Integrated Automatic Examination Assignment Reduces Radiologist Interruptions: A 2-Year Cohort Study of 232,022 Examinations.

Radiology departments face challenges in delivering timely and accurate imaging reports, especially in high-volume, subspecialized settings. In this retrospective cohort study at a tertiary cancer center, we assessed the efficacy of an Automatic Assignment System (AAS) in improving radiology workflo...

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Publicado en:Journal of Digital Imaging Vol. 37; no. 1; pp. 25 - 31
Autores principales: Law, Wyanne, Terzic, Admir, Chaim, Joshua, Erinjeri, Joseph P., Hricak, Hedvig, Vargas, Hebert Alberto, Becker, Anton S.
Formato: research tables/charts Journal Article
Publicado: Springer Nature Feb2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2024
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      pub: Springer Nature
      place: New York, New York
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        atl: Integrated Automatic Examination Assignment Reduces Radiologist Interruptions: A 2-Year Cohort Study of 232,022 Examinations.
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          Law, Wyanne
          Terzic, Admir
          Chaim, Joshua
          Erinjeri, Joseph P.
          Hricak, Hedvig
          Vargas, Hebert Alberto
          Becker, Anton S.
        affil: https://ror.org/02yrq0923 Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY, USA
      sug:
        subj:
          Radiology Service Administration
          Diagnostic Imaging
          Health Care Delivery, Integrated
          Workflow
          Automation
          Radiologists
          Outcome Assessment
          Human
          Prospective Studies
          Retrospective Design
          Record Review
          Tertiary Health Care
          Cancer Care Facilities
          Autoanalysis
          Radiology Information Systems
          Tomography, X-Ray Computed
          Appointments and Schedules
          Hospital Information Systems
          Health Priorities
          Health Resource Allocation
          Personnel Staffing and Scheduling
          Email
          Reminder Systems
          Program Implementation
          Program Evaluation
          Descriptive Statistics
          Turnaround Time
          Waiting Lists
          Health Informatics
          Systems Integration
          Organizational Efficiency
          Data Analysis Software
          Two-Tailed Test
          Probability
          Funding Source
      ab: Radiology departments face challenges in delivering timely and accurate imaging reports, especially in high-volume, subspecialized settings. In this retrospective cohort study at a tertiary cancer center, we assessed the efficacy of an Automatic Assignment System (AAS) in improving radiology workflow efficiency by analyzing 232,022 CT examinations over a 12-month period post-implementation and compared it to a historical control period. The AAS was integrated with the hospital-wide scheduling system and set up to automatically prioritize and distribute unreported CT examinations to available radiologists based on upcoming patient appointments, coupled with an email notification system. Following this AAS implementation, despite a 9% rise in CT volume, coupled with a concurrent 8% increase in the number of available radiologists, the mean daily urgent radiology report requests (URR) significantly decreased by 60% (25 ± 12 to 10 ± 5, t = -17.6, p < 0.001), and URR during peak days (95th quantile) was reduced by 52.2% from 46 to 22 requests. Additionally, the mean turnaround time (TAT) for reporting was significantly reduced by 440 min for patients without immediate appointments and by 86 min for those with same-day appointments. Lastly, patient waiting time sampled in one of the outpatient clinics was not negatively affected. These results demonstrate that AAS can substantially decrease workflow interruptions and improve reporting efficiency.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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