212, No. Artifact effect on the radiography image will make the radiologist difficult to diagnose and cannot further evaluate the image. Good patient care 5, Journal of the American College of Radiology, Vol. This model should improve patient knowledge of options as well as perceptions of risks and benefits and lead to clinical decisions that are consistent with patient values such as quality of life (42). Proofreading for typographical errors. 207, No. 17, No. To ensure safe and effective patient care, key concepts are demonstrated visually and always applied to As the assault on the growth of Medicare spending continues, with medical imaging as a highly visible target, radiologists must adapt to the changing landscape by focusing on their most important consumer: the patient. (b) Press Ganey service report for patient satisfaction in the outpatient setting. ■ Describe interventions that promote a patient-centered environment. When an important piece of information is lost or overlooked, patients see that the people taking care of them are uninformed, efforts are needlessly duplicated, procedures are delayed, and tasks are left undone (1). 16, No. The first column under “All Respondents” (“All Facility DB Rank”) refers to the national percentile ranking among all facilities administering Press Ganey patient satisfaction surveys. To reduce ambient noise, beeper and telephone technologies are preferred to overhead speakers for paging. In a study by Williams et al (35) that assessed the needs and expectations of women who presented for hysterosalpingography following a period of subfertility, patients reported that (a) they received little support from health care providers; (b) written information did not meet all of their needs; and (c) properly focused, correctly administered, timely information reduces anxiety. General strategies that can improve pain management include educating patients about their right to pain relief; encouraging patients to take an active role in communicating and managing their pain; making pain assessment data more visible to caregivers; and educating staff about pain control protocols, which should include a discussion of misconceptions about narcotics and their risks and benefits (1). It was awful. 35, No. The physical environment can have a significant impact on a patient’s experience, and a supportive environment may serve to help prevent illness and alleviate stress and depression (25). Use of conscious or moderate sedation for invasive procedures can reduce anxiety and pain, although there can be morbidity and mortality associated with sedation practices, and standards continue to be refined by professional societies to improve care (22). McNulty said a team approach and closer collaboration with other health professionals remained important in terms of achieving patient safety and the best clinical outcomes. For healthcare professionals who work in a highly technology-driven profession, these factors imply a constant confrontation with technology. Truly a complete revision, PATIENT CARE IN RADIOGRAPHY, 5th Edition, helps imaging technology students acquire both the technical and the interpersonal skills needed to provide good patient care in the clinical environment. ‘If it is an imaging modality using ionising radiation, they make sure the radiation dose to the patient is minimised. CiteScore values are based on citation counts in a range of four years (e.g. Radiologists are at a disadvantage because they cannot see the patient physically In order to properly review the films, the radiologist must draw a full picture or mechanism of injury to properly interpret the images seen. Radiology department staff and leadership should take an active role in adopting and promoting use of standardized survey instruments for assessing patient satisfaction in both inpatient and outpatient settings. Consumers are increasingly accessing Web-based resources to obtain information and knowledge about radiologic procedures, and it is important for radiologists and radiology organizations to play an active role in developing and maintaining these types of resources. Figure 5b. Patients with CXR done before treatment had longer mean door-to-needle times than those without pretreatment radiography (75.8 vs 58.3 minutes, p = 0.0001). IV = intravenous line. According to Mozumdar et al (55), online scheduling applications are becoming the preferred scheduling vehicle and can simplify the scheduling process. Aggressive pain management is essential to patient-centered radiology; yet, despite advances in the use of narcotics and other analgesics, pain control continues to be one of the most feared and debilitating aspects of illness and medical treatment (1). Focused on important areas of care. Stakeholder expectations for radiologists: obstacles or opportunities? Expanding radiology’s core assets to include direct patient care may be the most effective deterrent to the threat of commoditization. They interact with them on a daily basis and have an important role to play in patient care and patient safety in a modern imaging department. The stress of illness is minimized by adequately controlling pain and providing a physical environment that promotes healing and well-being. This way, you can ensure quality patient care and meet legal and ethical obligations. 