Mantoni Margit Y
Amtssygehuset i Gentofte, Billeddiagnostisk Afdeling, Hellerup.
Ugeskr Laeger. 2006 Sep 11;168(37):3125-8.
When diagnostic imaging is cancelled on short notice or an examination is delayed, the Imaging Department suffers a loss. Based on voluntary reporting of such events, we have estimated the total expenditure involved.
For one year an orderly reported cases in which, when he arrived to fetch an inpatient, the latter was no longer in the ward or was not ready. From this study material we estimated the waste of time for the staff and the total price of cancelled or delayed examinations, spread over various categories. This sum is related to the estimated cost of one preventive measure: letting the orderly check in the hospital's electronic administrative system whether the patient is still in the ward indicated.
A total of 436 cancelled or delayed examinations were reported in 2004. In 249 cases the examination was cancelled, and since the recorded total number of cancellations was 1,435, we estimate the total number of cancelled or delayed exams to be approximately 2,500 (1,435 x 436/249). The estimated total waste of time is 66 weeks (1(1/2) years' work). The estimated price of the cancelled or delayed examinations is 2.4 million Danish kroner. When we relate the savings if the problem is solved to the cost of prevention, we find that it would be clearly profitable to address fluoroscopy and CT scanning. Conversely, addressing bone X-rays would generate a loss.
We conclude that there is a very large waste of resources caused by cancelled or delayed imaging examinations.
当诊断成像在短时间内被取消或检查被推迟时，影像科会遭受损失。基于对此类事件的自愿报告，我们估算了所涉及的总支出。
在一年时间里，有秩序地报告了这样的病例，即当护工去接住院病人时，病人不再在病房或尚未准备好。从这些研究材料中，我们估算了工作人员的时间浪费以及取消或推迟检查的总价，这些检查分布在不同类别中。这笔费用与一项预防措施的估计成本相关：让护工在医院的电子管理系统中查看患者是否仍在指定的病房。
2004年共报告了436例取消或推迟的检查。其中249例检查被取消，由于记录的取消总数为1435次，我们估计取消或推迟检查的总数约为2500次（1435×436/249）。估计的总时间浪费为66周（1.5年的工作量）。取消或推迟检查的估计价格为240万丹麦克朗。当我们将解决问题后的节省与预防成本相关联时，我们发现解决荧光透视和CT扫描问题将明显盈利。相反，解决骨骼X光检查问题会产生损失。
我们得出结论，取消或推迟的成像检查造成了非常大的资源浪费。
