Assessing the impact of trained Radiologist Assistants in a busy emergency teleradiology practice: a comprehensive evaluation.

IF 1.7 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Emergency Radiology Pub Date : 2024-10-01 Epub Date: 2024-07-11 DOI:10.1007/s10140-024-02264-8

Muktha Rawath R, Anjali Agrawal, Arjun Kalyanpur

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引用次数: 0

Abstract

Purpose: This study aims to study the feasibility and usefulness of trained Radiologist Assistants in a busy emergency teleradiology practice.

Method: This is a retrospective study over a 21-month period (January 2021 to September 2022). The study analysed archived data from 247118 peer review studies performed by Radiologist Assistants (RAs) out of a total case volume of 828526 and evaluated the rate of discrepancies, the study types commonly noted to have discrepancies, and the severity of errors. These missed findings were brought to the attention of the radiologists for approval and further decision-making.

Results: Peer review by RAs was performed on 30% (n = 247118) of the total volume 828526 studies reported, and yielded additional findings including but not limited to fractures (218; 23%), hemorrhage,(94; 10%) pulmonary thromboembolism, (n = 104; 11%), Calculus (n = 75; 8%) lesion (n = 66; 5%), appendicitis(n = 50; 4%) and others. These were brought to the attention of the radiologist, who agreed in 97% (1279 out of 1318) of cases, and communicated the same to the referring facility, with an addended report.

Conclusion: Trained RAs can provide value to the peer review program of a busy teleradiology practice and decrease errors. This may be useful to meet the ongoing radiologist shortages.

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评估经过培训的放射科助理在繁忙的急诊远程放射学实践中的影响：一项综合评估。

目的：本研究旨在研究经过培训的放射科医师助理在繁忙的急诊远程放射学实践中的可行性和实用性：这是一项为期 21 个月（2021 年 1 月至 2022 年 9 月）的回顾性研究。该研究分析了放射科医师助理（RAs）进行的 247118 项同行评审研究的存档数据（总病例数为 828526 例），并评估了差异率、常见差异的研究类型以及错误的严重程度。这些遗漏的结果会提请放射科医生注意，以获得批准并做出进一步决策：在报告的 828526 项研究中，30%（n = 247118）的研究由放射科医师进行了同行评审，评审结果包括但不限于骨折（218；23%）、出血（94；10%）、肺血栓栓塞（n = 104；11%）、结石（n = 75；8%）、病变（n = 66；5%）、阑尾炎（n = 50；4%）等。放射科医生在 97% 的病例（1318 例中有 1279 例）中表示同意，并向转诊机构传达了同样的意见，同时附上了补充报告：经过培训的 RA 可以为繁忙的远程放射学实践中的同行评审项目提供价值，并减少错误。这对解决目前放射科医生短缺的问题很有帮助。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Emergency Radiology RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-

CiteScore

4.60

自引率

4.50%

发文量

期刊介绍： To advance and improve the radiologic aspects of emergency careTo establish Emergency Radiology as an area of special interest in the field of diagnostic imagingTo improve methods of education in Emergency RadiologyTo provide, through formal meetings, a mechanism for presentation of scientific papers on various aspects of Emergency Radiology and continuing educationTo promote research in Emergency Radiology by clinical and basic science investigators, including residents and other traineesTo act as the resource body on Emergency Radiology for those interested in emergency patient care Members of the American Society of Emergency Radiology (ASER) receive the Emergency Radiology journal as a benefit of membership!