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[远程放射学报告周转时间:内部效率与质量控制分析]

[Teleradiological report turnaround times: An internal efficiency and quality control analysis].

作者信息

Seithe T, de Bucourt M, Busse R, Rief M, Doyscher R, Albrecht L, Rathke H, Jonczyk M, Poschmann R, Tepe H, Hamm B

机构信息

Klinik für Radiologie, Charité-Universitätsmedizin Berlin, Campus Mitte (CCM), Charitéplatz 1, 10117, Berlin, Deutschland,

出版信息

Radiologe. 2015 May;55(5):409-16. doi: 10.1007/s00117-015-2858-0.

DOI:10.1007/s00117-015-2858-0
PMID:25944276
Abstract

AIMS

The teleradiological examinations performed at the Charité were analyzed for the purpose of internal quality and efficiency control. Data included the type and number of examinations performed, the time of day and week the examination was performed and the differences in teleradiologist report turnaround times.

MATERIAL AND METHODS

A retrospective analysis of the radiology information system (RIS) database of all teleradiological computed tomography examinations performed at the Charité from 2011 through 2013 was carried out. The search retrieved 10,200 teleradiological examinations which were included in the analysis. The records were analyzed for the time of the day and week the examination was performed, the interval between examination and time of reporting, the type of teleradiological examination and the campus in which they were performed.

RESULTS

The number of teleradiological examinations performed increased continuously during the observation period. Computed tomography of the head was the most frequently performed type of examination with 86%. Taking all forms of examination into consideration it took an average of 34 min until a report was written. Over the 3-year observation period the times remained virtually unaltered.

CONCLUSION

During the 3-year observation period nearly constant report times could be observed in spite of the increased numbers of examinations. This indicates an efficiency enhancement and rational integration of teleradiology into the radiological workflow.

摘要

目的

为进行内部质量和效率控制,对夏里特医院进行的远程放射学检查进行分析。数据包括检查的类型和数量、检查进行的日期和时间以及远程放射科医生报告周转时间的差异。

材料与方法

对2011年至2013年在夏里特医院进行的所有远程放射学计算机断层扫描检查的放射学信息系统(RIS)数据库进行回顾性分析。检索到10200例远程放射学检查并纳入分析。对记录进行分析,内容包括检查进行的日期和时间、检查与报告时间之间的间隔、远程放射学检查的类型以及进行检查的院区。

结果

在观察期内,远程放射学检查的数量持续增加。头部计算机断层扫描是最常进行的检查类型,占86%。考虑到所有形式的检查,平均需要34分钟才能写出报告。在3年的观察期内,时间几乎没有变化。

结论

在3年的观察期内,尽管检查数量增加,但报告时间几乎保持不变。这表明远程放射学在放射学工作流程中的效率提高和合理整合。

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本文引用的文献

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[Teleradiology - update 2014].[远程放射学 - 2014年更新]
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2
[Will telemonitoring be adopted by patients with chronic heart failure?].慢性心力衰竭患者会采用远程监测吗?
Dtsch Med Wochenschr. 2014 Apr;139(16):829-34. doi: 10.1055/s-0034-1369849. Epub 2014 Apr 10.
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Radiologe. 2014 Apr;54(4):359-62. doi: 10.1007/s00117-013-2597-z.
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[Turnaround time for reporting results of radiological examinations in intensive care unit patients: an internal quality control].[重症监护病房患者放射学检查结果报告的周转时间:内部质量控制]
Radiologe. 2013 Sep;53(9):810-6. doi: 10.1007/s00117-013-2537-y.
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Practice policy and quality initiatives: using lean principles to improve screening mammography workflow.实践政策和质量改进措施:运用精益原则改进筛查性乳房 X 光摄影工作流程。
Radiographics. 2013 Sep-Oct;33(5):1505-17. doi: 10.1148/rg.335135017. Epub 2013 Jun 28.
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Teleradiology from the provider's perspective-cost analysis for a mid-size university hospital.从提供者角度看远程放射学——一家中等规模大学医院的成本分析。
Eur Radiol. 2013 Aug;23(8):2197-205. doi: 10.1007/s00330-013-2810-5. Epub 2013 Apr 19.
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Radiographics. 2012 Mar-Apr;32(2):573-87. doi: 10.1148/rg.322115128. Epub 2012 Feb 8.
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The impact of PACS on clinician work practices in the intensive care unit: a systematic review of the literature.PACS 对重症监护病房临床医生工作实践的影响:文献系统评价。
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Radiologist report turnaround time: impact of pay-for-performance measures.放射科医生报告周转时间:绩效付费措施的影响。
AJR Am J Roentgenol. 2010 Sep;195(3):707-11. doi: 10.2214/AJR.09.4164.