Huda W, Smith D A, Staab E V
Department of Radiology, University of Florida College of Medicine, Gainesville, USA.
J Digit Imaging. 1997 Nov;10(4):139-46. doi: 10.1007/BF03168835.
This study reports the findings of a computed radiography (CR) imaging experience questionnaire sent to 35 emergency departments (ED) in North America. A total of 25 responses to the questionnaire were received corresponding to a return rate of 71%. The median daily workload was 71 patient examinations and the average number of films per patient examination for the 21 facilities was 3.0 +/- 0.8. A total of 91% of respondents printed to film all ED trauma images obtained with CR with only one ED claiming to be filmless. CR in the ED was easy to use and had significant benefits of reducing examination repeat rates, permitting a prompt availability of radiographic images, improving image quality, providing improved operational efficiency, and eliminating lost films. Major limitations of CR were deemed to be limited viewing stations, CR costs, and inefficient patient ID entry. Radiology departments were very happy with the introduction of CR into the ED setting with approximately half being highly satisfied and half somewhat satisfied. The degree of satisfaction by ED personnel was similar with about half being highly satisfied, 40% somewhat satisfied, and the remainder neutral. The fact that not a single respondent was in any way dissatisfied shows that CR can play a useful role in the ED setting.
本研究报告了一项针对北美35个急诊科进行的计算机X线摄影（CR）成像体验问卷调查的结果。共收到25份问卷回复，回复率为71%。21家机构的日均工作量中位数为71例患者检查，每位患者检查的平均胶片数为3.0±0.8。共有91%的受访者将通过CR获得的所有急诊科创伤影像打印成胶片，只有一个急诊科声称无胶片化。急诊科的CR易于使用，具有显著的益处，包括降低检查重复率、使射线照相图像能迅速获取、提高图像质量、提高运营效率以及消除丢失的胶片。CR的主要局限性被认为是阅片站有限、CR成本以及患者身份识别输入效率低下。放射科对在急诊科引入CR非常满意，约一半高度满意，一半 somewhat satisfied。急诊科人员的满意度类似，约一半高度满意，40% somewhat satisfied，其余为中立态度。没有一位受访者表示有任何不满这一事实表明CR在急诊科环境中可以发挥有益作用。 （注：原文中“somewhat satisfied”未准确翻译出合适中文词汇，暂保留英文）
