Georgiou Andrew, Hordern Antonia, Dimigen Marion, Zogovic Branimir, Callen Joanne, Schlaphoff Glen, Westbrook Johanna I
Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Faculty of Medicine, University of New South Wales, Kensington, New South Wales, Australia.
J Med Imaging Radiat Oncol. 2014;58(3):291-7. doi: 10.1111/1754-9485.12156. Epub 2014 Jan 27.
We report on the implementation of a Radiology Notification System (RNS), set up by the medical imaging department of a major Sydney teaching hospital in March 2010. This study aimed to investigate the views of the medical imaging department staff about: (i) the results follow-up problem encountered by the medical imaging department prior to the implementation of the RNS; (ii) what changes occurred following implementation of the RNS; and (iii) suggestions for improving the RNS.
This is a cross-sectional qualitative study incorporating semi-structured interviews with 16 staff (15 radiologists and 1 clerk) after the implementation of the RNS. Interviews were conducted in August/September 2011.
The reasons behind the development of the RNS were related to: (i) major existing problems with the communication of results between the imaging department and hospital wards; (ii) cumbersome and inefficient paper-based notification systems; and (iii) the absence of standardised guidelines and procedures for radiology test notification and follow-up. The RNS managed to free up a significant proportion of radiologist time, resulting in greater efficiencies. Study participants also highlighted a number of areas for improvement, including the need for a 24-h service, feedback and acknowledgement of test results by clinicians and the standardisation of test management definitions and procedures.
Test management systems can play an important part in enhancing safe and effective communications between wards and hospital departments. However, their uptake and sustainability will require the establishment of a multidisciplinary and hospital-wide collaboration that includes clinicians.
我们报告了2010年3月由悉尼一家大型教学医院的医学影像科设立的放射学通知系统（RNS）的实施情况。本研究旨在调查医学影像科工作人员对于以下方面的看法：（i）RNS实施之前医学影像科在结果随访方面遇到的问题；（ii）RNS实施后发生了哪些变化；以及（iii）改进RNS的建议。
这是一项横断面定性研究，在RNS实施后对16名工作人员（15名放射科医生和1名办事员）进行了半结构化访谈。访谈于2011年8月/9月进行。
RNS开发背后的原因与以下方面有关：（i）影像科与医院病房之间在结果沟通方面存在重大现有问题；（ii）基于纸张的通知系统繁琐且效率低下；（iii）缺乏放射学检查通知和随访的标准化指南及程序。RNS成功地腾出了相当一部分放射科医生的时间，提高了效率。研究参与者还强调了一些需要改进的方面，包括需要24小时服务、临床医生对检查结果的反馈和确认以及检查管理定义和程序的标准化。
检查管理系统在加强病房与医院各科室之间安全有效的沟通方面可以发挥重要作用。然而，它们的采用和可持续性将需要建立包括临床医生在内的多学科和全院范围的合作。
