Solutions in radiology services management: a literature review

Pereira, Alice Theresinha Cybis; Vergara, Lizandra Garcia Lupi; Merino, Eugênio Andrés Díaz; Wagner, Adriano

doi:10.1590/0100-3984.2014.0065

Cited by 8 publications

(8 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…[10] These appointment scheduling systems have been put to use in medicine in the western world and parts of Asia with tremendous gains in reducing PWT and improvement in patient satisfaction. [11112] An online-based scheduling system was developed in Nigeria for national health insurance scheme (NHIS) patients in 2014,[13] but this was not used in this unit being studied and in most of the hospitals in the country. This system allowed patients to book and manage their appointment online.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

An audit of the appointment booking system and patient waiting time in an ultrasound unit in Nigeria: A need to eliminate congestion in our public hospitals

Akintomide

Ukweh

Efanga

2019

J Family Med Prim Care

View full text Add to dashboard Cite

Background: Congestion of patient waiting areas at commencement of work is the usual scenario in Nigeria's public hospitals. This strains the personnel and facilities. Patients are dissatisfied and lose faith in the system. This study aims to audit the booking system, patient waiting time, and causes of congestion in an ultrasound unit. Materials and Methods: This is a prospective, descriptive study involving 350 patients referred from general outpatient and specialist clinics to the ultrasound unit, twice weekly for 6 weeks. Patients were grouped into two: those with scheduled appointments and the unbooked. The time of scheduled appointment and arrival in the unit and the time of commencement and conclusion of the examination were recorded. Results: Three hundred and eighteen patients had scheduled appointments, while 32 were unbooked. Half of the later were emergencies and the other half were walk-ins. There was no consistency in number of slots and block size. Large blocks of over 20 patients were observed on 33.3% of the days and 51.26% of the patients were given 8:00 am appointments. The average patient waiting time is 132.11 minutes but range from 62 to 220 minutes daily. The radiologists resumed work between 8:17 and 9:29 am each scan day. The average waiting time is shorter for patients who arrived after 11:00 am. Conclusion: Ineffective booking of appointments and Sonologist's tardiness are major predisposition to congestion. Appointments in small blocks at 30 minutes intervals will eliminate congestion, reduce patient waiting time, and improve satisfaction. Point-of-care ultrasound should be introduced in outpatient clinics.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Patient's satisfaction is observed to be strongly influenced by the PWT. [1] Patient-centered radiology is a relatively new concept in service delivery[2] to improve satisfaction. This study aims to audit the appointment booking system and other causes of congestion in an ultrasound unit and their effect on PWT.…”

Section: Introductionmentioning

confidence: 99%

An audit of the appointment booking system and patient waiting time in an ultrasound unit in Nigeria: A need to eliminate congestion in our public hospitals

Akintomide

Ukweh

Efanga

2019

J Family Med Prim Care

View full text Add to dashboard Cite

show abstract

“…The primary advantage of these systems lies in their ability to keep huge amounts of data readily accessible to ensure rapid workflow management and facilitate rapid communication. However, these systems only ensure high security, reliability, and privacy because they are only accessible by authorized physicians and technicians 39 . Additionally, picture archiving and communication systems (PACS) are central for clinical imaging and they process data from various medical devices such as computed radiography, CT scan, magnetic resonance imaging (MRI), and ultrasonography 40 41 .…”

Section: Resultsmentioning

confidence: 99%

Recent Advancement of Clinical Information Systems: Opportunities and Challenges

Islam

Poly

2018

Yearb Med Inform

View full text Add to dashboard Cite

We selected 23 papers out of 1,026 unique abstracts for full-text review using our selection criteria, and 20 out of these 23 studies met all of our inclusion criteria. We focused on three major areas: 1) Ambulatory and inpatients clinical information systems; 2) Specialty information systems; and 3) Ancillary information systems. As CIS can support evidence-based practices that, in turn, improve patient's safety, quality and efficacy of care, advancement, acceptability, and adaptability of CIS have increased worldwide. Although, the demand for CIS functionality is rising fast, current CISs still have data integration challenges and lack of functionality to exchange patient information from all or some parts of the healthcare system. These limitations can be attributed to technical, human, and organizational factors Conclusion: Clinical information systems provide tremendous opportunities to reduce clinical errors such as medication errors and diagnostic errors and to support healthcare professionals by offering up-to-date patient information. They promise to improve workflow and efficiency of care, thus boosting the overall quality of healthcare.

show abstract

“…In the realm of medical imaging, there are many opportunities to redesign the current models that are outdated and poorly equipped to tackle the challenges of a value-based model [13]. This provides a tremendous opportunity for us to incorporate principles of design thinking to facilitate the transition of volume-to value-based healthcare.…”

Section: What Work?mentioning

confidence: 99%

Value-Based Assessment of Radiology Reporting Using Radiologist-Referring Physician Two-Way Feedback System—a Design Thinking-Based Approach

et al. 2017

View full text Add to dashboard Cite

In the era of value-based healthcare, many aspects of medical care are being measured and assessed to improve quality and reduce costs. Radiology adds enormously to health care costs and is under pressure to adopt a more efficient system that incorporates essential metrics to assess its value and impact on outcomes. Most current systems tie radiologists' incentives and evaluations to RVU-based productivity metrics and peer-review-based quality metrics. In a new potential model, a radiologist's performance will have to increasingly depend on a number of parameters that define "value," beginning with peer review metrics that include referrer satisfaction and feedback from radiologists to the referring physician that evaluates the potency and validity of clinical information provided for a given study. These new dimensions of value measurement will directly impact the cascade of further medical management. We share our continued experience with this project that had two components: RESP (Referrer Evaluation System Pilot) and FRACI (Feedback from Radiologist Addressing Confounding Issues), which were introduced to the clinical radiology workflow in order to capture referrer-based and radiologist-based feedback on radiology reporting. We also share our insight into the principles of design thinking as applied in its planning and execution.

show abstract

Solutions in radiology services management: a literature review

Cited by 8 publications

References 16 publications

An audit of the appointment booking system and patient waiting time in an ultrasound unit in Nigeria: A need to eliminate congestion in our public hospitals

An audit of the appointment booking system and patient waiting time in an ultrasound unit in Nigeria: A need to eliminate congestion in our public hospitals

Recent Advancement of Clinical Information Systems: Opportunities and Challenges

Value-Based Assessment of Radiology Reporting Using Radiologist-Referring Physician Two-Way Feedback System—a Design Thinking-Based Approach

Contact Info

Product

Resources

About