Clinical information available during emergency department imaging order entry and radiologist interpretation
| Autor: | Ishaan Dave, Tarek N. Hanna, Saurabh Rohatgi, Haris Shekhani, Jamlik-Omari Johnson |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Diagnostic Imaging Male medicine.medical_specialty Time Factors Radiography Computed tomography Documentation Medical Order Entry Systems 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Clinical information medicine Humans Radiology Nuclear Medicine and imaging Retrospective Studies medicine.diagnostic_test business.industry 030208 emergency & critical care medicine Mean age Emergency department Length of Stay Radiology report Emergency Medicine Female Radiology Ultrasonography Triage business Emergency Service Hospital Imaging order |
| Zdroj: | Emergency radiology. 24(4) |
| ISSN: | 1438-1435 |
| Popis: | The objective of this study was to evaluate the proportion of Emergency Department (ED) radiology examinations ordered or interpreted prior to a documented clinical assessment. We collected 600 retrospective consecutive ED cases consisting equally of patients whose first ED imaging examination was computed tomography (CT), radiography (XR), or ultrasonography (US). For each patient, the following times were documented: ED arrival, ED departure, ED length of stay (LOS), imaging order entry, image availability, radiology report availability, triage note, ED provider note, and laboratory results. Mean age was 44.2, 66.5% female, and mean ED LOS was 326.2 min. ED LOS was longer for patients who received CT versus XR (343.9 vs. 311.3; p = 0.029). In 25.5% of XR, 10% of CT, and 8% of US cases, the imaging exam was completed before the ED provider note was started. In 20.5% of XR, 6.5% of CT, and 6% of US cases, the radiologist did not have the ED provider note available prior to completing their diagnostic interpretation. In 33.4% of all cases and 57.5% of XR cases, incomplete clinical documentation (triage note, provider note, lab results) was available during radiology report creation. CT and US exams more frequently had clinical data available prior to radiologist interpretation than XR (p |
| Databáze: | OpenAIRE |
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