Re-audit of reporting times for emergency department CT requests

Patel, Amit R.; Al-Obaydi, Waleed; Habib, Said

doi:10.1016/j.crad.2012.06.090

Cited by 1 publication

(4 citation statements)

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“…This led to 18 % reduction in the proportion of chest X-ray examinations breaching the 2 h target. One [106] of 12 reported negative results. These two studies differ; in terms of population, imaging modality, methodology and type of intervention.…”

Section: Quality Management Methodologiesmentioning

confidence: 99%

“…However, one of these studies reported that the improvements were not sustained [99]. One study found increased waiting times following service re-design [106]: the TRWTs were 51 and 69 min for CT head; 69 and 82 min for body CT pre-and post-service re-design, respectively.…”

Section: Quality Management Methodologiesmentioning

confidence: 99%

“…The type of study designs used include the controlled pre-and post-intervention [99], the post-intervention [104] and the remaining 10 studies adopted the uncontrolled pre-and post-intervention design. The PEWT were reported in seven studies [96, 98, 100-102, 104, 107], one study reported the RTAT [103] and two studies reported the TRWT [99,106]. Two studies failed to define the timelines used in computing the outcome measures [97,105].…”

Section: Quality Management Methodologiesmentioning

confidence: 99%

“…There are different approaches to quality management. Twelve (21 %) of the 57 studies investigated quality management strategies including the Lean, Six Sigma and continuous quality improvement methodologies [96][97][98][99][100][101] and process/service re-design [102][103][104][105][106][107]. The type of study designs used include the controlled pre-and post-intervention [99], the post-intervention [104] and the remaining 10 studies adopted the uncontrolled pre-and post-intervention design.…”

Section: Quality Management Methodologiesmentioning

confidence: 99%

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The Effectiveness of Service Delivery Initiatives at Improving Patients’ Waiting Times in Clinical Radiology Departments: A Systematic Review

et al. 2014

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We reviewed the literature for the impact of service delivery initiatives (SDIs) on patients' waiting times within radiology departments. We searched MEDLINE, EMBASE, CINAHL, INSPEC and The Cochrane Library for relevant articles published between 1995 and February, 2013. The Cochrane EPOC risk of bias tool was used to assess the risk of bias on studies that met specified design criteria. Fifty-seven studies met the inclusion criteria. The types of SDI implemented included extended scope practice (ESP, three studies), quality management (12 studies), productivity-enhancing technologies (PETs, 29 studies), multiple interventions (11 studies), outsourcing and pay-for-performance (one study each). The uncontrolled pre-and post-intervention and the postintervention designs were used in 54 (95 %) of the studies. The reporting quality was poor: many of the studies did not test and/or report the statistical significance of their results. The studies were highly heterogeneous, therefore metaanalysis was inappropriate. The following type of SDIs showed promising results: extended scope practice; quality management methodologies including Six Sigma, Lean methodology, and continuous quality improvement; productivityenhancing technologies including speech recognition reporting, teleradiology and computerised physician order entry systems. We have suggested improved study design and the mapping of the definitions of patient waiting times in radiology to generic timelines as a starting point for moving towards a situation where it becomes less restrictive to compare and/or pool the results of future studies in a meta-analysis.

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Section: Quality Management Methodologiesmentioning

confidence: 99%

Section: Quality Management Methodologiesmentioning

confidence: 99%