Overnight subspecialty radiology coverage: Review of a practice model and analysis of its impact on CT utilization rates in academic and community emergency departments

American Journal of Roentgenology

Volumn 199, Issue 3, 2012, Pages 623-626

  Tublin, Mitchell ^a   Brown, Carl ^a   Pacella, Charissa ^a   Tublin, Daniel ^a   Yealy, Donald ^a  

^a UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE   (United States)

Author keywords

CT; Emergency department; Utilization

Indexed keywords

ARTICLE; CLINICAL PRACTICE; COMMUNITY HOSPITAL; COMPUTER ASSISTED TOMOGRAPHY; EMERGENCY WARD; HEALTH CARE SYSTEM; HEALTH CARE UTILIZATION; HUMAN; LENGTH OF STAY; PHYSICIAN ATTITUDE; PRIORITY JOURNAL; PROFESSIONAL COMPETENCE; RADIOLOGIST; UNIVERSITY HOSPITAL; WORKING TIME;

ACADEMIC MEDICAL CENTERS; EMERGENCY SERVICE, HOSPITAL; HOSPITALS, COMMUNITY; HUMANS; MEDICINE; PERSONNEL STAFFING AND SCHEDULING; RADIOLOGY; TOMOGRAPHY, X-RAY COMPUTED;

EID: 84865581635     PISSN: 0361803X     EISSN: 15463141     Source Type: Journal    
DOI: 10.2214/AJR.11.8377     Document Type: Article

References (14)

1. Branstetter BF, Morgan MB, Nesbit CE, et al. Preliminary reports in the emergency department: is a subspecialist radiologist more accurate than a radiology resident? Acad Radiol 2007; 14:201-206 (Pubitemid 46108598)
2. Ruchman RB, Jaeger J, Wiggins EF, et al. Preliminary radiology resident interpretations versus final attending radiologist interpretations and the impact on patient care in a community hospital. AJR 2007; 189:523-526 (Pubitemid 47328530)
3. Blane CE, Desmond JS, Helvie MA, et al. Academic radiology and the emergency department: does it need changing? Acad Radiol 2007; 14:625-630 (Pubitemid 46551759)
4. Miyakoshi A, Nguyen QT, Cohen WA, Talner LB, Anzai Y. Accuracy of preliminary interpretation of neurologic CT examinations by on-call radiology residents and assessment of patient outcomes at a level 1 trauma center. J Am Coll Radiol 2009; 6:864-870
5. Cooper VF, Goodhartz LA, Nemcek AA, Ryu RK. Radiology resident interpretations of on-call imaging studies: the incidence of major discrepancies. Acad Radiol 2008; 15:1198-1204
6. Strub WM, Vagal AA, Tomsick T, Moulton JS. Overnight resident preliminary interpretations on CT examinations: should the process continue? Emerg Radiol 2006; 13:19-23 (Pubitemid 44440431)
7. Brant-Zawadzki MN. Special focus: outsourcing after hours radiology-one point of view-outsourcing night call. J Am Col Radiol 2007; 4:672-674 (Pubitemid 47446432)
8. Bradley WG Jr. Special focus: outsourcing after hours radiology-another point of view-use of a nighthawk service in an academic radiology department. J Am Col Radiol 2007; 4:675-677
9. Dunkle J, Jackson VP. Special focus: outsourcing after hours radiology-a third point of view-twenty four hour attending radiology coverage: physical, financial, and educational issues. J Am Col Radiol 2007; 4:678-679 (Pubitemid 47446433)
10. Kachalia A, Gandhi TK, Puopolo AL, et al. Missed and delayed diagnoses in the emergency department: a study of closed malpractice claims from 4 liability insurers. Ann Emerg Med 2007; 49:196-205 (Pubitemid 46108135)
11. Claridge JA, Carter JW, McCoy AM, Malangoni MA. In-house direct supervision by an attending is associated with differences in the care of patients with a blunt splenic injury. Surgery 2011; 150:718-726
12. Trowbridge RL, Almeder L, Jacquet M, Fairfield KM. The effect of overnight in-house attending coverage on perceptions of care and education on a general medical service. J Grad Med Educ 2010; 2:53-56
13. Maa J, Carter JT, Gosnell JE, Wachter R, Harris HW. The surgical hospitalist: a new model for emergency surgical care. J Am Coll Surg 2007; 205:704-711 (Pubitemid 47615485)
14. Mueller CF, Yu JS. The concept of a dedicated emergency radiology section: justification and blueprint. AJR 2002; 179:1129-1131 (Pubitemid 35204361)