乳腺诊所工作流程中时间使用效率和操作成本的评估:自动乳腺超声和手持超声的比较分析。

IF 1.3 Q4 ONCOLOGY
Nilgün Güldoğan, Sıla Ulus, Özge Kovan, Aslıgül Aksan, Kaya Tokmakçıoğlu, Hatice Camgöz Akdağ, Ebru Yılmaz, Ebru Banu Türk, Erkin Arıbal
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引用次数: 0

摘要

目的:本研究的目的是评估放射科医生的时间使用效率和自动乳腺超声(ABUS)与手持乳腺超声(HHUS)的操作成本。材料和方法:本研究获得了机构审查委员会的批准,并放弃了知情同意。153名患者,年龄21-81岁,同时接受了ABUS和HHUS。记录ABUS扫描和放射科医生解释所需的时间以及HHUS的联合扫描和解释时间,用于筛查和诊断检查。使用单向方差分析检验来比较这些方法,并使用Cohen Kappa统计来实现一致性水平。最后,通过完成成本分析,对两种方法的成本与利息收益进行了比较。结果:ABUS检查所需的总平均±标准差检查时间为676.2±145.42秒,放射技师进行的平均扫描时间为411.76±67.79秒,放射科医生的平均时间为234.01±81.88秒。HHUS所需的总体平均检查时间为452.52±171.26秒,平均扫描时间和放射科医生时间为419.62±143.24秒。减少的时间转化为每月节省7.369 TL,使用ABUS可节省22%的操作成本。结论:在筛查和诊断场景中,使用ABUS可减少放射科医生的时间。尽管诊断病例需要再次检查HHUS,但ABUS仍然可以通过集中方法而不是对两个乳房进行全面评估来节省放射科医生的时间。因此,ABUS似乎既节省了医务人员的时间,又节省了运营成本。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluating Efficiency of Time Use and Operational Costs in a Breast Clinic Workflow: A Comparative Analysis Between Automated Breast Ultrasound and Handheld Ultrasound.

Objective: The aim of this study was to evaluate efficiency of time use for radiologists and operational costs of automated breast ultrasound (ABUS) versus handheld breast ultrasound (HHUS).

Materials and methods: This study was approved by the Institutional Review Board, and informed consent was waived. One hundred and fifty-three patients, aged 21-81 years, underwent both ABUS and HHUS. The time required for the ABUS scanning and radiologist interpretation and the combined scanning and interpretation time for HHUS were recorded for screening and diagnostic exams. One-Way ANOVA test was used to compare the methods, and Cohen Kappa statistics were used to achieve the agreement levels. Finally, the cost of the methods and return of interest were compared by completing a cost analysis.

Results: The overall mean ± standard deviation examination time required for ABUS examination was 676.2±145.42 seconds while mean scan time performed by radiographers was 411.76±67.79 seconds, and the mean radiologist time was 234.01±81.88 seconds. The overall mean examination time required for HHUS was 452.52±171.26 seconds, and the mean scan time and radiologist time were 419.62±143.24 seconds. The reduced time translated into savings of 7.369 TL/month, and savings of 22% in operational costs was achieved with ABUS.

Conclusion: The radiologist's time was reduced with ABUS in both screening and diagnostic scenarios. Although a second-look HHUS is required for diagnostic cases, ABUS still saves radiologists time by enabling a focused approach instead of a complete evaluation of both breasts. Thus, ABUS appears to save both medical staff time and operational costs.

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