“…Belated medical imaging can postpone and prolong patient treatment (Forero et al, ; Towbin et al, ) and contribute to ED congestion (Forero et al, ). To resolve this bottleneck, some researchers have suggested standardized diagnostic testing common presentations (Hubbell, Greenfield, Tyler, Chetty, & Wyle, ); reducing patient transport times (Little, Johnson, Tingle, Stanfill, & Roy, ); and enabling nurses to order basic diagnostic radiography (Tambimuttu et al, ). Despite the apparent value of these suggestions, they do little to alleviate bottlenecks within diagnostic radiography.…”