Lee Matthew H, Schemmel Andrew J, Pooler B Dustin, Hanley Taylor, Kennedy Tabassum, Field Aaron, Wiegmann Douglas, Yu John-Paul J
Department of Radiology, University of Wisconsin School of Medicine and Public Health, E3/366 Clinical Science Center, 600 Highland Avenue, M/C 3252, Madison, WI 53792-3252.
Department of Industrial and Systems Engineering, College of Engineering, University of Wisconsin, Madison, Wisconsin.
Acad Radiol. 2017 Apr;24(4):483-487. doi: 10.1016/j.acra.2016.08.027. Epub 2016 Oct 18.
The study aimed to assess perceptions of reading room workflow and the impact separating image-interpretive and nonimage-interpretive task workflows can have on radiologist perceptions of workplace disruptions, workload, and overall satisfaction.
A 14-question survey instrument was developed to measure radiologist perceptions of workplace interruptions, satisfaction, and workload prior to and following implementation of separate image-interpretive and nonimage-interpretive reading room workflows. The results were collected over 2 weeks preceding the intervention and 2 weeks following the end of the intervention. The results were anonymized and analyzed using univariate analysis.
A total of 18 people responded to the preintervention survey: 6 neuroradiology fellows and 12 attending neuroradiologists. Fifteen people who were then present for the 1-month intervention period responded to the postintervention survey. Perceptions of workplace disruptions, image interpretation, quality of trainee education, ability to perform nonimage-interpretive tasks, and quality of consultations (P < 0.0001) all improved following the intervention. Mental effort and workload also improved across all assessment domains, as did satisfaction with quality of image interpretation and consultative work.
Implementation of parallel dedicated image-interpretive and nonimage-interpretive workflows may improve markers of radiologist perceptions of workplace satisfaction.
本研究旨在评估对阅片室工作流程的看法，以及将影像解读任务与非影像解读任务工作流程分开对放射科医生对工作场所干扰、工作量和总体满意度看法的影响。
开发了一份包含14个问题的调查问卷，用于测量在实施单独的影像解读和非影像解读阅片室工作流程之前和之后放射科医生对工作场所干扰、满意度和工作量的看法。结果在干预前2周和干预结束后2周收集。结果进行匿名处理，并采用单变量分析。
共有18人回复了干预前的调查问卷：6名神经放射科住院医师和l2名神经放射科主治医生。在为期1个月的干预期内的15人回复了干预后的调查问卷。干预后，对工作场所干扰、影像解读、住院医师教育质量、执行非影像解读任务的能力和会诊质量的看法（P<0.0001）均有所改善。所有评估领域的心理努力和工作量也有所改善，对影像解读质量和会诊工作的满意度也是如此。
实施并行的专用影像解读和非影像解读工作流程可能会改善放射科医生对工作场所满意度看法的指标。
