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迈向全天候磁共振成像:周末常规住院患者磁共振成像扫描对患者等待时间的影响。

Towards 24/7 MRI: the effect of routine weekend inpatient MRI scanning on patient waiting times.

作者信息

Garrahy Darragh, Doran Simon, O'Neill Hazel, Dennan Suzanne, Beddy Peter

机构信息

Department of Radiology, St James's Hospital and Trinity College Dublin, James's St, Dublin 8, Ireland.

出版信息

Ir J Med Sci. 2024 Aug;193(4):1697-1701. doi: 10.1007/s11845-024-03647-z. Epub 2024 Mar 9.

Abstract

BACKGROUND

Demand for inpatient MRI outstrips capacity which results in long waiting lists. The hospital commenced a routine weekend MRI service in January 2023.

AIM

The aim of this study was to investigate the effect of a limited routine weekend MRI service on MRI turnaround times.

METHODS

Waiting times for inpatient MRI scans performed before and after the introduction of weekend MRI from January 1 to August 31, 2022, and January 1 to August 31, 2023, were obtained. The turnaround time (TAT) and request category for each study were calculated. Category 1 requests were required immediately, category 2 requests were urgent and category 3 requests were routine.

RESULTS

There was a 6% (n = 128) increase in MRI inpatient scanning activity in 2023 (n = 2449) compared to 2022 (n = 2322). There was a significant improvement in overall mean TAT for inpatient MRIs (p < .001) in 2023 (mean 65.2 h, range 0-555 h) compared to 2022 (mean 98.3 h, range 0-816 h). There was no significant difference in the mean waiting time for category 1 MRIs between 2022 and 2023. There was a significant improvement (p < .001) in mean waiting time in 2023 (mean 37.2 h, range 0-555) compared to 2022 (mean 55.4 h, range 0-816) for category 2 MRI. The mean waiting time for category 3 studies also significantly improved (p < .001) in 2023 (mean 93.4 h, range 1-2663) when compared to 2022 (mean 154.8, range 1-1706).

CONCLUSION

Routine weekend inpatient MRI significantly shortens inpatient waiting times.

摘要

背景

住院患者对磁共振成像(MRI)检查的需求超过了现有能力,导致等待名单过长。该医院于2023年1月开始提供常规周末MRI服务。

目的

本研究旨在调查有限的常规周末MRI服务对MRI周转时间的影响。

方法

获取了2022年1月1日至8月31日以及2023年1月1日至8月31日引入周末MRI服务前后住院患者MRI扫描的等待时间。计算了每项研究的周转时间(TAT)和申请类别。1类申请为立即需要,2类申请为紧急,3类申请为常规。

结果

与2022年(n = 2322)相比,2023年(n = 2449)MRI住院扫描活动增加了6%(n = 128)。与2022年(平均98.3小时,范围0 - 816小时)相比,2023年住院MRI的总体平均TAT有显著改善(p <.001)(平均65.2小时,范围0 - 555小时)。2022年和2023年1类MRI的平均等待时间无显著差异。与2022年(平均55.4小时,范围0 - 816)相比,2023年2类MRI的平均等待时间有显著改善(p <.001)(平均37.2小时,范围0 - 555)。与2022年(平均154.8,范围1 - 1706)相比,2023年3类研究的平均等待时间也显著改善(p <.001)(平均93.4小时,范围1 - 2663)。

结论

常规周末住院MRI显著缩短了住院患者的等待时间。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0158/11294432/8c6af3dd2f49/11845_2024_3647_Fig1_HTML.jpg

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