University of British Columbia, Vancouver, British Columbia, Canada.
Vancouver Coastal Health Authority, Vancouver, British Columbia, Canada.
Can Assoc Radiol J. 2020 Feb;71(1):110-116. doi: 10.1177/0846537119888357. Epub 2020 Jan 27.
To decrease the number of mobile chest radiograph requests for inpatients in British Columbia who are medically able to tolerate transport to the main department by introducing and implementing request criteria.
Concerns regarding inappropriate mobile exam requests in patients receiving chest radiography were surveyed at 28 medical imaging sites. In response, a multidisciplinary team composed a set of mobile radiography request guidelines incorporating feedback from all sites. These were successfully implemented along with in-person education to 21 sites. The number of adult annual mobile chest radiographs was tracked from 2014 to 2018, and informal feedback was obtained from participating sites.
The percentage of mobile chest radiographs of all chest radiographs performed between 2014 and 2018 decreased by 3.2%, while the total number of all chest radiographs performed during this time, including both departmental and mobile, increased by 1.9%. Sites reported positive engagement with the initiative and expressed need for ongoing education to optimize its effect.
Implementation of request guidelines with in-person education helped to reduce inappropriate mobile exams in patients receiving chest radiographs in British Columbia between 2014 and 2018. These guidelines promote patient safety through reduced radiation exposure, empower radiographers to mitigate inappropriate requests, and help to optimize use of limited hospital resources by reducing inappropriate mobile exams where routine departmental exams are more suitable.
通过引入和实施申请标准，减少不列颠哥伦比亚省能够耐受转运至主要科室的住院患者对移动胸部 X 光检查的申请数量。
在 28 个医学影像站点对接受胸部 X 光检查的患者中存在的不适当移动检查申请的问题进行了调查。作为回应，一个由多学科团队组成的小组制定了一套移动放射检查申请指南，其中纳入了所有站点的反馈。这些指南与 21 个站点的现场教育一起成功实施。从 2014 年到 2018 年，跟踪了成人年度移动胸部 X 光检查的数量，并从参与站点获得了非正式反馈。
2014 年至 2018 年间，所有胸部 X 光检查中移动胸部 X 光检查的比例下降了 3.2%，而同期包括科室和移动在内的所有胸部 X 光检查的总数增加了 1.9%。各站点报告称对该倡议的积极参与，并表示需要持续教育以优化其效果。
在不列颠哥伦比亚省，2014 年至 2018 年间，通过现场教育实施申请指南有助于减少接受胸部 X 光检查的患者中不适当的移动检查。这些指南通过减少辐射暴露来提高患者安全性，使放射技师能够减轻不适当的申请，并通过减少不适当的移动检查来优化有限的医院资源的使用，因为在这种情况下，常规科室检查更合适。
