Radiographer advanced practice in computed tomography coronary angiography: Making it happen

Reid, Karen; Rout, John; Brown, Verity J.; Forton, R.; Crawford, Michael; Bennie, M.J.; Curtin, John J.

doi:10.1016/j.radi.2016.03.006

Cited by 11 publications

(5 citation statements)

References 10 publications

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“…International evidence demonstrates that radiographer role extension can contribute to improved access to healthcare via reduced workload of radiologists, consequential shorter waiting times for patients, and improved rates of reporting and accuracy of reports, as well as increased job satisfaction for radiographers and, health service cost reduction. [15][16][17][18][19][20][21][22][23][24][25][26] It is vital for the profession that the case for cost saving is not at the expense of patient outcomes. International evidence suggests that morbidity has not increased with the introduction of radiographer reporting of trauma MSK radiographs, although in some instances there has been a reduction in the number of false negative diagnosis and subsequent patient recalls.…”

Section: Potential To Improve Access To Quality Healthcarementioning

confidence: 99%

“…[6][7][8] Sustained implementation of extended radiography roles in the UK 9 and other developed countries [10][11][12][13][14] has demonstrated latent benefits to healthcare in terms of reduced patient waiting times, reduced healthcare costs, enhanced job satisfaction for practitioners and increased accuracy of reports. 7,[15][16][17][18][19][20][21][22][23][24][25][26] Despite such benefits, professional divisions endure between radiography and radiology regarding the appropriate scope of practices. [15][16][17]27 Developing countries share the generic workload drivers for role extension, but face additional resources constraints 28 and a particular historical development of professional power hierarchies or political/social systems that favour the status quo.…”

Section: Introductionmentioning

confidence: 99%

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Opportunities for radiographer reporting in Ghana and the potential for improved patient care

2020

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Section: Potential To Improve Access To Quality Healthcarementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Opportunities for radiographer reporting in Ghana and the potential for improved patient care

2020

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“…Specifically, ultrasound and MRI protocolling, contrast-enhanced mammograms, and screening breast ultrasounds were identified here. There are multiple studies, mainly in the UK, where performance of AP radiographers in related tasks has been compared to radiologists through concordance studies; evidence demonstrated that these radiographers were competent in AP roles [11][12][13][14][15] .…”

Section: Discussionmentioning

confidence: 99%

“…This combination was associated with the step of scheduling tests and the decision step for add-on tests. This was also the case for Paper-Based Processes, Incorrect Orders, and Externally-Acquired Imaging/Consult, and across multiple maps(14). This combination was associated with the clerical step of preparing chart paperwork and the technologist step of reviewing cases: pushing prior imaging, reviewing the order/consent form and imaging as required.…”

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confidence: 99%

Process optimization in breast imaging: Exploring advanced roles for medical radiation technologists

Chung

Mahabir

et al. 2022

Journal of Medical Imaging and Radiation Sciences

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Introduction: Medical imaging (MI) is a critical service that underpins the care journey for many who enter the healthcare system. The subspecialty of Breast Imaging (BI) represents a complex and multimodality MI setting with a well-defined role in the healthcare system. BI holds great potential as a setting to consider opportunities for a medical radiation technologist's (MRT) current role to be modified and leveraged to fulfill novel and advanced roles to optimize patientcentered service.Methods: This study was conducted in three interrelated BI clinics, all at large urban academic hospitals with a common operational infrastructure. It involved three phases; (i) mapping processes and workflows in BI (ii) identification and characterization of care delivery problems (CDPs) within these process maps, and prioritization of opportunities where task shifting might leverage enhanced knowledge, skills, and judgement of MRTs to optimize care. The PEPPA framework -a systematic planning tool for the development and implementation of advanced practice nursing (APN) roles 5 -was used, with the first five of nine steps considered in scope for this pilot project.Results: Twelve distinct BI processes were identified and mapped as swimlane charts; a single clerical workflow leading up to patient checkin to the BI department, and 11 subsequent clinical processes. Each map included swimlanes for MRTs, radiologists, and clerical staff, as relevant, and included processes ranging from routine mammogram and ultrasound orders to stereotactic-guided core biopsies and rapid diagnostic workflows. Across the maps, 9 CDPs were identified; scheduling, radiologist availability, incorrect orders, and coordination of externally-acquired imaging and consults. The inpatient process

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“…23–27 Perhaps, less visible are advanced practice roles that incorporate a procedural clinical element such as administration of pharmaceuticals during nuclear medicine and CT cardiac stress examinations. 17,28,29 To date there has not been a comprehensive review of the range of advanced practice radiographer roles within the UK workforce or how closely aligned radiographer roles are to the four pillars of advanced practice.…”

Section: Introductionmentioning

confidence: 99%

Diagnostic radiographer advanced clinical practice in the United Kingdom – A national cross-sectional survey

et al. 2021

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Objectives: To survey the diagnostic radiography workforce in the United Kingdom (UK) at an organisational level to ascertain the scope of advanced practice and compliance with Health Education England standards for multiprofessional advanced clinical practice (ACP). Methods: 174 diagnostic imaging departments were invited to participate in a cross-sectional electronic survey focused upon advanced level practice and their educational and accreditation expectations (October–December 2019). Breast imaging, computed tomography, fluoroscopy, interventional radiology, lithotripsy, magnetic resonance imaging and projectional radiography were included. Results: A total of 97 responses were received, of which 79 were eligible for inclusion (45%). Respondents reported advanced-level practice roles across all imaging modalities, which included clinical reporting, procedural-based and combined roles. Radiograph and mammogram reporting were most prevalent (95 and 67% of Trusts), with fluoroscopy the most frequent procedure-only role (25%). Only 39% of trusts required adherence to the four pillars of ACP within job descriptions, and only 12% requiring a full Masters qualification. Conclusions: Diagnostic radiographer reporting and procedure-based roles in the NHS are varied and widespread. However, inconsistencies in fulfilment against the expected standards for advanced practice exist. Realignment of advanced-level roles to delineate enhanced and advanced clinical practice may ensure consistency between roles and professions. A requirement for accreditation as an advanced (clinical) practitioner with adherence to advanced practice requirements could therefore provide value to accreditation for both individual practitioners and Trusts. Advances in knowledge: Within the UK, diagnostic radiographer roles previously self-identified as advanced-level practice may be termed enhanced practice when not adhering to expected ACP standards.

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Radiographer advanced practice in computed tomography coronary angiography: Making it happen

Cited by 11 publications

References 10 publications

Opportunities for radiographer reporting in Ghana and the potential for improved patient care

Opportunities for radiographer reporting in Ghana and the potential for improved patient care

Process optimization in breast imaging: Exploring advanced roles for medical radiation technologists

Diagnostic radiographer advanced clinical practice in the United Kingdom – A national cross-sectional survey

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