DeFlorio Robert, Coughlin Bret, Coughlin Ryan, Li Haiping, Santoro John, Akey Bridget, Favreau Michael
Department of Radiology, Baystate Medical Center, Springfield, MA 01199, USA.
Emerg Radiol. 2008 Nov;15(6):405-12. doi: 10.1007/s10140-008-0735-0. Epub 2008 Jul 30.
Our purpose was to demonstrate the impact of changes in technology, staffing, and departmental processes on service levels in emergency department (ED) radiology. We also attempted to determine if report turnaround time affects ED patient throughput. Radiology performance was evaluated before and after the modifications of processes integral to the interpretation of ED imaging. Picture archiving and communication system, voice recognition (VR), staffing, physical site, work flow, and administrative modifications were undertaken over approximately 2 years. The average time interval from the exam completion to report signature was 5,184 min (standard deviation (SD) of 1,858 min before the implementation of VR and other modifications of ED radiology processes). In post initial modifications, it was 150 min (SD, 169 min) and 157 min (SD, 215 min) in post additional modifications. The percentage of the signed written reports available in less than or equal to 60 min was 0%, 27%, and 40%, respectively. Ongoing improvements are needed to increase the service levels for ED radiology. Further improvement will require collaboration and adjustment with the ongoing assessment of metrics.
我们的目的是证明技术、人员配备和部门流程的变化对急诊科放射科服务水平的影响。我们还试图确定报告周转时间是否会影响急诊科患者的就诊量。在对急诊影像解读所必需的流程进行修改前后，对放射科的表现进行了评估。在大约两年的时间里，对图片存档与通信系统、语音识别（VR）、人员配备、实际场地、工作流程和管理进行了修改。从检查完成到报告签字的平均时间间隔在实施VR和对急诊放射科流程进行其他修改之前为5184分钟（标准差（SD）为1858分钟）。在首次修改后，这一间隔为150分钟（SD为169分钟），在进一步修改后为157分钟（SD为215分钟）。在60分钟及以内可获得签字书面报告的百分比分别为0%、27%和40%。需要持续改进以提高急诊科放射科的服务水平。进一步的改进将需要与指标的持续评估进行协作和调整。
