Department of Radiology, Zuyderland Medical Center, Heerlen/Sittard/Geleen, the Netherlands.
Medical Imaging Center, Department of Radiology, University of Groningen, University Medical Center Groningen, the Netherlands.
Eur J Radiol. 2024 Jul;176:111536. doi: 10.1016/j.ejrad.2024.111536. Epub 2024 May 28.
To identify the perceived factors contributing to imaging overuse in the emergency department, according to radiologists and emergency physicians.
A survey study on imaging overuse in the emergency department was conducted among 66 radiologists and 425 emergency physicians. Five-point Likert scales (not a problem at all/strongly disagree [score 1] to very serious problem/strongly agree [score 5]) were used to score the various aspects of overimaging.
Both radiologists and emergency physicians gave a median score of 4 to the question if imaging overuse is a problem in their emergency department. CT accounts for the vast majority of imaging overuse, according to both radiologists (84.8%) and emergency physicians (75.3%). Defensive medicine/fear of malpractice, the presence of less experienced staff, and easy access to imaging all were given a median score of 4 as factors that influence imaging overuse, by both physician groups. Median ratings regarding the influence of pressure from patients and a lack of time to examine patients on imaging overuse varied between 3 and 4 for radiologists and emergency physicians. Pressure from consultants to perform imaging, the use of imaging to decrease turnaround time in the emergency department, a lack of space in the emergency department, a lack of proper medical education, and inability to access outside imaging studies, were also indicated to give rise to imaging overuse.
Imaging overuse in the emergency department (particularly CT overuse) is a problem according to most radiologists and emergency physicians, and is driven by several factors.
根据放射科医生和急诊医师的观点，确定导致急诊科影像学过度检查的可感知因素。
对急诊科影像学过度检查进行了一项调查研究，共调查了 66 名放射科医生和 425 名急诊医师。采用 5 分制李克特量表（从“根本不是问题/强烈不同意”[得分为 1]到“非常严重的问题/强烈同意”[得分为 5]）对过度成像的各个方面进行评分。
放射科医生和急诊医师均对“影像学过度检查是否是其急诊科的一个问题”这一问题给出了中位数为 4 的评分。根据放射科医生（84.8%）和急诊医师（75.3%）的说法，CT 占影像学过度检查的绝大多数。出于防御性医疗/担心医疗事故、经验不足的工作人员的存在以及易于获得影像学检查等原因，两组医生均将这些因素评为影响影像学过度检查的因素，中位数得分为 4。关于患者的压力和检查患者的时间不足对影像学过度检查的影响，放射科医生和急诊医师的中位数评分在 3 到 4 之间。顾问对影像学检查的压力、影像学检查在急诊科缩短周转时间的使用、急诊科空间不足、缺乏适当的医学教育以及无法获得外部影像学研究等因素也被认为会导致影像学过度检查。
根据大多数放射科医生和急诊医师的观点，急诊科影像学过度检查（特别是 CT 过度检查）是一个问题，其原因有多种。
