{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,12]],"date-time":"2026-04-12T09:03:31Z","timestamp":1775984611519,"version":"3.50.1"},"reference-count":28,"publisher":"Western Journal of Emergency Medicine","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["WestJEM"],"published-print":{"date-parts":[[2017,4]]},"DOI":"10.5811\/westjem.2017.1.33053","type":"journal-article","created":{"date-parts":[[2017,4,24]],"date-time":"2017-04-24T16:31:43Z","timestamp":1493051503000},"page":"487-495","source":"Crossref","is-referenced-by-count":19,"title":["Impact of Clinical Decision Support on Radiography for Acute Ankle Injuries: A Randomized Trial"],"prefix":"10.5811","volume":"18","author":[{"given":"Shahein","family":"Tajmir","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali S.","family":"Raja","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ivan K.","family":"Ip","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Andruchow","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patricia","family":"Silveira","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stacy","family":"Smith","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ramin","family":"Khorasani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3840","published-online":{"date-parts":[[2017,3,7]]},"reference":[{"key":"key20170424163137_b1-wjem-18-487","unstructured":"National Hospital Ambulatory Medical Care Survey: 2010Emergency Department Summary Tables2016Available at: http:\/\/www.cdc.gov\/nchs\/data\/ahcd\/nhamcs_emergency\/2010_ed_web_tables.pdf"},{"key":"key20170424163137_b2-wjem-18-487","doi-asserted-by":"publisher","first-page":"417","DOI":"10.1136\/bmj.326.7386.417","article-title":"Accuracy of Ottawa ankle rules to exclude fractures of the ankle and mid-foot: systematic review","volume":"326","author":"Bachmann","year":"2003","journal-title":"BMJ"},{"issue":"4","key":"key20170424163137_b3-wjem-18-487","doi-asserted-by":"publisher","first-page":"384","DOI":"10.1016\/S0196-0644(05)82656-3","article-title":"A study to develop clinical decision rules for the use of radiography in acute ankle injuries","volume":"21","author":"Stiell","year":"1992","journal-title":"Ann Emerg Med"},{"issue":"11","key":"key20170424163137_b4-wjem-18-487","doi-asserted-by":"publisher","first-page":"827","DOI":"10.1001\/jama.1994.03510350037034","article-title":"Implementation of the Ottawa ankle rules","volume":"271","author":"Stiell","year":"1994","journal-title":"JAMA"},{"issue":"3","key":"key20170424163137_b5-wjem-18-487","doi-asserted-by":"publisher","first-page":"259","DOI":"10.1067\/mem.2001.113506","article-title":"Awareness and use of the Ottawa ankle and knee rules in 5 countries: can publication alone be enough to change practice?","volume":"37","author":"Graham","year":"2001","journal-title":"Ann Emerg Med"},{"issue":"5","key":"key20170424163137_b6-wjem-18-487","doi-asserted-by":"publisher","first-page":"555","DOI":"10.1111\/j.1553-2712.2011.01058.x","article-title":"Utilization of radiographs for the diagnosis of ankle fractures in Kingston, Ontario, Canada","volume":"18","author":"Dowdall","year":"2011","journal-title":"Acad Emerg Med"},{"key":"key20170424163137_b7-wjem-18-487","doi-asserted-by":"publisher","first-page":"501","DOI":"10.1056\/NEJMp1006114","article-title":"The \u2018meaningful use\u2019 regulation for electronic health records","volume":"363","author":"Blumenthal","year":"2010","journal-title":"N Engl J Med"},{"key":"key20170424163137_b8-wjem-18-487","unstructured":"Health Information Technology for Economic and Clinical Health (HITECH)2009Available at: https:\/\/www.hhs.gov\/sites\/default\/files\/ocr\/privacy\/hipaa\/understanding\/coveredentities\/hitechact.pdf"},{"issue":"3","key":"key20170424163137_b9-wjem-18-487","doi-asserted-by":"publisher","first-page":"378","DOI":"10.1016\/j.acra.2013.10.017","article-title":"The