Inefficient Resource Use for Patients Who Receive Both a Chest Radiograph and Chest CT in a Single Emergency Department Visit

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• 作者：Tarek N. Hanna ; MD ; ^{tarek.hanna@emory.edu" class="auth_mail" title="E-mail the corresponding author} ; Waqas Shuaib ; MD ; James M. Kerchberger ; BA ; Jamlik-Omari Johnson ; MD ; Faisal Khosa ; MD ; MBA
• 关键词：Radiology ; emergency department ; CT ; chest radiography ; informatics
• 刊名：Journal of the American College of Radiology
• 出版年：2016
• 出版时间：January 2016
• 年：2016
• 卷：13
• 期：1
• 页码：21-27
• 全文大小：803 K

文摘

The goal of this study was to examine emergency department (ED) ordering practices in patients receiving both chest radiography (CXR) and chest CT (CCT).

Methods

Consecutive ED patients receiving both CXR and CCT in a single ED visit from January 2009 to December 2013 were included. For each examination, the time of order entry, time of study completion, and time of final interpretation were recorded and analyzed.

Results

A total of 3,627 patients met the inclusion criteria. In 3,437 (94.8%) patients, the CXR was ordered first; in 43 (1.2%), the CCT was ordered first; and in 91 (2.5%), the CCT and CXR were ordered simultaneously. In 50.3% (1,826 of 3,627) of all cases, imaging in the second modality (whether CCT or CXR) was ordered before final report availability of the first exam. In 9.8% (n = 354 of 3,627) of all cases, imaging in the second modality (whether CCT or CXR) was ordered before image availability from the first examination.

Conclusions

These results suggest inefficient resource usage, for which targeted technology solutions may be helpful.