5, No. The job title radiographer has a firm place in many European and non-European countries. Radiographers are clinical practitioners, managers, leaders, researchers and educators. This book focuses on patient care procedures for radiographers. These statements provide the flexibility to respond to new challenges in health care delivery, which is certainly the case in Australia with respect to the current collaborative care, indigenous health and safety and quality imperatives. When you study to become a radiographer, you will develop your people skills in order to provide excellent patient care. For example, an evidence-based shared decision-making tool used for the management of hepatocellular carcinoma would communicate that interventional radiology–guided embolization therapies are associated with better outcomes and fewer side effects than are systemic therapies such as sorafenib administration (43,44). As the European Congress of Radiology in Vienna prepares to hold a record number of sessions for radiographers, including many focused on the evolving roles of radiographers, Dr Jonathan McNulty, vice president of the European Federation of Radiographer Societies (EFRS), believes that delivering Europe-wide levels of education, qualification and training for radiographers is critical in raising standards of care, diagnostics, therapeutics and patient safety. One of the fundamental principles of delivering bad news is the need to be truthful about the diagnosis and avoiding false reassurances while providing perspective on treatment and prognosis. Studies assessing pain in various clinical settings indicate that a significant number of patients (20%–75%) continue to experience moderate to severe pain despite treatment with analgesics (14–18). Proper care and maintenance of that equipment is also essential. For this journal-based SA-CME activity, the author, editor, and reviewers have disclosed no relevant relationships. Enter your email address below and we will send you the reset instructions. Patient transfer. Moreover, CDS provides an opportunity to replace preauthorization programs that are not evidence based and effectively shift costs from health care payers to hospital and providers (59). Although their discussion is tailored for radiologists in breast imaging, the concepts are useful for any radiologist who performs procedures and may have to convey to patients and their family members that complications or other unfavorable outcomes have occurred. In this model, providers respect patients’ values and preferences, address their emotional and social needs, and involve them and their families in decision making. 300,000,000 customers: patient perspectives on service and quality, Using Lean Six Sigma to improve hospital-based outpatient imaging performance, Creating a patient-centered imaging service: determining what patients want, Creating an outpatient center of excellence in CT, Radiology scheduling: preferences of users of radiologic services and impact on referral base and extension, Changing the face of radiology: redesigning patient-focused care, Effectiveness of clinical decision support in controlling inappropriate imaging, Impact of provider-led, technology-enabled radiology management program on imaging. Patient-centered care (ie, care organized around the patient) is a model in which health care providers partner with patients and families to identify and satisfy patients’ needs and preferences. The best care means that patients can be assured that your practice in undertaking examinations and/or treatments is compassionate, optimal and based on best evidence. Learn patient care in radiography with free interactive flashcards. In their study of patients undergoing interventional radiologic procedures, Mueller et al (34) found that all patients significantly overestimated their anticipated pain and concluded that interventionalists should spend more time assessing patients’ fear of pain and attempting to reduce that fear rather than dwelling on the technical aspects of procedures. 3, Journal of Radiology Nursing, Vol. For surgeries added following radiography and teleradiology, while we have no data on the eventual patient outcome, the positive impact of early recognition of the need for surgical intervention is well recognised. Objectives Health and social care systems, organisations and providers are under pressure to organise care around patients’ needs with constrained resources. ‘A message I’d like to get across at ECR is to make people reflect more on what we are doing in our educational programmes, in clinical practice, and to identify patient safety-related deficits which may exist and what steps we might be able to take to try and address some of those areas.’. 7, Journal of Digital Imaging, Vol. 24, No. The traditional business model for radiology practices, which devalues interaction between patients and radiologists, must be transformed into a patient-centered model in which radiologists are reintegrated into direct patient care and imaging processes are reorganized around patients’ needs and preferences. 33, No. For instance, 100 years ago it was all about taking an X-ray. The conceptual model described in this article is adapted from the model of patient-centered care described by Gerteis et al (1), which is based on decades of interviews and focus groups involving patients, family members, physicians, and hospital staff. 