use of decision support to measure documented adherence to a national imaging quality measure","volume":"21","author":"Raja","year":"2014","journal-title":"Acad Radiol"},{"issue":"e2","key":"key20170424163137_b10-wjem-18-487","doi-asserted-by":"publisher","first-page":"e347","DOI":"10.1136\/amiajnl-2013-002536","article-title":"Effect of clinical decision support on documented guideline adherence for head CT in emergency department patients with mild traumatic brain injury","volume":"21","author":"Gupta","year":"2014","journal-title":"J Am Med Inform Assoc"},{"issue":"6","key":"key20170424163137_b11-wjem-18-487","doi-asserted-by":"publisher","first-page":"512","DOI":"10.1016\/j.amjmed.2014.01.024","article-title":"Impact of IT-Enabled Intervention on MRI Use for Back Pain","volume":"127","author":"Ip","year":"2014","journal-title":"Am J Med"},{"key":"key20170424163137_b12-wjem-18-487","doi-asserted-by":"publisher","first-page":"842","DOI":"10.1148\/radiol.10091228","article-title":"Increasing the Appropriateness of Outpatient Imaging: Effects of a Barrier to Ordering Low-Yield Examinations","volume":"255","author":"Vartanians","year":"2010","journal-title":"Radiology"},{"issue":"1","key":"key20170424163137_b13-wjem-18-487","doi-asserted-by":"publisher","first-page":"19","DOI":"10.1016\/j.jacr.2010.07.009","article-title":"Effectiveness of clinical decision support in controlling Inappropriate Imaging","volume":"8","author":"Blackmore","year":"2011","journal-title":"J Am Coll Radiol"},{"issue":"2","key":"key20170424163137_b14-wjem-18-487","doi-asserted-by":"publisher","first-page":"468","DOI":"10.1148\/radiol.11110951","article-title":"Effect of computerized clinical decision support on the use and yield of CT pulmonary angiography in the emergency department","volume":"262","author":"Raja","year":"2012","journal-title":"Radiology"},{"issue":"11","key":"key20170424163137_b15-wjem-18-487","doi-asserted-by":"publisher","first-page":"1024","DOI":"10.1001\/jamainternmed.2013.543","article-title":"Impact of a real-time computerized duplicate alert system on the utilization of computed tomography","volume":"173","author":"Wasser","year":"2013","journal-title":"JAMA Intern Med"},{"issue":"8","key":"key20170424163137_b16-wjem-18-487","doi-asserted-by":"publisher","first-page":"687","DOI":"10.1016\/j.amjmed.2012.11.034","article-title":"Impact of provider-led, technology-enabled radiology management program on Imaging","volume":"126","author":"Ip","year":"2013","journal-title":"Am J Med"},{"issue":"6","key":"key20170424163137_b17-wjem-18-487","doi-asserted-by":"publisher","first-page":"523","DOI":"10.1197\/jamia.M1370","article-title":"Ten commandments for effective clinical decision support: making the practice of evidence-based medicine a reality","volume":"10","author":"Bates","year":"2003","journal-title":"J Am Med Inform Assoc"},{"key":"key20170424163137_b18-wjem-18-487","unstructured":"IpIKKhorasaniREvidence-Based Neuroimaging Diagnosis and TreatmentMedinaLSSanelliPCJarvikJG4962SpringerNew York2013Available at: http:\/\/link.springer.com\/referenceworkentry\/10.1007\/978-1-4614-3320-0_5Accessed Aug 1, 2016"},{"issue":"5","key":"key20170424163137_b19-wjem-18-487","doi-asserted-by":"publisher","first-page":"945","DOI":"10.2214\/AJR.14.13134","article-title":"Ten commandments for effective clinical decision support for imaging: enabling evidence-based practice to improve quality and reduce waste","volume":"203","author":"Khorasani","year":"2014","journal-title":"AJR Am J Roentgenol"},{"issue":"5","key":"key20170424163137_b20-wjem-18-487","doi-asserted-by":"publisher","first-page":"936","DOI":"10.2214\/AJR.15.14677","article-title":"Effects