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Journal of Radiological Review 2020 July-August;7(4):250-63

DOI: 10.23736/S2723-9284.20.00038-6

Copyright © 2020 EDIZIONI MINERVA MEDICA

language: English, Italian

The prescriptive inappropriateness and exponential increase of radiological examinations in the Emergency Room: is it still possible to turn the tide?

Stefania IANNIELLO 1 , Enrico POFI 2, Corrado BIBBOLINO 3, Vincenzo DAVID 4, Pietro SCHIROSO 5, Riccardo FATARELLA 6, Antonio PINTO 7, Vittorio MIELE 8

1 Department of Emergency Radiology, San Camillo Hospital, Rome, Italy; 2 Department of Radiological Sciences, Belcolle Hospital, Viterbo, Italy; 3 SNR Foundation, Rome, Italy; 4 Radiology Unit, Sant’Andrea Hospital, Sapienza University, Rome, Italy; 5 Department of Radiology, S. Spirito Hospital, Rome, Italy; 6 LUISS Business School, Rome, Italy; 7 Department of Radiology, CTO Hospital, Azienda Ospedaliera dei Colli, Naples, Italy; 8 Department of Radiology, Careggi University Hospital, Florence, Italy


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In the daily reality of the Emergency Room, prescriptive inappropriateness results in prescriptions of unjustified diagnostic investigations (investigations required without a clear clinical indication) or incorrect (which do not entail any diagnostic advantage or which increase the risk of adverse events). The concept of prescriptive inappropriateness is finally assuming a central role in national and local strategies for the recovery of efficiency/efficacy and cost-effectiveness of the National Health Service and user trust. The centrality and the system actions to be activated must be developed primarily in the promotion of clinical culture and its updating among prescribers but also among all health professionals. It is necessary in modern medicine that the components of the Radiological Area seek full harmony with the other specialties in respect of each other’s competences.


KEY WORDS: Medical economics; Diagnostic imaging; Inappropriate prescribing

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