine clearance. An algorithm was then developed to assist with determining the necessary imaging study for cervical spine clearance. Radiation exposure was monitored following initial education and use of the algorithm to determine its effect on radiation exposure.|Results: The retrospective chart review identified cervical spine computed tomography (CT) in 34%, with an average radiation exposure of 3.5 mSv. Following education and introduction of an algorithm, 18% of patients underwent CT for cervical spine clearance with an average radiation exposure of 3.2 mSv, representing a 47% decrease in the use of CTs.|Conclusion: Staff education and the use of an algorithm show promise in the reduction of radiation exposure and provide safe, effective clearance of the cervical spine in pediatric trauma.|Keywords: Pediatrics, radiation, cervical spine, cervical spine clearance, traumaen_US
dc.rightsCopyright is retained by the Author. A non-exclusive distribution right is granted to Creighton Universityen_US
dc.subject.meshCervical Vertebraeen_US
dc.subject.meshPediatricsen_US
dc.subject.meshRadiation Exposureen_US
dc.titleDecreasing Radiation Exposure in Pediatric Trauma Related to Cervical Spine Clearance: A Quality Improvement Projecten_US
dc.rights.holderValerie Waddellen_US
dc.description.noteManuscripten_US
dc.embargo.terms2018-05-13
dc.degree.levelDNPen_US
dc.degree.disciplineDoctor of Nursing Practice (DNP) Programen_US
dc.degree.nameDoctor of Nursing Practiceen_US
dc.degree.committeeJuang, Daviden_US


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