提高儿童甲状腺超声波的标准化报告使用TI-RADS的质量改进方法
Lamya Atweh1, Ameer Al-Hadidi1, Jasmeet Singh1
1Nationwide Children's Hospital, USA.
Journal of pediatric surgery
|January 3, 2024
概括
在小儿甲状腺结节中实施标准化甲状腺成像报告和数据系统 (TI-RADS) 改善了报告的一致性. 这项质量改善倡议旨在减少儿童不必要的活检和镇静剂.
科学领域:
- 儿科放射学 儿科放射学
- 在瘤学瘤学.
- 提高质量 提高科学 提高质量
背景情况:
- 儿童甲状腺结节评估缺乏一致的风险分层,导致高率的非诊断活检.
- 不一致的患者选择活检引起了对适当的诊断途径的担忧.
研究的目的:
- 实施针对儿科甲状腺结节的标准化甲状腺成像报告和数据系统 (TI-RADS).
- 加强TI-RADS报告在机构内部的使用和协议.
主要方法:
- 一个质量改进项目涉及创建一个标准化的TI-RADS字词模板.
- 为超声波技术人员,放射科医生和临床医生进行了培训.
- 使用多学科会议和控制图表来监测TI-RADS的使用情况和得分协议.
主要成果:
- 在实施和培训后,TI-RADS的使用率从0%增加到90%以上.
- 在12个月内,TI-RADS评分的同意率从46.7%提高到78%以上.
- 报告协议在随后的6个月期间保持在80%的水平.
结论:
- 一项质量改善计划有效地提高了TI-RADS系统在儿科甲状腺结节评估中的使用和一致性.
- 标准化报告可能会减少不必要的活检和儿童相关镇静的数量.
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