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. Author manuscript; available in PMC: 2013 Sep 18.
Published in final edited form as: JAMA Intern Med. 2013 Jan 28;173(2):142–148. doi: 10.1001/2013.jamainternmed.1022

Table 1b.

Overuse quality indicators

Quality Indicator Denominator Numerator Exclusion Quality Indicator Source or Clinical Guideline
Prostate cancer screening in men age > 74 Visits by men age ≥ 75 Visits by men age ≥ 75 who are ordered a PSA Visits by adult men age ≥ 75 with prostate cancer USPSTF [18]
Screening ECG in adults in GME Visits by adults who present for GME Visits by adults who present for GME and are ordered an ECG Visits by adults with CAD, arrhythmia, chest pain, HTN, palpitations, dyspnea, or syncope USPSTF [19]
Screening UA in adults in GME Visits by adults who present for GME Visits by adult men and non-pregnant women who present for GME and are ordered a UA Visits by adults with urologic disease, pregnancy, or diseases of genital organs USPSTF [20]
Sreening CBC in adults in GME Visits by adults who present for GME Visits by adults who present for GME and are ordered a CBC Visits by adults with cancer, hematologic abnormalities USPSTF [21]
Screening X-ray in adults in GME Visits by adults who present for GME Visits by adults who present for GME and are ordered a chest x ray None USPSTF [22]
Cervical cancer screening in women age> 65 Visits by women age ≥ 65 Visits by women age ≥ 65 who were ordered a pap test Visits by women age ≥ 65 with cervical cancer, uterine cancer, cervical dysplasia or vaginal bleeding USPSTF [23]
Mammography screening for women age ≥ 75 Visits by women age ≥ 75 Visits by women age ≥ 75 who received a mammogram Visits by women age ≥ 75 with history breast cancer, breast mass, lump USPSTF [24]
Xray for back pain in adults age 18-55 Visits by adults with acute back pain Visits by adults with acute back pain who received xray Visits by adults with malignancy, weight loss, fever, cachexia, neurological signs NCQA [25]
Antibiotics for URTI Visits by adults with uncomplicated URTI Visits by adults with uncomplicated URTI who received any antibiotic medication Visits by adults with HIV, COPD, cancer ICSI [26]
Antibiotics for acute bronchitis Visits by adults with acute bronchitis Visits by adults with bronchitis who received any antibiotics Visits by adults with HIV, cystic fibrosis, cancer, chronic bronchitis, emphysema, bronchiectasis, extrinsic allergic alveolitis, chronic airway obstruction, tuberculosis, pneumoconioses NCQA [27]
Antibiotics for acute asthma exacerbation Visits by adults with acute asthma exacerbation Visits by adults with acute asthma exacerbation who receive any antibiotics None NAEP [28]