Chung Raymond, Chawla Ashish, Shikhare Sumer, Babu Suresh
Department of Diagnostic Radiology at Khoo Teck Puat Hospital, 90 Yishun Central, Singapore, 768828 Singapore.
CVIR Endovasc. 2018;1(1):26. doi: 10.1186/s42155-018-0033-1. Epub 2018 Oct 29.
We aim to evaluate the frequency of use and changing practices for all out-of-hours interventional radiology (IR) procedures performed in a new hospital.
This is a 5 year retrospective review of all out-of-hours procedures performed by the Interventional Radiology team from July 2010 to June 2015. Number and category of procedures performed were identified from the RIS database.
Of the 7140 procedures performed by IR over the 5 years, 764 were out-of-hours. The total number of out-of-hours cases performed annually by IR has increased by 240% from year 1 to year 5. The variety and distribution of out-of-hours work has shown a characteristic trend with rising requests for advanced procedures such as active haemorrhage control.
The rising number and complexity of cases for on-call IR further supports the need for a formal on-call rota, ideally 1:6, to provide a sustainable 24/7 service and optimize patient outcome in an acute hospital.
我们旨在评估一家新医院中所有非工作时间介入放射学（IR）操作的使用频率及变化情况。
这是一项对介入放射学团队在2010年7月至2015年6月期间进行的所有非工作时间操作的5年回顾性研究。从放射信息系统（RIS）数据库中确定所执行操作的数量和类别。
在这5年中，IR共执行了7140例操作，其中764例为非工作时间操作。IR每年执行的非工作时间病例总数从第1年到第5年增加了240%。非工作时间工作的种类和分布呈现出一种特征性趋势，对诸如活动性出血控制等高级操作的需求不断增加。
随叫随到的IR病例数量和复杂性不断增加，这进一步支持了需要制定正式的随叫随到值班表，理想比例为1:6，以便在急症医院提供可持续的全天候服务并优化患者治疗效果。
