THE IMPACT OF EXTENDED RADIOLOGY ATTENDING COVERAGE IN A CHILDRENS-HOSPITAL

Objective. In order to achieve more ''timely'' interpretation of radio logic examinations, a 3 to 11 p.m. attending radiologist slot was inco rporated into the daily schedule utilizing existing staff. Our purpose was to assess the effectiveness of this practice by measuring report generation times. Material and methods. Using a radiology information system (DecRAD), the time between completion of the technical examinat ion and dictation of the official report for general (plain film) stud ies was determined for a 2-month period and compared to similar period s 1 and 2 years prior to instituting extended hours. Emergency and por table (ICU) exams were similarly analyzed. Results. The number of exam inations reported within 2 h of technical completion increased by 8.5 % (mean); reporting within 4 h increased by 20 %; reporting within 6 a nd 12 h of completion each in creased by 24 %. Over 80 % of cases were dictated within 12 h after the change in practice occurred; whereas, it took up to 24 h in preceding years. Analysis of emergency and porta ble ICU exams showed similar trends, and the number of next day ''call -backs'' to the emergency department was significantly reduced. Conclu sion. By extending attending coverage, more plain film examinations, e specially emergency cases and ICU portables, were read and reported wi thin a shorter time providing prompt communication with clinicians and more opportunity to influence management decisions.