Volume or Value? The Radiologist Role in Managing Radiological Exams
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8253 |
Resumo: | Introduction: The purpose of this study was to understand the reasons and quantify the number of ultrasounds and computed tomographies that are potentially wasted in the hospital emergency in our institution, and the importance that the radiologist can have in the management and screening of these exams.Material and Methods: It was defined that urgent tests that were pending for more than seven days would be the object of analysis as to why they were not performed, consulting the electronic medical records. Six causes were used to cancel the requests: ‘Changing the patient’s status’, ‘Patient’s withdrawal, refusal or abandonment’, ‘Patient’s death’; ‘No criteria or contraindicated’, ‘Lack of human resources’ and ‘Mistaken request’.Results: In the year 2015 we obtained 1211 canceled exams, since they were pending more than a week ago. The first four causes totaled 602 exams (sum of 283, 94, 41 and 184). The last two, 609 (sum of 29 and 580).Discussion: It was verified that the 602 exams corresponding to the sum of the first four causes reflected a potential waste in clinical tests since they were not determinant in the approach of the Emergency episode nor on the final destiny of the patient. Under the tip of the iceberg may exist further examinations and patients who have not escaped inadequate or unjustified examinations.Conclusion: The radiologist can better manage the required radiological examinations, effectively screening within a multidisciplinary team environment, promoting the development and supporting the respect of guidelines, and potentially reducing requests through opinions or second opinions. |
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Volume or Value? The Radiologist Role in Managing Radiological ExamsVolume ou Valor? O Papel do Radiologista na Gestão dos Exames RadiológicosDiagnostic ImagingEmergency ServiceHospitalRadiologyUnnecessary ProceduresDiagnóstico por ImagemProcedimentos DesnecessáriosRadiologiaServiço de UrgênciaIntroduction: The purpose of this study was to understand the reasons and quantify the number of ultrasounds and computed tomographies that are potentially wasted in the hospital emergency in our institution, and the importance that the radiologist can have in the management and screening of these exams.Material and Methods: It was defined that urgent tests that were pending for more than seven days would be the object of analysis as to why they were not performed, consulting the electronic medical records. Six causes were used to cancel the requests: ‘Changing the patient’s status’, ‘Patient’s withdrawal, refusal or abandonment’, ‘Patient’s death’; ‘No criteria or contraindicated’, ‘Lack of human resources’ and ‘Mistaken request’.Results: In the year 2015 we obtained 1211 canceled exams, since they were pending more than a week ago. The first four causes totaled 602 exams (sum of 283, 94, 41 and 184). The last two, 609 (sum of 29 and 580).Discussion: It was verified that the 602 exams corresponding to the sum of the first four causes reflected a potential waste in clinical tests since they were not determinant in the approach of the Emergency episode nor on the final destiny of the patient. Under the tip of the iceberg may exist further examinations and patients who have not escaped inadequate or unjustified examinations.Conclusion: The radiologist can better manage the required radiological examinations, effectively screening within a multidisciplinary team environment, promoting the development and supporting the respect of guidelines, and potentially reducing requests through opinions or second opinions.Introdução: Pretendeu-se perceber os motivos e quantificar o número de ecografias e tomografias computorizadas que potencialmente são desperdiçadas a nível da urgência hospitalar na nossa instituição, e a importância que o radiologista pode ter na gestão e triagem desses exames.Material e Métodos: Definiu-se que os exames urgentes pendentes há mais de sete dias seriam objeto de análise quanto ao motivo de não realização, consultando os registos médicos eletrónicos. Foram usadas seis causas para cancelamento dos referidos pedidos: ‘Alteração do estado do doente’, ‘Desistência, recusa ou abandono do doente’, ‘Falecimento do doente’; ‘Sem critério ou contraindicado’, ‘Falta de recursos humanos’ e ‘Engano na marcação’.Resultados: No ano de 2015 obtivemos 1211 exames cancelados, por estarem pendentes há mais de uma semana. As quatro primeiras causas totalizaram 602 exames (somatório de 283, 94, 41 e 184). As duas últimas, 609 (somatório de 29 e 580).Discussão: Verificou-se que os 602 exames correspondentes ao somatório das quatro primeiras causas refletem um potencial desperdício em exames pois não foram determinantes na abordagem do episódio de Urgência e no destino final do doente. Debaixo desta ponta do iceberg poderão estar ainda mais exames e doentes que não escaparam a exames inadequados ou injustificados.Conclusão: O radiologista poderá gerir melhor os exames radiológicos requisitados, triando eficazmente, num ambiente de equipa multidisciplinar, promovendo a elaboração e apoiando a aderência a normas de orientação e diminuindo potencialmente as requisições através de pareceres ou segundas opiniões.Ordem dos Médicos2017-09-29info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfapplication/pdfapplication/mswordapplication/mswordapplication/vnd.openxmlformats-officedocument.wordprocessingml.documentapplication/pdfapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8253oai:ojs.www.actamedicaportuguesa.com:article/8253Acta Médica Portuguesa; Vol. 30 No. 9 (2017): September; 628-632Acta Médica Portuguesa; Vol. 30 N.