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Patient–Professional Communication
Published in Richard J. Holden, Rupa S. Valdez, The Patient Factor, 2021
Onur Asan, Bradley H. Crotty, Avishek Choudhury
We describe two interventional studies aiming to improve patient–professional communication in outpatient settings: a) using “mirrored” patient displays of EHRs and b) collecting and using HER-integrated contextualized data from patients ahead of outpatient visits.
Monitoring of Quality
Published in A.F. Al-Assaf, Managed Care Quality, 2020
Sample performance data on the two indicators profiled in this chapter are demonstrated in Figures 2 and 3. In the first example, comparative data for care provided by six different clinics in a managed care plan on the percentage of diabetic patients referred for ophthalmologic examinations is displayed. This bar graph format has the advantage of providing comparative information between clinics as well as displaying performance at two discreet points in time. The second example demonstrates the average number of days between referral and consultation appointment time by month. This display allows administrative and clinical staff to monitor changes in performance in relation to quality improvement and also to identify special cause variations when they occur.
Introduction
Published in A Stewart Whitley, Jan Dodgeon, Angela Meadows, Jane Cullingworth, Ken Holmes, Marcus Jackson, Graham Hoadley, Randeep Kumar Kulshrestha, Clark’s Procedures in Diagnostic Imaging: A System-Based Approach, 2020
A Stewart Whitley, Jan Dodgeon, Angela Meadows, Jane Cullingworth, Ken Holmes, Marcus Jackson, Graham Hoadley, Randeep Kumar Kulshrestha
Viewing device: two types of display device grade are used within radiology departments today – diagnostic or review quality. Diagnostic display devices should always be used to view imaging for the purpose of generating a report or for a clinician to make a treatment decision before a report has been issued. Review quality displays are used for the review of images that already have a corresponding report available (to guide the viewers accordingly), as they are found to be less expensive and are of comparatively lower quality. All types of medical display should have a comprehensive Quality Assurance and testing process in place, together with risk assessments for longer-term usage of screens, desks and layout/physical positions required to operate them (as part of a wider Health and Safety assessment).
The usefulness of three-dimensional ultrasound fusion imaging for precise needle placement in liver thermal ablation: a phantom and an in vivo simulation study
Published in International Journal of Hyperthermia, 2022
Yuqing Guo, Manying Li, Xiaoer Zhang, Xiaohua Xie, Yanling Zheng, Ming Xu, Ming Kuang, Kaixin Yu, Xiaoyan Xie, Guangliang Huang
Although overlapping mathematic models and computer-assisted ablation planning systems have been used to guide needle placement for thermal ablation, needle placement was guided by 2DUS and they were used as references before needle placement [8–12]. Computed tomography (CT) or magnetic resonance imaging (MRI)–US fusion imaging (FI) simultaneously displays real-time 2DUS images and the corresponding pre-acquired CT or MR images and was used to guide needle placement in tumors with poor visibility on 2DUS [13,14]. However, CT/MRI–US FI requires recent CT or MRI images before ablation, and the patient should be in the same position as when the CT or MRI images were obtained, which may not be sufficiently convenient, and most of the tumors are visible on 2DUS. Thus, considering the advantages of simple equipment, easy operation, time-saving, and high accuracy of registration, ultrasound–ultrasound (US–US) FI has been used to guide needle placement for thermal ablation [15–20]. However, studies focused on using US - US FI to side-by-side compare the ablative margin for immediate assessment and guiding supplementary ablations at insufficient sites [15–20]. Little attention has been paid to the use of US - US FI to real-time guide needle placement before ablation.
MRI-guided endovascular intervention: current methods and future potential
Published in Expert Review of Medical Devices, 2022
Bridget F. Kilbride, Kazim H. Narsinh, Caroline D. Jordan, Kerstin Mueller, Teri Moore, Alastair J. Martin, Mark W. Wilson, Steven W. Hetts
A standard x-ray angiography suite typically includes a number of equipment units, multiple operators, imaging control, image display, easy communication in a quiet room with patient and staff, nurses, anesthesiologists, and devices. Standard equipment used in angiography suites often are not compatible for use in the MRI suite, such as anesthesia pumps and ventilators, and oxygen tanks. While there are commercially available MRI-conditional versions, user interfaces may vary, underscoring the need for proper training and in-servicing of MRI-conditional equipment prior to use. The staff needs to be comfortable with and trained on the different interfaces and functionality of the MRI-safe and compatible equipment. MRI-conditional equipment must be clearly marked to ensure that incompatible, potentially dangerous equipment is not introduced to the MRI environment.
Detection accuracy of soft tissue complications during remote cochlear implant follow-up
Published in Cochlear Implants International, 2022
L. C. Holtmann, E. Deuß, M. Meyer, F. Kaster, T. Bastian, M. C. Schleupner, E. Hagedorn, S. Lang, D. Arweiler-Harbeck
Oztas et al. assume a ‘training effect’ and argue that a physician trained on web-based pictures may achieve a higher degree of accuracy compared to inexperienced staff (Oztas et al., 2004). While, ideally, a single well-trained teledoctor may provide the most accurate results, in reality, multiple physicians are involved in the follow-up assessment at any large CI centre. In our study setting, two highly experienced physicians examined the digital photographs and while both correctly identified all cases requiring immediate intervention, overall findings differed substantially. To maintain a high degree of sensitivity and improve specificity, it may be even more important to keep technical conditions consistent and at a high level, i.e. the assessing physicians’ display screen as well as the actual pictures’ colours, depth of field, and resolution. One could also imagine the usage of additional material, i.e. live videos or recorded videos. Again, these improvements may not impact the accuracy of detection for severe complications but may improve specificity and reduce the number of walk-in-visits in the long run.