University of Pennsylvania Perelman School of Medicine, Philadelphia, PA.
Department of Radiology, Maine Medical Center, Portland, ME.
J Thorac Imaging. 2018 Jul;33(4):260-265. doi: 10.1097/RTI.0000000000000331.
We have established an integrated thoracic radiology reading room within a multidisciplinary lung center clinic (LC). While our subjective experience has been positive, we sought to quantify how this model affects radiology workflow and whether the referring practitioners perceive value in having real-time access to a radiologist consultant.
Two diagnostic radiology workstations staffed by rotating thoracic radiologists and trainees were integrated within the LC. We assessed the impact on workflow by recording over 6 months the number, duration, and type of face-to-face radiology consultations to LC practitioners. We also conducted an anonymous survey to assess how LC practitioners felt with regard to the utility and value of our service.
Face-to-face consultations account for an average of 10% of total time spent by radiologists in the LC, although on busy clinical days this can reach 25% to 30%. Our survey response rate was very high (86.4%, n=51), with overwhelming positive response by referring practitioners, who unanimously rate the usefulness of this service as high (9.8%) or extremely high (90.2%). Not a single respondent had a negative or even neutral view of this service. Moreover, 90.2% thought that radiology consultations directly add clinical value in >60% of episodes, whereas 86.2% responded that these alter management in >40% of episodes.
Face-to-face radiology consultations in an integrated LC are numerous and comprise a sizable share of radiologist workload. More importantly, the radiologist is highly praised as a consultant, and this service is considered valuable and impactful for patient care.
我们在多学科肺中心诊所（LC）内建立了一个综合胸部放射学阅读室。虽然我们的主观经验是积极的，但我们还是想量化一下这种模式如何影响放射科的工作流程，以及放射科医生顾问的实时访问是否对临床医生有价值。
将两台配备旋转式胸部放射科医生和学员的诊断放射学工作站整合到 LC 中。我们通过记录 6 个月内 LC 临床医生进行的面对面放射学咨询的数量、持续时间和类型，评估对工作流程的影响。我们还进行了一项匿名调查，以评估 LC 临床医生对我们服务的实用性和价值的看法。
面对面咨询占放射科医生在 LC 中花费时间的平均 10%，尽管在繁忙的临床日，这一比例可能达到 25%至 30%。我们的调查回复率非常高（86.4%，n=51），临床医生的反馈意见非常积极，他们一致认为这项服务非常有用（9.8%）或极其有用（90.2%）。没有一个受访者对此项服务持否定或中立的看法。此外，90.2%的人认为放射学咨询在超过 60%的情况下直接增加了临床价值，而 86.2%的人认为在超过 40%的情况下，这些咨询改变了管理。
在综合 LC 中进行面对面放射学咨询数量众多，占放射科医生工作量的相当大一部分。更重要的是，放射科医生作为顾问受到高度赞扬，并且该服务被认为对患者护理具有价值和影响力。
