Emotional Harm in the Radiology Department: Analysis of an Underrecognized Preventable Error

Computed Tomography (CT) is the most commonly used imaging modality in the evaluation of cerebral hemorrhage in the head trauma patients. Objective: To study the incidence of a cerebral hemorrhage in traumatic patients using computed tomography. Method: This retrospective study was conducted at King Khalid hospital in Tabuk city, Saudi Arabia, in the radiology department, in the period from September 2018 to April 2020. The study was done by collecting 471 CT reports of patients all of them were exposed to head trauma with deferent reasons. The data were analyzed by Statistical Package for the Social Sciences (SPSS) program (ver. 20) and presented in tables and graphs according to the checklist which includes: patient age, gender, type of trauma, CT finding, and type of hemorrhage. Results: The most age group suffered from head trauma was less than 20 years percentage (55%), The male patients more exposed to head trauma than female patients with percentage (84.5%), the road traffic accident (RTA) is the most common type of trauma by percentage (63.5%), according to the CT finding; the cerebral hemorrhage represented (15.5%) with the highest percentage in a subdural hematoma (31.2%), the fracture represented (2.8%) while the normal appearance represented (81.7%) as the highest percentage. Conclusion: Most of the traumatic brain injury in patients caused cerebral hemorrhage and the CT scan reports show that: the common type of cerebral hemorrhage is subdural hematoma and it is common in males which exposed to (RTA) in the age group (21 - 40) years old.

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MRI finding among patients presented to the radiology department compelling of headache

International Journal of Medicine in Developing Countries ◽

10.24911/ijmdc.51-1578905742 ◽

2020 ◽

pp. 735-739

Author(s):

Ahmed Hakami ◽

Ahmed Kamli ◽

Abdullah Rayyani ◽

Khalid Gadri ◽

Arwa Moafa

Keyword(s):

Radiology Department

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Developing an Artificial Intelligence Project in your Radiology Department

Indian Journal of Musculoskeletal Radiology ◽

10.25259/ijmsr_50_2019 ◽

2020 ◽

Vol 2 ◽

pp. 58-61 ◽

Cited By ~ 1

Author(s):

Syed Junaid ◽

Asad Saeed ◽

Zeili Yang ◽

Thomas Micic ◽

Rajesh Botchu

Keyword(s):

Neural Network ◽

Artificial Intelligence ◽

Health Care ◽

Deep Learning ◽

Learning Algorithms ◽

Radiology Department ◽

Short Article ◽

Computing Power ◽

Road Map ◽

Key Concepts

The advances in deep learning algorithms, exponential computing power, and availability of digital patient data like never before have led to the wave of interest and investment in artificial intelligence in health care. No radiology conference is complete without a substantial dedication to AI. Many radiology departments are keen to get involved but are unsure of where and how to begin. This short article provides a simple road map to aid departments to get involved with the technology, demystify key concepts, and pique an interest in the field. We have broken down the journey into seven steps; problem, team, data, kit, neural network, validation, and governance.

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Magnetic Resonance Imaging of Pseudo-impingement of Rotator Cuff with Strength Training

10.25259/ijmsr_21_2019 ◽

2019 ◽

Vol 1 ◽

pp. 2-6

Author(s):

Asad Naqvi ◽

Timothy Ariyanayagam ◽

Mir Akber Ali ◽

Akhila Rachakonda ◽

Hema N. Choudur

Keyword(s):

Magnetic Resonance Imaging ◽

Magnetic Resonance ◽

Rotator Cuff ◽

Strength Training ◽

Radiology Department ◽

Resonance Imaging ◽

Subacromial Space ◽

History Of ◽

Magnetic Resonance Imaging Mri ◽

Training Exercises

Objective: The objective of this study was to outline a novel unique concept of secondary impingement of the muscles, myotendons, and tendons of the rotator cuff from hypertrophy as a result of strength training exercises. Methods: In this retrospective observational study, 58 patients were referred for an magnetic resonance imaging (MRI) by the orthopedic surgeon to the radiology department over a period of 1½ years. All patients gave a history of strength training exercises and presented with clinical features of rotator cuff impingement. Results: We identified features of hypertrophy of rotator cuff muscles, myotendons, and tendons in 12 of these 58 patients. This was the only abnormality on MRI. The hypertrophy of rotator cuff muscles and tendon bulk completely filling the subacromial space to the point of overfilling and resulting in secondary compressive features. Conclusion: Rotator cuff impingement is a common phenomenon that can occur with various inlet and outlet pathological conditions. However, rotator cuff impingement may also result from muscle and tendon hypertrophy from strength training regimens. Hypertrophy of the rotator cuff can result in overfilling of the subacromial space, leading to secondary impingement, which we have termed as “pseudo-impingement.”