3, Journal of the American College of Radiology, Vol. Health care providers treat patients respectfully and use patient-centered communication skills, such as encouraging patients to talk about psychosocial issues and providing information and counseling. Within the radiography clinical environment, despite the policy priority of patient-centred care, there is arguably a greater emphasis upon output, targets and the process-driven business aspects of health.20 This can be potentially problematic for academic educators who must provide a broad curriculum, meet competency requirements, whilst promoting compassionate care. Sometimes, in some of the subtypes of the radiographies, tracers are to be released in the body. Providing a conceptual framework that helps us understand the patient’s experience of illness and health care is a prerequisite to redesigning radiology-specific processes around patients’ needs and preferences. 3, Journal of the American College of Radiology, Vol. Evaluating workload patterns can help guide staff schedules for more effective alignment of workload with existing technical personnel resources (47). Prioritising patient care: The different views of clinicians and managers Nurs Ethics. These techniques of radiography are coupled with the ability to demonstrate compassion to patients as they are subjected to diagnostic procedures and to ensure that the mental and physical comfort of the patient is always considered. 5, 14 October 2015 | RadioGraphics, Vol. (Reprinted with permission of Press Ganey, South Bend, Ind.) Figure 4. 17, No. 3. (a) Graph shows outpatient CT examination wait times from a Lean Six Sigma improvement project initiated in January 2014. Khushboo Sabharwal Gupta and Varsha Rokade. 4, Journal of the American College of Radiology, Vol. 21, No. Although there are legitimate concerns about the methodology used for survey design and the validity of collected data, practice managers and physician leaders can use the information to improve the patient centeredness of their practices by responding to patient complaints, obtaining benchmark and comparative data, and determining baseline performance to evaluate the impact of service and quality initiatives (Fig 8). This mandate promotes scientifically valid, evidence-based care; implementation of CDS systems has been associated with substantial decreases in the use of high-cost imaging, including nuclear cardiology examinations, lumbar MR imaging for low back pain, head MR imaging for headache, and sinus CT for sinusitis (57,58). Buy Patient Care in Radiography: With an Introduction to Medical Imaging 7th edition (9780323051781) by Ruth Ann Ehrlich and Joan A. Daly for up to 90% off at Textbooks.com. Expanding radiology’s core assets to include direct patient care may be the most effective deterrent to the threat of commoditization. Expanding radiology’s core assets to include direct patient care and utilizing the principles of patient-centered care may be the most effective deterrent to the threat of commoditization. Patient care in radiography. Shared decision making involves using guided-discussion tools such as flowcharts, videotapes, and interactive presentations that organize the disease information and treatment outcomes in language that is understandable to the patient (41). 17, No. Up to now, there has been a lack of comprehensive investigations on possible determinants of PCC across various health and social care organisations … patient care but I’ve watched him include whomever a patient brought to his meeting and I’ve heard him consult with other specialists. Waiting rooms should be designed to allow occupants to converse, watch television, and read or nap, with easy access to telephones, reading material, movable chairs and sofas, and special chairs for the elderly and handicapped (Fig 5). Patient Care in Radiography with an Introduction to Medical Imaging, ... INTRODUCTION: There is growing awareness of the importance of patient centred care (PCC) in health care. The patient’s perception of time elapsed between appointment time and procedure start time was found to be a significant predictor of overall mean patient satisfaction scores during a Lean Six Sigma project designed to improve hospital-based outpatient imaging performance (52). Patient Care and Safety OBJECTIVES After studying this chapter, the student will be able to: 1. 29, No. Because technologists play a central role, strategies that improve their communication skills are paramount for ensuring patient safety and a positive experience. The five key factors that determine customer satisfaction for a given service are reliability (the ability to provide the service that was promised and to do so dependably and accurately), responsiveness (the willingness and ability to help customers promptly), assurance (the sense of confidence, competence, and courtesy that providers offer), empathy (the degree of caring and attention to individual customers), and tangibles (the physical appearance of facilities and the quality of the equipment) (60,61). There are a variety of approaches for reducing stress and relieving anxiety: (a) developing educational approaches that combine factual information about a patient’s clinical condition with short-term psychologic interventions designed to provide reassurance, address irrational beliefs, and relieve anxiety; (b) administering progressive muscle relaxation therapy; (c) training staff in crisis intervention; (d) developing a network of patients and family members who are willing to share their experiences with newly diagnosed patients and their families; (e) sponsoring support groups; and (f) providing access and information about self-help groups (1). However, while radiographers have been viewed as technicians in some nations, in others their role has advanced significantly with their increasing knowledge, experience and responsibility with some working as advanced practitioners or the equivalent of consultant radiographers. 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