Table. Predictors of Head Computed Tomography Use From Multivariate Logistic Regression
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Studdert DM, Mello MM, Sage WM,  et al.  Defensive medicine among high-risk specialist physicians in a volatile malpractice environment.  JAMA. 2005;293(21):2609-2617PubMedArticle
Katz DA, Williams GC, Brown RL,  et al.  Emergency physicians' fear of malpractice in evaluating patients with possible acute cardiac ischemia.  Ann Emerg Med. 2005;46(6):525-533PubMedArticle
Pines JM, Isserman JA, Szyld D, Dean AJ, McCusker CM, Hollander JE. The effect of physician risk tolerance and the presence of an observation unit on decision making for ED patients with chest pain.  Am J Emerg Med. 2010;28(7):771-779PubMedArticle
Pines JM, Hollander JE, Isserman JA,  et al.  The association between physician risk tolerance and imaging use in abdominal pain.  Am J Emerg Med. 2009;27(5):552-557PubMedArticle
Wong AC, Kowalenko T, Roahen-Harrison S, Smith B, Maio RF, Stanley RM. A survey of emergency physicians' fear of malpractice and its association with the decision to order computed tomography scans for children with minor head trauma.  Pediatr Emerg Care. 2011;27(3):182-185PubMedArticle
Raja AS, Andruchow JE, Zane R, Khorasani R, Schuur JD. Use of Neuroimaging in US Emergency Departments.  Arch Intern Med. 2011;171(3):259-262PubMedArticle
Baskerville JR, Herrick J. Head multidetector computed tomography: emergency medicine physicians overestimate the pretest probability and legal risk of significant findings.  Am J Emerg Med. 2012;30(2):367-370Article
Kirsch TD, Hsieh Y-H, Horana L, Holtzclaw SG, Silverman M, Chanmugam A. Computed tomography scan utilization in emergency departments: a multi-state analysis.  J Emerg Med. 2011;41(3):302-309PubMedArticle
Prevedello LM, Raja AS, Zane RD,  et al.  Variation in use of head computed tomography by emergency physicians [published online February 10, 2012].  Am J MedArticle
Research Letters
Apr 23, 2012

Variation in Head Computed Tomography Use for Emergency Department Trauma Patients and Physician Risk Tolerance

Author Affiliations

Author Affiliations: Center for Evidence-Based Imaging (Drs Andruchow, Raja, Prevedello, Zane, and Khorasani) and Departments of Radiology (Drs Prevedello and Khorasani) and Emergency Medicine (Drs Andruchow, Raja, and Zane), Brigham and Women's Hospital, and Harvard Medical School (Drs Andruchow, Raja, Prevedello, Zane, and Khorasani), Boston, Massachusetts.

Arch Intern Med. 2012;172(8):660-661. doi:10.1001/archinternmed.2011.2243