Delgado C A, Fleisher G R
Division of Emergency Medicine, Children's Hospital, Boston, MA 02115, USA.
Pediatr Emerg Care. 1995 Apr;11(2):69-71. doi: 10.1097/00006565-199504000-00002.
We analyzed surveys from 42 (91%) of 46 responding directors of pediatric emergency departments with fellowship programs to ascertain the scope of radiology services and the level of satisfaction. X-ray units but not computed tomography scanners were usually located on the same floor as the emergency department, but only 14 (33%) had imaging capacity within the department. In 67% of programs, emergency physicians provided the initial interpretation. Turnaround time varied from 30 minutes or less (31%) to 90 minutes or more (10%). Overall, 22 (52%) of the directors were satisfied with radiology services. A turnaround time of 45 minutes or less occurred more often with an x-ray unit in the department (P = 0.015), and directors tended to be more satisfied with this arrangement (P = 0.27). We conclude that the current state of the art consists of an x-ray unit in close proximity to the emergency department and a turnaround time of 60 minutes or less, but directors expressed more satisfaction with the service to their patients when a unit was in the department and turnaround time was shorter than 60 minutes.
我们分析了46家设有住院医师培训项目的儿科急诊科中42位（91%）主任的调查问卷，以确定放射科服务的范围和满意度水平。X光机通常与急诊科位于同一楼层，但计算机断层扫描仪并非如此，而且只有14家（33%）的急诊科具备科室内部成像能力。在67%的项目中，急诊医生负责初步解读。检查结果回报时间从30分钟及以内（31%）到90分钟及以上（10%）不等。总体而言，22位（52%）主任对放射科服务感到满意。科室内部设有X光机时，45分钟及以内的检查结果回报时间更为常见（P = 0.015），而且主任们往往对这种安排更满意（P = 0.27）。我们得出结论，当前的最佳状态是在急诊科附近设有一台X光机，且检查结果回报时间在60分钟及以内，但当科室内部设有X光机且检查结果回报时间短于60分钟时，主任们对为患者提供的服务表现出更高的满意度。
