Orejuela Zapata Juan Felipe
Radiology Department, Fundación Valle del Lili, Cali, Colombia.
Radiology Department, Fundación Valle del Lili, Carrera 98 # 18 - 49, 760032, Cali, Colombia.
Emerg Radiol. 2019 Dec;26(6):593-600. doi: 10.1007/s10140-019-01708-w. Epub 2019 Jul 16.
The timely reporting of critical findings is considered by the Joint Commission as one of the main patient safety goals. Delays in critical radiological findings communication are directly related to delayed treatment initiation and death, constituting a major cause of medical malpractice suits. The aim of this study was to evaluate the impact of an educational initiative performed to reduce the notification times of critical radiological findings.
All records of critical findings reported in the Radiology Department were evaluated. The notification times before and after performing the educational intervention taking into account the patient type, study, and critical diagnosis were calculated, evaluated, and compared. T test and chi-square test were used for statistical analysis, considering a p value less than 0.05 to indicate statistically significant differences.
We included 1949 reports, 805 before (41.3%) and 1144 (58.7%) after the intervention. Before the intervention, the mean time of critical finding report was 2.85 h for emergency patients and 3.07 h for hospitalized patients. After the intervention, a statistically significant decrease in the notification time was observed with a mean of 1.37 h for emergency patients and 2.43 h in the hospitalization patients. A statistically significant increase was observed in the proportion of reported findings in less than 15 min (7.08%, p < 0.01), 45 min (45.55%, p < 0.01), 60 min (55.86%, p < 0.01), and 120 min (80.68%, p < 0.01).
The healthcare process in the Department of Radiology involves multiple actors who must be sensitized in the identification and reporting of critical radiological findings in order to reduce the notification times. Ensuring effective communication of critical findings is indispensable to ensure timely medical treatment.
联合委员会将及时报告关键检查结果视为主要的患者安全目标之一。关键放射学检查结果的沟通延迟与治疗开始延迟和死亡直接相关，是医疗事故诉讼的主要原因。本研究的目的是评估一项教育举措对缩短关键放射学检查结果通知时间的影响。
对放射科报告的所有关键检查结果记录进行评估。计算、评估并比较了实施教育干预前后考虑患者类型、检查和关键诊断的通知时间。采用t检验和卡方检验进行统计分析，p值小于0.05表示具有统计学显著差异。
我们纳入了1949份报告，干预前805份（41.3%），干预后1144份（58.7%）。干预前，急诊患者关键检查结果报告的平均时间为2.85小时，住院患者为3.07小时。干预后，通知时间有统计学显著下降，急诊患者平均为1.37小时，住院患者为2.43小时。在少于15分钟（7.08%，p<0.01）、45分钟（45.55%，p<0.01）、60分钟（55.86%，p<0.01）和120分钟（80.68%，p<0.01）内报告的检查结果比例有统计学显著增加。
放射科的医疗过程涉及多个行为主体，必须提高他们对关键放射学检查结果的识别和报告的敏感度，以缩短通知时间。确保关键检查结果的有效沟通对于确保及时治疗必不可少。
