Development and Deployment of an Emergency Department Radiology Dashboard to Improve Communication and Transparency of Radiologic Imaging and Report Status

IF 4 3区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Journal of the American College of Radiology Pub Date : 2025-02-01 DOI:10.1016/j.jacr.2024.11.024

Ali H. Dhanaliwala MD, PhD , Amanda J. Deutsch MD , Jeffrey Moon MD , Darco Lalevic MCIT , Charles Chambers MCIT, MHCI , Tessa S. Cook MD, PhD

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引用次数: 0

Abstract

Purpose

The status of radiology examinations affects the flow of patients through the emergency department (ED). Yet this information is not readily available to ED physicians, nurses, and staff members (collectively referred to as ED staff members) or patients. The aim of this study was to improve ED workflow by providing real-time information about the status of radiology reports to ED staff members.

Methods

A dashboard displaying real-time information on the status of pending radiology examinations as extracted from the electronic medical record and radiology information system was developed for display in the ED. An algorithm based on historical trends was developed for predicting expected turnaround times (TATs). Focus groups, surveys, and dashboard use data were used to gather feedback and understand utility.

Results

The ED radiology dashboard was successfully deployed to four EDs within the health system. The dashboard received an average of 9,397 unique views per week the first year and 802 views per week in the following 2 years after deployment. Most examinations had TATs better than the estimated time, and fewer than 1% had TATs greater than 2 hours from the estimated time. No differences were found between pre- and postsurvey opinion results.

Conclusions

A web-based dashboard that displays radiologic imaging study status is a low-cost, high-yield method to improve communication between radiology and ED staff members.

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开发和部署急诊科放射仪表板，以改善放射成像和报告状态的沟通和透明度。

背景：放射学检查的状况影响着急诊科（ED）的患者流量。然而，对于急诊科医生、护士、工作人员（急诊科工作人员）或患者来说，这些信息并不容易获得。目的：通过向急诊科工作人员提供有关放射报告状态的实时信息，改善急诊科工作流程。材料和方法：开发了一个仪表板，显示从电子病历和放射学信息系统中提取的待处理放射学检查状态的实时信息，用于在急诊科显示。开发了基于历史趋势的算法，用于预测预期的周转时间。使用焦点小组、调查和仪表板使用数据来收集反馈并了解效用。结果：ED-Radiology仪表板成功部署到卫生系统内的四个急诊科。在部署后的第一年，仪表板平均每周接收9397个唯一视图，在接下来的两年里，每周接收802个视图。大多数考试的周转时间（TAT）优于估计时间，少于1%的考试的TAT超过估计时间2小时。调查前后的意见结果没有差异。结论：基于网络的显示放射学影像学研究状态的仪表板是一种低成本、高收益的方法，可改善放射科和急诊科人员之间的沟通。

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

Journal of the American College of Radiology RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-

CiteScore

6.30

自引率

8.90%

发文量

312

审稿时长

34 days

期刊介绍： The official journal of the American College of Radiology, JACR informs its readers of timely, pertinent, and important topics affecting the practice of diagnostic radiologists, interventional radiologists, medical physicists, and radiation oncologists. In so doing, JACR improves their practices and helps optimize their role in the health care system. By providing a forum for informative, well-written articles on health policy, clinical practice, practice management, data science, and education, JACR engages readers in a dialogue that ultimately benefits patient care.