Gleadhill D N, Thomson J Y, Simms P
Br Med J (Clin Res Ed). 1987 Apr 11;294(6577):943-7. doi: 10.1136/bmj.294.6577.943.
Increasing workloads in our radiology department prompted a study of casualty officers' use of x ray examinations, of which there were 5463 in the period. While casualty officers were in post referrals for x ray examination did not become more selective, but skills in interpreting films improved. Overall, 4.9% of trauma radiographs were misinterpreted, but this fell from 7.1% to 2.9% during tenure of post. One in four errors was clinically important. Clinical guidelines for selective radiography produced a significant and sustained reduction in the number of x ray examinations requested by the department. Analysis of one common injury indicated that the quality of patient care was not adversely affected. The number of x ray examinations carried out in the accident and emergency department can be reduced by using guidelines, and this does not compromise the quality of patient care. Appreciable savings may be made in patients' waiting times and radiodiagnostic expenditure.
我们放射科日益增加的工作量促使我们对急诊医生使用X光检查的情况进行了一项研究，在此期间共有5463次X光检查。在急诊医生任职期间，X光检查的转诊并没有变得更具选择性，但解读X光片的技能有所提高。总体而言，4.9%的创伤X光片被误读，但在任职期间，这一比例从7.1%降至2.9%。四分之一的错误具有临床重要性。选择性放射摄影的临床指南使该科室要求进行的X光检查数量显著且持续减少。对一种常见损伤的分析表明，患者护理质量并未受到不利影响。通过使用指南，可以减少急诊部门进行的X光检查数量，而且这不会损害患者护理质量。在患者等待时间和放射诊断费用方面可能会节省可观的开支。
