1 Department of Medical Imaging, University of Toronto, 263 McCaul St, 4th Fl, Rm 401F, Toronto, ON M5T 1W7, Canada.
2 Department of Radiology & Imaging Sciences, Emory University, Atlanta, GA.
AJR Am J Roentgenol. 2018 Apr;210(4):799-806. doi: 10.2214/AJR.17.18613. Epub 2018 Feb 15.
The purpose of this study was to review current literature regarding radiologist fatigue.
A literature search was performed using PubMed. Key words and Medical Subject Heading terms were used to generate refined queries with inclusion and exclusion criteria, focusing on fatigue and error. Results were selected according to these criteria: examined radiologist fatigue and radiologic error stemming from fatigue; experimental results measured as accuracy, error, or performance; and peer-reviewed publication. The risk of bias was addressed by including both quantitative and qualitative studies.
Twenty-seven articles were included, mainly primary research articles. Common outcome measures included subjective self-reports and tests to measure eyestrain. Reaction time was also recorded, accounting for variables such as age and experience. One group recommended that guidelines should be implemented regarding number of hours worked. Most recommended ergonomic interventions, proposing the implementation of tools to measure and standardize fatigue and optimize workflow, in conjunction with considering radiologists individually. Education in appropriate viewing habits and breaks were also suggested. Only one study with seven participants recommended that radiologists should sleep well to improve their performance and overall well-being, despite the undeniable evidence that radiologists are fatigued.
Fatigue is present in radiology and affects diagnostic accuracy.
本研究旨在回顾当前关于放射科医生疲劳的文献。
使用 PubMed 进行文献检索。使用关键词和医学主题词来生成精细的查询，并制定纳入和排除标准，重点关注疲劳和错误。根据这些标准选择结果：检查放射科医生疲劳和因疲劳导致的放射学错误；以准确性、错误或性能衡量的实验结果；以及同行评审的出版物。通过纳入定量和定性研究来解决偏倚风险。
共纳入 27 篇文章，主要为原发性研究文章。常见的结局测量指标包括主观自我报告和测量眼疲劳的测试。还记录了反应时间，考虑了年龄和经验等变量。有一组建议应实施关于工作时间的规定。大多数人建议采取人体工程学干预措施，提出实施工具来测量和标准化疲劳并优化工作流程，同时考虑到放射科医生的个体差异。还建议进行适当的观看习惯和休息方面的教育。尽管有明确的证据表明放射科医生疲劳，但仅有一项研究（涉及 7 名参与者）建议放射科医生应保持良好睡眠以提高工作表现和整体健康状况。
疲劳存在于放射科并影响诊断准确性。
