关键词: Healthcare Intensive care units Radiologist Teleradiology Turnaround time

来  源:   DOI:10.5005/jp-journals-10071-24593   PDF(Pubmed)

Abstract:
UNASSIGNED: Imaging is indispensable to the diagnostic and treatment process. By facilitating access to rapid timely image interpretation, teleradiology plays a prominent role in improving access, quality of critical care, and management of the patients in intensive care units (ICU). The aim of the study is to investigate the role of teleradiology in ICU patient care and management.
UNASSIGNED: In our study, a total of 22,081 studies of a cohort of 14,900 patients which had been transmitted from intensive care units of 80 hospitals located across the United States of America through a teleradiology reporting workflow, were interpreted by the American Board Certified Radiologists empanelled by a teleradiology service provider, located in India.
UNASSIGNED: Among all modalities, the highest percentage of studies performed were computed tomography scan (47%) followed by radiographs (37.22%). Out of 22,081 cases under the study, 16,582 cases were reported during nighttime with a mean turnaround time (TAT) of 46.66 minutes 95% CI (46.27-47.04) while 5,499 cases were reported during daytime with a mean TAT of 44.66 minutes 95% CI (45.40-43.92).
UNASSIGNED: Setting up teleradiology service connectivity with a teleradiology service provider located in India, providing high-quality diagnostic interpretations and lower turnaround time with the ICUs in the US hospitals reduces the interval to intervention time and leads to efficient patient care management. Moreover, it also provides time advantage for US hospitals when on-site radiologists at night are unable to provide immediate coverage.
UNASSIGNED: The ICU teleradiology service model designed in the study would greatly help overcome the shortfall of radiologists in the hospitals, provide better patient management and care by quality reporting in short turnaround time, not only during daytime but also in the night hours or on holidays when on-site radiologists are unable to provide immediate coverage.
UNASSIGNED: Rao P, Mathur N, Kalyanpur A. Utilization of Teleradiology by Intensive Care Units: A Cohort Study. Indian J Crit Care Med 2024;28(1):20-25.
摘要:
成像对于诊断和治疗过程是必不可少的。通过促进快速及时的图像解释,远程放射学在改善获取方面发挥着重要作用,重症监护的质量,以及重症监护病房(ICU)患者的管理。该研究的目的是研究远程放射学在ICU患者护理和管理中的作用。
在我们的研究中,总共22,081项研究,涉及14,900名患者,这些患者是通过远程放射学报告工作流程从美国各地80家医院的重症监护病房传播的,由远程放射学服务提供商加强的美国委员会认证放射科医生解释,位于印度。
在所有模式中,进行的研究比例最高的是计算机断层扫描(47%),其次是X光片(37.22%).在研究的22,081例病例中,夜间报告了16,582例,平均周转时间(TAT)为46.66分钟95%CI(46.27-47.04),而白天报告了5,499例,平均TAT为44.66分钟95%CI(45.40-43.92)。
与位于印度的远程放射学服务提供商建立远程放射学服务连接,为美国医院的ICU提供高质量的诊断解释和较低的周转时间,缩短了干预时间的间隔时间,并实现了有效的患者护理管理.此外,当夜间现场放射科医师无法提供即时承保时,这也为美国医院提供了时间优势.
研究中设计的ICU远程放射学服务模型将大大有助于克服医院放射科医师的不足,通过在短时间内提供质量报告,提供更好的患者管理和护理,不仅在白天,而且在夜间或假日,现场放射科医生无法立即提供保险。
RaoP,MathurN,KalyanpurA.重症监护病房对远程放射学的利用:一项队列研究。印度J暴击护理中心2024;28(1):20-25。
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