Improving timeliness of STAT portable radiographs in pediatric critical care.

IF 2.1 3区医学 Q2 PEDIATRICS

Pediatric Radiology Pub Date : 2025-03-29 DOI:10.1007/s00247-025-06224-3

Marcy L Hutchinson, Mohammad Jalloul, Brandon Stormes, Addison A McInnes, Hannah Stinson, Kumar Ashwarya, Valerie A Rigby, Summer L Kaplan

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引用次数: 0

Abstract

Background: Timely and accurate portable radiographs are essential in the pediatric intensive care unit (PICU) for managing critically ill patients. However, an overuse of STAT orders for non-urgent exams leads to inefficiencies, delays, and strains on resources. This project aimed to increase the percentage of STAT radiographs performed within 30 min and improve the appropriateness of STAT orders in a high-volume PICU.

Methods: A quality improvement initiative was conducted in a quaternary care pediatric hospitals using the ACR ImPower methodology. A multidisciplinary team restructured the technologist staffing model, introduced standardized criteria for STAT/ASAP orders, and developed a communication tip sheet for nursing staff ordering portable radiographs. Data were tracked using statistical process control charts, and results were compared pre- and post-intervention.

Results: From January to September 2024, STAT radiographs completed within 30 min increased from 55 to 71%, and mean turnaround time decreased from 71 to 38 min. Compliance with communication standards improved, while the appropriateness of STAT orders increased modestly from 42 to 44%.

Conclusion: This QI project significantly improved the timeliness and workflow efficiency for STAT radiographs in the PICU, though further efforts are needed to fully standardize STAT order usage and communication practices.

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来源期刊

Pediatric Radiology 医学-核医学

CiteScore

4.40

自引率

17.40%

发文量

300

审稿时长

3-6 weeks

期刊介绍： Official Journal of the European Society of Pediatric Radiology, the Society for Pediatric Radiology and the Asian and Oceanic Society for Pediatric Radiology Pediatric Radiology informs its readers of new findings and progress in all areas of pediatric imaging and in related fields. This is achieved by a blend of original papers, complemented by reviews that set out the present state of knowledge in a particular area of the specialty or summarize specific topics in which discussion has led to clear conclusions. Advances in technology, methodology, apparatus and auxiliary equipment are presented, and modifications of standard techniques are described. Manuscripts submitted for publication must contain a statement to the effect that all human studies have been reviewed by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in an appropriate version of the 1964 Declaration of Helsinki. It should also be stated clearly in the text that all persons gave their informed consent prior to their inclusion in the study. Details that might disclose the identity of the subjects under study should be omitted.