º 9 (2017): Setembro; 628-6321646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporenghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8253https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8253/5151https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8253/5391https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8253/8797https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8253/8985https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8253/9140https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8253/9228https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8253/9348https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8253/9349Direitos de Autor (c) 2017 Acta Médica Portuguesainfo:eu-repo/semantics/openAccessSilva, Carlos FranciscoGuerra, Teresa2022-12-20T11:05:27Zoai:ojs.www.actamedicaportuguesa.com:article/8253Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:19:33.947160Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Volume or Value? The Radiologist Role in Managing Radiological Exams Volume ou Valor? O Papel do Radiologista na Gestão dos Exames Radiológicos |
title |
Volume or Value? The Radiologist Role in Managing Radiological Exams |
spellingShingle |
Volume or Value? The Radiologist Role in Managing Radiological Exams Silva, Carlos Francisco Diagnostic Imaging Emergency Service Hospital Radiology Unnecessary Procedures Diagnóstico por Imagem Procedimentos Desnecessários Radiologia Serviço de Urgência |
title_short |
Volume or Value? The Radiologist Role in Managing Radiological Exams |
title_full |
Volume or Value? The Radiologist Role in Managing Radiological Exams |
title_fullStr |
Volume or Value? The Radiologist Role in Managing Radiological Exams |
title_full_unstemmed |
Volume or Value? The Radiologist Role in Managing Radiological Exams |
title_sort |
Volume or Value? The Radiologist Role in Managing Radiological Exams |
author |
Silva, Carlos Francisco |
author_facet |
Silva, Carlos Francisco Guerra, Teresa |
author_role |
author |
author2 |
Guerra, Teresa |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Silva, Carlos Francisco Guerra, Teresa |
dc.subject.por.fl_str_mv |
Diagnostic Imaging Emergency Service Hospital Radiology Unnecessary Procedures Diagnóstico por Imagem Procedimentos Desnecessários Radiologia Serviço de Urgência |
topic |
Diagnostic Imaging Emergency Service Hospital Radiology Unnecessary Procedures Diagnóstico por Imagem Procedimentos Desnecessários Radiologia Serviço de Urgência |
description |
Introduction: The purpose of this study was to understand the reasons and quantify the number of ultrasounds and computed tomographies that are potentially wasted in the hospital emergency in our institution, and the importance that the radiologist can have in the management and screening of these exams.Material and Methods: It was defined that urgent tests that were pending for more than seven days would be the object of analysis as to why they were not performed, consulting the electronic medical records. Six causes were used to cancel the requests: ‘Changing the patient’s status’, ‘Patient’s withdrawal, refusal or abandonment’, ‘Patient’s death’; ‘No criteria or contraindicated’, ‘Lack of human resources’ and ‘Mistaken request’.Results: In the year 2015 we obtained 1211 canceled exams, since they were pending more than a week ago. The first four causes totaled 602 exams (sum of 283, 94, 41 and 184). The last two, 609 (sum of 29 and 580).Discussion: It was verified that the 602 exams corresponding to the sum of the first four causes reflected a potential waste in clinical tests since they were not determinant in the approach of the Emergency episode nor on the final destiny of the patient. Under the tip of the iceberg may exist further examinations and patients who have not escaped inadequate or unjustified examinations.Conclusion: The radiologist can better manage the required radiological examinations, effectively screening within a multidisciplinary team environment, promoting the development and supporting the respect of guidelines, and potentially reducing requests through opinions or second opinions. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-09-29 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
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publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8253 oai:ojs.www.actamedicaportuguesa.com:article/8253 |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8253 |
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oai:ojs.www.actamedicaportuguesa.com:article/8253 |
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por eng |
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por eng |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8253 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8253/5151 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8253/5391 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8253/8797 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8253/8985 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8253/9140 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8253/9228 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8253/9348 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8253/9349 |
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Direitos de Autor (c) 2017 Acta Médica Portuguesa info:eu-repo/semantics/openAccess |
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Direitos de Autor (c) 2017 Acta Médica Portuguesa |
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Ordem dos Médicos |
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Ordem dos Médicos |
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Acta Médica Portuguesa; Vol. 30 No. 9 (2017): September; 628-632 Acta Médica Portuguesa; Vol. 30 N.º 9 (2017): Setembro; 628-632 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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