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RETROSPECTIVE ANALYSIS OF PATIENT REFERRALS FOR COMPUTED TOMOGRAPHY

BULLETIN OF SURGERY IN KAZAKHSTAN ◽

10.35805/kazsurgery.bsk.2018.4.5-7 ◽

2018 ◽

pp. 5-7

Author(s):

Dinara Baiguisova ◽

Galina Kausova

Keyword(s):

Computed Tomography ◽

Retrospective Analysis ◽

Radiology Department ◽

Scientific Center ◽

Patient Referrals

To conduct a retrospective analysis of patient referrals for computed tomography to identify the main problems, both in writing the direction itself and in its validity. Materials and methods: The patient referrals for computed tomography (CT) were analyzed at the Radiology Department of the National Scientific Center named after AN Syzganov - outpatients for 3 months. Results and discussions: it has been established that, in the main, clinicians, when issuing a referral for a study, ignore such item as a diagnosis, or replace it with the word — examination. There is also the groundlessness and incorrectness of the referrals for the studies, considering their variability and insufficient awareness of doctors both in the indications and the need for a particular study. Conclusion: Clinicians are not sufficiently aware of the correctness of referrals for computed tomography and, as a result, write out incorrect referrals.

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Impact of COVID-19 Vaccine Administration on Radiology Department Workflow: A Single Academic Center Experience

Journal of the American College of Radiology ◽

10.1016/j.jacr.2021.06.005 ◽

2021 ◽

Author(s):

Kaushik Chagarlamudi ◽

Amy Rutledge ◽

Victoria Uram ◽

Elias G. Kikano ◽

Sree H. Tirumani ◽

...

Keyword(s):

Radiology Department ◽

Vaccine Administration ◽

Academic Center

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Impact of the COVID-19 pandemic on neuroimaging scan volumes at a teaching hospital

The Neuroradiology Journal ◽

10.1177/1971400920988664 ◽

2021 ◽

pp. 197140092098866

Author(s):

Daniel Thomas Ginat ◽

James Kenniff

Keyword(s):

Magnetic Resonance Imaging ◽

Computed Tomography ◽

Magnetic Resonance ◽

The United States ◽

Radiology Department ◽

Magnetic Resonance Imaging Scan ◽

Resonance Imaging ◽

Academic Medical Centre ◽

Academic Medical ◽

The Impact

Background The COVID-19 pandemic led to a widespread socioeconomic shutdown, including medical facilities in many parts of the world. The purpose of this study was to assess the impact on neuroimaging utilisation at an academic medical centre in the United States caused by this shutdown. Methods Exam volumes from 1 February 2020 to 11 August 2020 were calculated based on patient location, including outpatient, inpatient and emergency, as well as modality type, including computed tomography and magnetic resonance imaging. 13 March 2020 was designated as the beginning of the shutdown period for the radiology department and 1 May 2020 was designated as the reopening date. The scan volumes during the pre-shutdown, shutdown and post-shutdown periods were compared using t-tests. Results Overall, neuroimaging scan volumes declined significantly by 41% during the shutdown period and returned to 98% of the pre-shutdown period levels after the shutdown, with an estimated 3231 missed scans. Outpatient scan volumes were more greatly affected than inpatient scan volumes, while emergency scan volumes declined the least during the shutdown. In addition, the magnetic resonance imaging scan volumes declined to a greater degree than the computed tomography scan volumes during the shutdown. Conclusion The shutdown from the COVID-19 pandemic had a substantial but transient impact on neuroimaging utilisation overall, with variable magnitude depending on patient location and modality type.

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Bargain Hunting for Buffered Lidocaine: A Collaborative Discovery of Cost-saving Strategies That Can Improve Patient Care

Journal of Breast Imaging ◽

10.1093/jbi/wbaa077 ◽

2020 ◽

Author(s):

Curtis L Simmons ◽

Laura K Harper ◽

Kathryn J Holst ◽

Nathan J Brinkman ◽

Christine U Lee

Keyword(s):

Sodium Bicarbonate ◽

Hospital Pharmacy ◽

Cost Savings ◽

Improve Patient Care ◽

Medical Waste ◽

Radiology Department ◽

Access Pricing ◽

Bundled Payments ◽

Improve Patient ◽

Procedure Room

Abstract Buffered lidocaine is a local anesthetic option during percutaneous needle-directed procedures in the breast. At our institution, sodium bicarbonate (the buffer) is dispensed in volumes that frequently lead to medical waste and shortages. In this study, we describe how moving the buffering of lidocaine from the procedure room to our clinical hospital pharmacy results in a reduction in costs and improves satisfaction across the breast radiology department. While cost savings are difficult to tease out in practices that opt for bundled payments, we were able to access pricing and supply data and coordinate with our pharmacy to change our practice. Making these changes saves our practice $26 000 a year and allows us to continue to offer buffered lidocaine even during sodium bicarbonate shortages. This manuscript describes how these changes came about and their economic impact.

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