Impact of a diagnostic workstation on workflow in the emergency department at a level I trauma center

Hirschorn, David; Hinrichs, Clay; Gor, Devang M.; Shah, Kartik; Visvikis, George A

doi:10.1007/bf03190338

Cited by 15 publications

(14 citation statements)

References 5 publications

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“…Most data thus far show that PACS speed the transfer of image data to the care providers and reduce the number of lost films. This is particularly evident in the emergency room and intensive care units where prolonged wait times for study results can have a fatal or at least morbid result in patient management and care (Hirschorn et al, 2001;Watkins et al, 2000).…”

Section: Discussionmentioning

confidence: 98%

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Introduction to Picture Archive and Communication Systems

Hood¹,

Scott²

2006

Journal of Radiology Nursing

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Section: Discussionmentioning

confidence: 98%

“…For many patients, x-rays are also used as a final check before discharge. In hospitals with PACS, the easy access to patients' films often leads to earlier patient discharge and shortened hospital stays (Hirschorn, Hinrichs, Gor, Shah, & Visvikis, 2001;Watkins, Weatherburn, & Bryan, 2000).…”

Section: Introductionmentioning

confidence: 99%

Introduction to Picture Archive and Communication Systems

Hood¹,

Scott²

2006

Journal of Radiology Nursing

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“…This evidence of reduced TAT adds to the discourse that 24/7/365 provides an efficient approach to patient care, which is one of the purposes of ER. 30 Hirschorn et al described in their study that such time savings could have a significant impact on the care of trauma patients. 30 Similar results were reported by Newgard et al 31 Boland et al had noted in 2008 that the ultimate work product of a radiology department is a finalized radiology report.…”

Section: Discussionmentioning

confidence: 99%

Impact of 24/7/365 Attending Radiologist Coverage on the Turnaround Time in an Emergency and Trauma Radiology Department

et al. 2020

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Objective: To study the impact of 24/7/365 attending radiologist coverage on the turnaround time (TAT) of trauma and nontrauma cases in an emergency and trauma radiology department. Patients and Methods: This was a retrospective chart review in which TAT of patients coming to the emergency department between 2 periods: (1) December 1, 2012, to September 30, 2013, and (2) January 1, 2017, to January 30, 2018, and whose reports were read by an attending emergency and trauma radiologist was noted. Results: The 24/7/365 radiology coverage was associated with a significant reduction in TAT of computed tomography reports, and the time reduction was comparable between trauma and nontrauma cases. In adjusted models, the extension of radiology coverage was associated with an average of 7.83 hours reduction in overall TAT (95% confidence interval [CI]: 7.44-8.22) for reports related to trauma, in which 2.73 hours were due to reduction in completion to transcription time (TC; 95% CI: 2.53-2.93), and 5.10 hours were due to reduction in transcription to finalization time (TF; 95% CI: 4.75-5.44). For reports related to nontrauma cases, 24/7/365 coverage was associated with an average of 6.07 hours reduction in overall TAT (95% CI: 3.54-8.59), 2.91 hours reduction in TC (95% CI: 1.55-4.26), and 3.16 hours reduction in TF (95% CI: 0.90-5.42). Conclusion: Our pilot study demonstrates that the implementation of on-site 24/7/365 attending emergency radiology coverage at a tertiary care center was associated with a reduced TAT for trauma and nontrauma patients imaging studies. Although the magnitude and precision of estimates were slightly higher for trauma cases as compared to nontrauma cases. Trauma examinations stand to benefit the most from 24/7/365 attending level radiology coverage.

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“…Previous studies have measured aspects of CT technologist/ device/scanner/IT infrastructure effects on timeliness and error rates. A large body of literature exists on how the transition to a fully digital workflow decreases error and the time from door to interpretation [4][5][6][7][8][9][10][11][12][13][14]. For example, Humphrey and colleagues compared time between exposure and presentation of results to an ordering physician [15].…”

Section: Introductionmentioning

confidence: 99%

A General Framework for Monitoring Image Acquisition Workflow in the Radiology Environment: Timeliness for Acute Stroke CT Imaging

et al. 2018

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Many facets of an image acquisition workflow leave a digital footprint, making workflow analysis amenable to an informatics-based solution. This paper describes a detailed framework for analyzing workflow and uses acute stroke response timeliness in CT as a practical demonstration. We review methods for accessing the digital footprints resulting from common technologist/device interactions. This overview lays a foundation for obtaining data for workflow analysis. We demonstrate the method by analyzing CT imaging efficiency in the setting of acute stroke. We successfully used digital footprints of CT technologists to analyze their workflow. We presented an overview of other digital footprints including but not limited to contrast administration, patient positioning, billing, reformat creation, and scheduling. A framework for analyzing image acquisition workflow was presented. This framework is transferable to any modality, as the key steps of image acquisition, image reconstruction, image post processing, and image transfer to PACS are common to any imaging modality in diagnostic radiology.

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Impact of a diagnostic workstation on workflow in the emergency department at a level I trauma center

Abstract: The addition of a single workstation significantly reduces the time required to reach a final diagnosis by obviating the need to print and transport the images to the on-call radiology resident. Such time savings can have a significant impact on the care of trauma patients.

Cited by 15 publications

References 5 publications

Introduction to Picture Archive and Communication Systems

Introduction to Picture Archive and Communication Systems

Impact of 24/7/365 Attending Radiologist Coverage on the Turnaround Time in an Emergency and Trauma Radiology Department

A General Framework for Monitoring Image Acquisition Workflow in the Radiology Environment: Timeliness for Acute Stroke CT Imaging

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