放射学报告延误的原因及减少方法

Dr. Ghazala Wahid, Ammara Haroon, Mehreen Samad, Naila Tamkeen
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引用次数: 0

摘要

背景:在当今时代,放射学报告在患者的诊断和管理中起着非常重要的作用,因此排除原因,提高报告时间和报告质量是非常重要的。在进行放射学扫描或对其进行解释方面的延迟可能会延长做出适当治疗决定的时间,从而导致成本增加和患者护理的潜在妥协。目的:分析放射科报告延误的原因,探讨如何减少延误,提高报告标准。材料和方法:本研究是一项观察性描述性研究,它收集了所有因HMC随机问题而进行CT扫描或MRI检查的患者的数据。这些扫描被跟踪,直到他们被报告并交给病人或病人的护理人员。对5名放射科会诊医师进行问卷调查,了解延误原因。结果:在这项观察性研究中,我们发现报告延迟是多因素的。在2018年7月1日至12月31日期间,进行了大约11600次CT扫描和MRI扫描。延迟72小时以上报告约2070例(17.8%),72小时内及时报告82.1%。在我们的研究中,延迟报告的最重要原因是病史不完整(34.8%),其他原因是不适当的技术(21.5%),放射科医生负担过重(29.7%),而14%的患者延迟报告的原因是放射科医生与临床医生之间缺乏沟通。关键词:计算机断层扫描,磁共振成像,报告。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Causes of Delay in Radiological Reporting and ways to Reduce them
Background: Radiology reporting in today's era has a very important role in diagnosis and management of patient so it is very important to rule out the causes and ways to improve reporting time and its quality. Delays in performing radiology scans or interpreting them can prolong the time until a proper treatment decision can be made, leading to increased costs and potential compromises in patient care.Objective: To find out reasons for delay in radiological reporting and to find out how to reduce them and improve reporting standards.Materials and Methods: This study was an observational descriptive study and it involved data collected from all patients whose CT scan or MRI was performed for random problems in HMC.  There scans were followed till they were reported and handed over to patients or patient's attendants. Questionnaires were given to five consultants of radiology department to know about causes of delay.Results: In this observational study we found that delay in reporting was multifactorial. Approximately 11,600 CT scans and MRI scans were performed in the period between 1st July to 31st December 2018. Approximately 2070 (17.8%) reports were delayed more than 72 hours while 82.1% scan were reported in time within 72 hours. In our study the most important cause of delayed reporting was incomplete history (34.8%), while other causes were inappropriate technique (21.5%), radiologist overburden (29.7%) while in 14% patients the cause of delayed reporting was lack of communication between radiologist and clinician.Key Words: Computed tomography, Magnetic resonance imaging, Reporting.
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