Yamada Akira, Okajima Yukinori, Yoshizawa Eriko, Fukamatsu Fumiaki, Mitsui Takayuki, Suzuki Takeshi, Ichinohe Fumihito, Oyama Kazuki, Todoroki Keisuke, Maehara Mana, Aonuma Takanori, Nonaka Tomofumi, Fujinaga Yasunari, Kadoya Masumi
Department of Radiology, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano, 390-1301, Japan.
Jpn J Radiol. 2018 Nov;36(11):649-660. doi: 10.1007/s11604-018-0772-x. Epub 2018 Sep 1.
To assess whether the modified reading system "Triage Reader" (TR) can improve the radiological reading work environment.
This retrospective, single-center study analyzed two reading systems for 26,786 computed tomography and magnetic resonance imaging examinations. In the conventional system (January 1-May 31, 2016), all reading work was mostly completed within the day. In the TR system (January 1-May 31, 2017), a radiology resident (TR) first read every image immediately after the examination and tagged each examination according to actual image findings and clinical demands. Routine reading work was finished when all high-priority cases were completed. Low-priority cases were assessed the following day.
When using the TR system, the mean reading number in the evening decreased (P = 0.009). The mean elapsed time to finalize report of case with actual urgent image finding shortened from 4.26 to 1.97 h (P < 0.0001). The mean number of cases experienced per resident increased from 5.4 to 28.7 (P < 0.001). Subjective evaluation revealed a significant improvement in "Reading efficiency" and "Contribution to clinical practice."
Introduction of the TR system can improve the reading efficiency and quality, educational effect among residents by increasing the number of experienced cases and work satisfaction.
评估改良后的阅片系统“Triage Reader”（TR）能否改善放射学阅片工作环境。
这项回顾性单中心研究分析了用于26786例计算机断层扫描和磁共振成像检查的两种阅片系统。在传统系统（2016年1月1日至5月31日）中，所有阅片工作大多在当天完成。在TR系统（2017年1月1日至5月31日）中，放射科住院医师（TR）在每次检查后立即首先阅读每张图像，并根据实际图像结果和临床需求对每次检查进行标记。当所有高优先级病例完成后，常规阅片工作结束。低优先级病例在第二天进行评估。
使用TR系统时，晚上的平均阅片数量减少（P = 0.009）。具有实际紧急图像发现的病例完成最终报告的平均耗时从4.26小时缩短至1.97小时（P < 0.0001）。每位住院医师平均经手的病例数量从5.4例增加到28.7例（P < 0.001）。主观评估显示“阅片效率”和“对临床实践的贡献”有显著改善。
引入TR系统可提高阅片效率和质量，通过增加经手病例数量提高住院医师的教育效果和工作满意度。
