Garrahy Darragh, Doran Simon, O'Neill Hazel, Dennan Suzanne, Beddy Peter
Department of Radiology, St James's Hospital and Trinity College Dublin, James's St, Dublin 8, Ireland.
Ir J Med Sci. 2024 Aug;193(4):1697-1701. doi: 10.1007/s11845-024-03647-z. Epub 2024 Mar 9.
Demand for inpatient MRI outstrips capacity which results in long waiting lists. The hospital commenced a routine weekend MRI service in January 2023.
The aim of this study was to investigate the effect of a limited routine weekend MRI service on MRI turnaround times.
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.
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).
Routine weekend inpatient MRI significantly shortens inpatient waiting times.
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。
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。
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。
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)。
常规周末住院MRI显著缩短了住院患者的等待时间。