Background: Have you ever been in the trenches of a complicated study only to be interrupted by a not-so urgent phone-call? We were, repeatedly- unfortunately.
Purpose: To increase productivity of radiologists by quantifying the main source of interruptions (phone-calls) to the workflow of radiologists, and too assess the implemented solution.
Materials And Methods: To filter calls to the radiology consultant on duty, we introduced an automatic voicemail and custom call redirection system. Thus, instead of directly speaking with radiology consultants, clinicians were to first categorize their request and dial accordingly: 1. Inpatient requests, 2. Outpatient requests, 3. Directly speak with the consultant radiologist. Inpatient requests (1) and outpatient requests (2) were forwarded to MRI technologists or clerks, respectively. Calls were monitored in 15-minute increments continuously for an entire year (March 2022 until and including March 2023). Subsequently, both the frequency and category of requests were assessed.
Results: 4803 calls were recorded in total: 3122 (65 %) were forwarded to a radiologist on duty. 870 (18.11 %) concerned inpatients, 274 (5.70 %) outpatients, 430 (8.95 %) dialed the wrong number, 107 (2.23 %) made no decision. Throughout the entire year the percentage of successfully avoided interruptions was relatively stable and fluctuated between low to high 30 % range (Mean per month 35 %, Median per month 34.45 %).
Conclusions: This is the first analysis of phone-call interruptions to consultant radiologists in an imaging department for 12 continuous months. More than 35 % of requests did not require the input of a specialist trained radiologist. Hence, installing an automated voicemail and custom call redirection system is a sustainable and simple solution to reduce phone-call interruptions by on average 35 % in radiology departments. This solution was well accepted by referring clinicians. The installation required a one-time investment of only 2h and did not cost any money.
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http://dx.doi.org/10.1067/j.cpradiol.2024.01.004 | DOI Listing |
Curr Pharm Teach Learn
January 2025
University of Texas at Austin College of Pharmacy, Division of Pharmacy Practice, United States of America.
Objective: The objectives of this study are to describe 1) the implementation of and 2) student performance and perceptions during an innovative classroom activity.
Methods: The Bootcamp was designed as an exercise in productive failure for second-year PharmD students enrolled in a community pharmacy elective course. A prescription verification exercise was introduced; however, students were intermittently interrupted with common community pharmacist tasks.
Curr Probl Diagn Radiol
March 2024
Department of Neuroradiology, Clinical Neuroscience Center, University Hospital Zurich, University of Zurich, Switzerland.
Background: Have you ever been in the trenches of a complicated study only to be interrupted by a not-so urgent phone-call? We were, repeatedly- unfortunately.
Purpose: To increase productivity of radiologists by quantifying the main source of interruptions (phone-calls) to the workflow of radiologists, and too assess the implemented solution.
Materials And Methods: To filter calls to the radiology consultant on duty, we introduced an automatic voicemail and custom call redirection system.
JAMA Netw Open
January 2024
Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston.
Importance: Strategies to reduce medication dosing errors are crucial for improving outcomes. The Medication Education for Dosing Safety (MEDS) intervention, consisting of a simplified handout, dosing syringe, dose demonstration and teach-back, was shown to be effective in the emergency department (ED), but optimal intervention strategies to move it into clinical practice remain to be described.
Objective: To describe implementation of MEDS in routine clinical practice and associated outcomes.
West J Emerg Med
January 2024
Penn State Hershey Medical Center, Department of Emergency Medicine, Hershey, Pennsylvania.
Introduction: Interruptions that occur during sign-out in the emergency department (ED) may affect workflow, quality of care, patient safety, errors in documentation, and resident education. Our objective in this study was to determine the frequency and classification (emergent vs non-emergent, in-person vs phone call) of interruptions that occur during emergency medicine (EM) resident sign-out before and after the institution of a group sign-out process involving residents and attending physicians.
Methods: A convenience sample of sign-out observations between EM residents were observed and coded between April-December 2021.
Curr Probl Diagn Radiol
July 2023
Department of Radiology, University Hospitals Cleveland Medical Center, Cleveland, OH.
Objective: Disruptions in image interpretation lead to interrupted education and inefficiency, and ultimately delay patient care. In the academic reading room, time can often be spent rerouting phone calls. The objective of this study was to evaluate resident perception of current workflow, decrease interruptions, and improve patient care and resident education by implementing a cost-effective automated centralized phone tree.
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