Albrecht L, Busse R, Tepe H, Poschmann R, Teichgräber U, Hamm B, de Bucourt M
Abteilung Radiologie, Charité-Universitätsmedizin Berlin, Charité-Platz 1, 10117, Berlin, Deutschland.
Radiologe. 2013 Sep;53(9):810-6. doi: 10.1007/s00117-013-2537-y.
The radiological examinations performed in intensive care units (ICUs) were analyzed for the purpose of internal quality control. Data included the type of examination performed, the time of day the examination was performed and the differences in radiologist report turnaround times.
A retrospective analysis of the radiology information system (RIS) database of all radiological examinations performed in the ICU of a large German hospital from 2009 through 2011 was carried out. The search retrieved 75,169 examinations performed in ICU patients which were included in the analysis. The records were analyzed for type of radiological examination performed, i.e. conventional X-ray, ultrasound, computed tomography (CT), magnetic resonance imaging (MRI), angiography and nuclear medicine examinations, time of day the examination was performed and the interval between examination and time of reporting and release of the final report.
Cross-modality it took on average 52 min until a report was written and approximately 7 h before the final report was released. Turnaround times were shortest for ultrasound, conventional X-ray and CT. Over the 3-year observation period there was an overall tendency toward shorter turnaround times whereby improvement in time until reporting was most marked for conventional X-ray, MRI and ultrasound (reduction of 24, 17, and 15 min, respectively). The time until release of the final report improved most markedly for CT, conventional X-ray and angiography (improvement of approximately 6.67, 5.08 and 0.78 h, respectively).
During the 3-year observation period a reduction in turnaround times for reporting results and release of finalized reports could be observed, despite an increase in the total number of cases.
为进行内部质量控制，对重症监护病房（ICU）中进行的放射学检查进行分析。数据包括所进行检查的类型、检查进行的时间以及放射科医生报告周转时间的差异。
对一家大型德国医院2009年至2011年在ICU进行的所有放射学检查的放射学信息系统（RIS）数据库进行回顾性分析。检索到75169例在ICU患者中进行的检查并纳入分析。对记录进行分析，以确定所进行的放射学检查类型，即传统X线检查、超声检查、计算机断层扫描（CT）、磁共振成像（MRI）、血管造影和核医学检查、检查进行的时间以及检查与最终报告发布时间之间的间隔。
跨模态分析显示，平均需要52分钟才能写出报告，最终报告发布前大约需要7小时。超声检查、传统X线检查和CT检查的周转时间最短。在3年的观察期内，总体上有周转时间缩短的趋势，其中传统X线检查、MRI和超声检查在报告时间方面的改善最为明显（分别减少24、17和15分钟）。CT检查、传统X线检查和血管造影在最终报告发布时间方面的改善最为明显（分别改善约6.67、5.08和0.78小时）。
在3年的观察期内，尽管病例总数有所增加，但报告结果和发布最终报告的周转时间有所减少。
