Outside Imaging in Emergency Department Transfers

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Outside Imaging in Emergency Department Transfers Jonathan Opraseuth MD Stephen Ledbetter MD MPH Aaron Sodickson MD PhD Emergency Radiology, Brigham and Women’s Hospital, Harvard Medical School Boston, MA

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Outside Imaging in Emergency Department Transfers. Jonathan Opraseuth MD Stephen Ledbetter MD MPH Aaron Sodickson MD PhD Emergency Radiology, Brigham and Women’s Hospital, Harvard Medical School Boston, MA. Importation of Imaging into PACS. Streamlined Patient Care. - PowerPoint PPT Presentation

Transcript of Outside Imaging in Emergency Department Transfers

Page 1: Outside Imaging in Emergency Department Transfers

Outside Imaging in Emergency Department

TransfersJonathan Opraseuth MD

Stephen Ledbetter MD MPHAaron Sodickson MD PhD

Emergency Radiology, Brigham and Women’s Hospital, Harvard Medical SchoolBoston, MA

Page 2: Outside Imaging in Emergency Department Transfers

• Multiple clinical teams able to view imaging studies• Radiologists able to review on familiar workstations• No fear of losing CD

Decreased rate of subsequent imaging

Streamlined Patient Care

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Compared Subsequent Imaging- All study types, and CT specifically- All locations, and ED specificallyRepeat and Additional Imaging

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1487 patients2/09 – 8/09

78%(n=1161)141 hospitals

22%(n=326)

254 patients

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50% contained more than 1 study

30% contained more than 1 modality (usually x-ray and CT)

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29% decrease(p=0.0004)

Avg #

CT/p

ati

ent

in 2

4 h

rs

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1152 CT scans successfully uploaded in 793 patients16% (n=185) repeated within the ED

29% repeated in the pre-implementation cohort

Repeat CT constituted 19% of all CT scans subsequently performed within the ED41% pre-implementation cohort

Page 9: Outside Imaging in Emergency Department Transfers

Importing outside imaging to PACS decreased imaging utilizationReduced repeat imaging

17% for all imaging16% for CT

Decreased Radiation ExposureDecreased Excess Costs


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