Tasu J, Rocher L, Nguyen D, Livartowski J, Miquel A, Rondeau Y, Spira A, Ellrodt A, Bléry M
Service de Radiologie Générale, Hôpital de Bicêtre, Le Kremlin Bicêtre.
J Radiol. 2000 Jul;81(7):787-92.
To evaluate the radiological activity during night duty, in a University Hospital. Materials and methods. During 100 days, the radiological activity has been evaluated from examinations requiring radiologist (including US and CT, special X-ray examinations). The urgent nature and the agreement between the suspected disease and the final diagnose have been compared with the level of the clinician (medical student, resident, senior).
981 radiological examinations were performed on an emergency basis. In 39%, the examination was urgent or very urgent and for 61%, little urgent or non-urgent. The level of the clinician was correlated with the degree of emergency evaluated by the radiologist and with the agreement between suspected disease and the final diagnose (p<0. 0001).
During night duty, the medical activity in radiology is not justified only by emergency, but also by the continuous hospital activities. Better formation of the physician is required to limit the number of examinations.
评估一所大学医院夜间值班期间的放射学活动。材料与方法。在100天内,对需要放射科医生参与的检查(包括超声和CT、特殊X线检查)的放射学活动进行了评估。将紧急程度以及疑似疾病与最终诊断之间的一致性与临床医生(医学生、住院医师、资深医生)的水平进行了比较。
共进行了981次急诊放射学检查。其中39%的检查为紧急或非常紧急,61%的检查为不太紧急或非紧急。临床医生的水平与放射科医生评估的紧急程度以及疑似疾病与最终诊断之间的一致性相关(p<0.0001)。
夜间值班期间,放射学医疗活动不仅因紧急情况而合理,也因医院的持续活动而合理。需要更好地培训医生以限制检查数量。