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Congress: ECR24
Poster Number: C-16812
Type: EPOS Radiologist (scientific)
DOI: 10.26044/ecr2024/C-16812
Authorblock: E. Selman, R. Mirón Mombiela, K. Christiansen; Herlev/DK
Disclosures:
Eva Selman: Nothing to disclose
Rebeca Mirón Mombiela: Nothing to disclose
Karin Christiansen: Nothing to disclose
Keywords: Kidney, Urinary Tract / Bladder, MR, Efficacy studies, Technical aspects, Patterns of Care, Quality assurance
Purpose Radiology procedure workflow is a summation of individual workflows of several actors in the process [1]. Lean production in healthcare enables the removal of rework and waste and resolves procedural problems. There are several tools for implementing lean methodology in radiology procedure workflow [2]. The Kaizen philosophy is a process improvement element in lean production. Kaizen is based on the idea that significant gains can be achieved over time in workflow by continuous and focused improvements in a process. The...
Read more Methods and materials The project was conducted in a radiology department in an academic medical center in a large metropolitan area that functions as the region's main hospital within the urologic specialty. The radiology department experiences the highest volume of uroradiology examinations and procedures with a diverse and competent team of seven experienced specialized uroradiologists, 26 MR-radiographers, 1 MR-radiographer specialized in abdominal protocols, one chief radiographer, and two medical secretaries.A3 reporting tool: The A3 reporting tool was used to create a visual presentation of...
Read more Results The run charts for the urologic MRI studies showed a median time duration reduction in the scanning times and the interval between the scanning and writing of the radiologic report, but not the duration of the prepping time, which was increased non-significantly. The total study duration was reduced but not significantly. The increased prepping time could partially be explained because 30% of the prospective cohort was scanned with intravenous contrast in comparison to 3% in the control group. At the beginning...
Read more Conclusion Small ongoing positive changes have yielded significant improvements in the scanning duration and scheduling workflow of urologic MRI protocols at our institution, but further improvements need to be applied to the duration of prepping time and the writing process of the radiological report. Sustainable success can occur when the teams stay true to lean principles and engaged leaders who empower team members using timely data to drive decision-making.
Read more References Rachh, P., Davis, M., & Heilbrun, M. E. Quality Improvement Report: Improving Pre- and Postprocedure Care Area Workflows at a Busy Urban Academic Hospital Using Lean Management Principles. RadioGraphics. 2023;43(2):e220089. https://doi.org/10.1148/rg.220089 Kruskal JB. Quality initiatives: lean approach to improving performance and efficiency in a radiology department. RadioGraphics. 2012;32(2):573-587. doi: 10.1148/rg.322115128. PMID: 22323617 Flug JA. Kaizen Process Improvement in Radiology: Primer for Creating a Culture of Continous Quality Improvement. RadioGraphics. 2022; 42:919-928. doi: 10.1148/rg.210086 Flug JA. The A3 quality improvement project management tool for...
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