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Percentage of patients undergoing cervical spine radiographs in trauma who do not have neck pain, distracting pain, neurological deficits, reduced level of consciousness or intoxication.

CBE ID
0512
1.4 Project
CMS: Outpatient Imaging Efficiency
Endorsement Status
Endorsement Removed
1.1 New or Maintenance
Maintenance
Previous Endorsement Cycle
Full Year 2010
Is Under Review
No
1.3 Measure Description

Percentage of patients undergoing cervical spine radiographs in trauma who do not have neck pain, distracting pain, neurological deficits, reduced level of conciousness or intoxication.

    • 1.14 Numerator

      Number of patients who receive cervical spine radiographs for trauma who do not have neck pain, distracting pain, neurological deficits, reduced level of conciousness or intoxication.

      Numerous well designed large prospective studies (specifically the NEXUS and Canadian cervical spine rule studies) have evaluated the efficacy of cervical spine radiography in trauma, and they have found that no patient has had a clinically significant cervical spine injury if they had no neck pain, no distracting pain, no neurological deficits, a normal level of consciousness and no intoxication.

    • 1.15 Denominator

      Number of cervical spine radiographs performed on trauma patients.

    • Exclusions

      Patients who have not experienced trauma.
      ? Patients 16 years of age.
      ? Patients with a reduced ability to communicate (permanent verbal or cognitive dysfunction).

    • Most Recent Endorsement Activity
      Measure Retired and Endorsement Removed CMS: Outpatient Imaging Efficiency
      Initial Endorsement
      Last Updated
      Removal Date
    • Steward
      Harborview Medical Center
      Steward Organization POC Email
      [email protected]