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ACEP 14: Outcomes With High-Risk Care Plans

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The Particulars: High-risk care plans are increasingly being used to assist in the management of patients who are big users of ED resources. However, little is known about the outcomes obtained with these plans in a real-world setting.

Data Breakdown: In a study, researchers analyzed data on high utilizers of ED services who had been seen for 6 months prior to and 6 months after the implementation of a high-risk care plan. When comparing pre- versus post-implementation, the study group observed decreases in the number of x-rays, CT scans, morphine equivalents, ED visits, admissions, and observation stays. Radiation exposure decreased significantly as a result of reductions  in the number of x-rays and CT scans .

Take Home Pearl: High-risk care plans for high utilizers of ED services appear to significantly reduce radiation exposure and achieve other important measures of quality care.

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