紧急放射学中关键发现的分类和传播:一个范围审查
Lucas Corallo1, D Blair Macdonald2, Fatma Eldehimi3
1Faculty of Medicine, University of Ottawa, Ottawa, Canada, and Ottawa Hospital Research Institute, Ottawa, Canada.
Journal of the American College of Radiology : JACR
|September 26, 2024
概括
已有出版的标准用于管理紧急放射学中的关键可操作发现,强调分层沟通和地方政策制定. 意识到沟通促进者和障碍是有效信息管理的关键.
科学领域:
- 放射学 放射学是一门学科.
- 医学沟通 医学沟通
- 医疗保健标准 医疗保健标准
背景情况:
- 紧急放射学中的关键可操作发现 (CF) 需要标准化的分类和沟通.
- 对CF的有效管理对于患者的安全和及时干预至关重要.
研究的目的:
- 确定已发表的标准,用于分类和沟通紧急放射学中关键的可操作发现.
- 确定这些发现的沟通和消息管理中的相关促进者和障碍.
主要方法:
- 在PubMed和Embase数据库中进行了系统的搜索,寻找有关紧急放射学关键发现的资源.
- 纳入标准侧重于对关键发现进行分类/传播的标准,或讨论促进者/障碍者. 不包括关于儿科或AI/NLP的资源.
- 灰色文献搜索补充了数据库搜索,提取了各种研究特征的数据.
主要成果:
- 分析了76个资源,包括16个指导方针;没有确定CF的标准化列表,并为地方政策提出建议.
- 通信标准有所不同,对于高敏度的发现,有直接的闭环通信,对于不那么敏的发现,有灵活的通道.
- 针对CF管理的干预措施包括电子,混合,反/教育和行政方法.
结论:
- 已有公布的标准,政策和干预措施用于管理紧急放射学中关键的可操作发现.
- 三层分层 (关键,紧急,偶然) 是常见的,大多数CF需要闭环通信.
- 地方政策制定应考虑系统性促进者和障碍,电子/行政途径作为有用的辅助.
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