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减轻 COVID-19 大流行长期报告周转时间和减少倦怠带来的影响的策略。

Mitigation Tactics Discovered During COVID-19 with Long-Term Report Turnaround Time and Burnout Reduction Benefits.

机构信息

Penn State Hershey Medical Center, 500 University Dr. HG300B, Hershey, PA 17033.

Penn State Hershey Medical Center, 500 University Dr. HG300B, Hershey, PA 17033.

出版信息

Acad Radiol. 2022 Dec;29(12):1786-1791. doi: 10.1016/j.acra.2022.04.016. Epub 2022 Apr 22.

Abstract

RATIONALES AND OBJECTIVES

The purpose is to describe a hybrid teleradiology solution utilized in an academic medical center and its outcomes on radiology report turnaround time (RTAT) and physician wellness.

MATERIALS AND METHODS

During coronavirus disease 2019, we utilized an alternating teleradiology solution with procedural and education attendings working in the hospital and other faculty remote to keep the worklist clean. RTAT data was collected for remote vs. in house emergency department (ED) and inpatient cases over a 6-month period. Pre and post implementation burnout surveys were administered.

RESULTS

RTAT significantly improved for ED and inpatient MR and CT, and inpatient US and radiographs when interpreted remotely compared to in-hospital. Physician wellness scores improved and open-ended comments reflected positive feedback about the hybrid work solution. 74% enjoyed the autonomy and flexibility, and 51% said the solution positively influences my desire to remain in my current institution and improves their clinical and/or academic productivity.

CONCLUSION

Hybrid work from home solutions allow faculty autonomy and flexibility with work-life balance, improving wellness. It is important to alternate the at-home faculty to maintain interdepartmental relations, particularly for junior faculty, and prevent isolation. The hybrid solution also demonstrated improved patient care metrics, possibly due to decreased distractions at home compared to the reading room.

摘要

背景与目的

本研究旨在描述一种应用于学术医学中心的混合远程放射学解决方案,并探讨其对放射科报告周转时间(RTAT)和医生健康的影响。

材料与方法

在 2019 年冠状病毒病期间,我们采用了交替远程放射学解决方案,让在院的程序和教育主治医生以及远程的其他教职员工负责清理工作列表。在 6 个月的时间里,我们收集了远程与院内急诊(ED)和住院患者的 RTAT 数据。在实施前后,我们还进行了 burnout 调查。

结果

与院内相比,远程解读的 ED 和住院患者的 MRI 和 CT,以及住院患者的 US 和 X 光的 RTAT 显著缩短。医生的健康评分提高,开放性评论反映了对混合工作解决方案的积极反馈。74%的医生享受自主权和灵活性,51%的医生表示该解决方案积极影响他们留在当前机构的意愿,并提高了他们的临床和/或学术生产力。

结论

远程办公的混合工作模式允许教职员工在工作与生活之间取得平衡,提高工作幸福感和灵活性。重要的是要定期轮换远程工作的教职员工,以维持部门间的关系,尤其是对初级教职员工而言,并防止孤立。混合解决方案还显示出改善患者护理指标的趋势,这可能是由于在家中工作时相比在阅读室中,干扰因素减少。

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