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居家办公:应对 COVID-19 大流行,放射科医生报告行为的变化。

Working from home: Changes in radiologist reporting behavior in response to the COVID-19 pandemic.

机构信息

Department of Radiology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.

Department of Nuclear Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.

出版信息

J Chin Med Assoc. 2023 Sep 1;86(9):859-864. doi: 10.1097/JCMA.0000000000000962. Epub 2023 Jul 18.

DOI:10.1097/JCMA.0000000000000962
PMID:37462444
Abstract

BACKGROUND

Remote reporting is an important preventive measure against coronavirus disease 2019 (COVID-19) for radiology departments; it reduces the chance of cross-infections between coworkers. The purpose of this study was to evaluate how the preferred locations that radiologists filed reports from changed in response to COVID-19 by measuring the use of internal teleradiology workstations.

METHODS

Data were obtained from the radiological information system (RIS) database at our institution, which recorded the reporting workstation for each radiological examination. The reporting activities in 2021 were divided into computed radiography (CR) and computed tomography (CT)/magnetic resonance imaging (MRI) groups. The Wilcoxon signed-rank test was used to measure differences in the use of off-site workstations in prepandemic, midpandemic, and postpandemic periods.

RESULTS

There were statistically significant increases in the number of reports filed from off-site workstations for each attending physician from the prepandemic period to the midpandemic period in both the CR (15.1%-25.4%, p = 0.041) and CT/MRI (18.9%-28.7%, p = 0.006) groups. There was no significant difference noted between the prepandemic and postpandemic periods for either the CR (15.1% vs 18.4%, p = 0.727) or CT/MRI group (18.9% vs 23.3%, p = 0.236).

CONCLUSION

In response to the COVID-19 outbreak, radiologists used internal teleradiology to report CR and CT/MRI examinations significantly more frequently. In contrast to the predictions of previous studies, the use of internal teleradiology returned to baseline levels after the pandemic was under control.

摘要

背景

远程报告是放射科预防 2019 年冠状病毒病(COVID-19)的重要措施,可减少同事之间交叉感染的机会。本研究旨在通过测量内部远程放射学工作站的使用情况,评估 COVID-19 期间放射科医生报告文件的首选位置发生了怎样的变化。

方法

从我们机构的放射信息系统(RIS)数据库中获取数据,该数据库记录了每一次放射学检查的报告工作站。2021 年的报告活动分为计算机射线照相(CR)和计算机断层扫描(CT)/磁共振成像(MRI)组。采用 Wilcoxon 符号秩检验比较大流行前、大流行中和大流行后时期非现场工作站使用情况的差异。

结果

在 CR(15.1%-25.4%,p=0.041)和 CT/MRI(18.9%-28.7%,p=0.006)组中,每位主治医生从大流行前到大流行期间,从非现场工作站提交的报告数量均呈统计学显著增加。在 CR(15.1%比 18.4%,p=0.727)或 CT/MRI 组(18.9%比 23.3%,p=0.236)中,大流行前和大流行后时期之间均无显著差异。

结论

针对 COVID-19 疫情,放射科医生使用内部远程放射学系统报告 CR 和 CT/MRI 检查的频率显著增加。与之前研究的预测不同,大流行得到控制后,内部远程放射学的使用恢复到基线水平。

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