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Invited Commentary
March 2018

The Electronic Health Record as Practice-Improvement Coach

Author Affiliations
  • 1Department of Medicine, University of California, San Francisco, San Francisco
  • 2Deputy Editor, JAMA Internal Medicine
JAMA Intern Med. 2018;178(3):413-414. doi:10.1001/jamainternmed.2017.7536

Unnecessary diagnostic imaging is a prevalent form of medical overuse, and leads to unnecessary invasive procedures, radiation exposure, emotional stress, and nosocomial infection. Research has focused on how to identify clinicians who are more likely to overuse diagnostic imaging and how to intervene. For example, studies have identified the number of magnetic resonance images (MRIs) that physicians ordered for uncomplicated low back pain1 and the number of antibiotic prescriptions for upper respiratory tract infections.2

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