of performance feedback reports on adherence to evidence-based guidelines in use of CT for evaluation of pulmonary embolism in the emergency department: a randomized trial","volume":"205","author":"Raja","year":"2015","journal-title":"AJR Am J Roentgenol"},{"issue":"10","key":"key20170424163137_b21-wjem-18-487","doi-asserted-by":"publisher","first-page":"706","DOI":"10.1016\/j.jacr.2011.04.004","article-title":"Trends in utilization rates of the various imaging modalities in emergency departments: Nationwide Medicare Data From 2000 to 2008","volume":"8","author":"Rao","year":"2011","journal-title":"J Am Coll Radiol"},{"issue":"3","key":"key20170424163137_b22-wjem-18-487","doi-asserted-by":"publisher","first-page":"824","DOI":"10.1148\/radiol.2343031536","article-title":"Utilization of radiology services in the United States: levels and trends in modalities, regions, and populations","volume":"234","author":"Bhargavan","year":"2005","journal-title":"Radiology"},{"issue":"5","key":"key20170424163137_b23-wjem-18-487","doi-asserted-by":"publisher","first-page":"272","DOI":"10.1016\/j.jacr.2007.03.002","article-title":"American College of Radiology White Paper on Radiation Dose in Medicine","volume":"4","author":"Amis","year":"2007","journal-title":"J Am Coll Radiol"},{"issue":"12","key":"key20170424163137_b24-wjem-18-487","doi-asserted-by":"publisher","first-page":"1142","DOI":"10.4065\/mcp.2010.0260","article-title":"Radiation risk from medical imaging","volume":"85","author":"Lin","year":"2010","journal-title":"Mayo Clin Proc"},{"issue":"3","key":"key20170424163137_b25-wjem-18-487","doi-asserted-by":"publisher","first-page":"155","DOI":"10.1017\/S1481803500006539","article-title":"Analysis of factors influencing length of stay in the emergency department","volume":"5","author":"Yoon","year":"2003","journal-title":"CJEM"},{"issue":"4","key":"key20170424163137_b26-wjem-18-487","doi-asserted-by":"publisher","first-page":"S69","DOI":"10.1016\/j.annemergmed.2013.07.475","article-title":"A prospective, multicenter study of factors affecting the emergency department length of stay of pediatric patients: does the diagnosis, especially psychiatric diagnosis, matter?","volume":"62","author":"Mace","year":"2013","journal-title":"Ann Emerg Med"},{"issue":"2","key":"key20170424163137_b27-wjem-18-487","doi-asserted-by":"publisher","first-page":"116","DOI":"10.1016\/S0720-048X(97)00160-5","article-title":"Advances in radiology and the real versus apparent effects of early diagnosis","volume":"27","author":"Black","year":"1998","journal-title":"Eur J Radiol"},{"issue":"7005","key":"key20170424163137_b28-wjem-18-487","doi-asserted-by":"publisher","first-page":"594","DOI":"10.1136\/bmj.311.7005.594","article-title":"Multicentre trial to introduce the Ottawa ankle rules for use of radiography in acute ankle injuries. Multicentre Ankle Rule Study Group","volume":"311","author":"Stiell","year":"1995","journal-title":"BMJ"}],"container-title":["Western Journal of Emergency Medicine"],"original-title":[],"language":"en","deposited":{"date-parts":[[2017,4,24]],"date-time":"2017-04-24T16:31:56Z","timestamp":1493051516000},"score":1,"resource":{"primary":{"URL":"http:\/\/escholarship.org\/uc\/item\/6gb6t75d"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,3,7]]},"references-count":28,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2017,3,7]]},"published-print":{"date-parts":[[2017,4]]}},"alternative-id":["10.5811\/westjem.2017.1.33053"],"URL":"https:\/\/doi.org\/10.5811\/westjem.2017.1.33053","relation":{},"ISSN":["1936-900X","1936-9018"],"issn-type":[{"value":"1936-900X","type":"print"},{"value":"1936-9018","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,3,7]]}}}