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Practice Management

 

Too often, providing quality clinical histories of imaging orders falls by the wayside, resulting in missed diagnosis, billing delays and payment miscommunication. But a recent study finds a simple intervention may right these poor habits.

Reshma Jagsi, MD, DPhil, from the University of Michigan, never would have imagined she'd become an expert on sexual harassment and assault in the workplace, especially in her own field.

The cost of MRI research and technology production may soon significantly decrease in price due to newly developed magnetic materials from the National University of Science and Technology (NUST) MISiS Engineering Center for Industrial Technologies in Moscow.  

Undergoing MRI with a pacemaker has long been considered a tricky proposition. Individuals with the devices, and those with cardioverter defibrillators, were often kept from undergoing such imaging because of safety concerns. But new research in the New England Journal of Medicine argues such safety concerns are incorrected and outdated.

Incidental findings can lead to negative consequences for patients, but establishing a standardized method of communicating these discoveries between emergency and radiology departments can improve patient safety.

 

Recent Headlines

AHRA 2017 preview: Quality work rewarded is quality work repeated—and emulated

Numerous studies and surveys have shown that U.S. workers in every field, including healthcare, derive more job satisfaction from being recognized for a job well done than from any other top-down motivator. Not even a pay raise goes as far. Of course, turning that insight into action across a large radiology department takes a little doing.

AHRA 2017 preview: Be mindful with social media

Social media can be a boon to healthcare workers and the provider institutions they work for—but it can just as easily be a bust. Just ask the nursing students expelled from school for posting “hilarious” x-rays of an anonymous emergency patient with a foreign object lodged inside a body cavity. The students committed no HIPAA violation, just a breach in basic ethics. But the lapse was enough to derail a couple of promising careers before they even began.

Structured reporting increases ‘normal’—but ‘unremarkable’ persists

Implementing structured reporting templates has helped an academic radiology department increase its collective use of the clear and definitive term normal. However, use of the fuzzier term unremarkable also went up, suggesting more training may be in order.

AHRA 2017 preview: Disruptive technologies headed radiology’s way

U.S. healthcare is in for a wave of technology-driven disruption over the next five years unlike any it’s seen up to now—and it’s up to imaging professionals to light the way in figuring out what to embrace, what to reject and what to take a chance on.

Greasing radiologist/referring physician communication leads to better reads

Smoothing barriers impeding radiologist/referring physician communication can better care through improved timeliness and more nuanced interpretations, according to a study published in the Journal of the American College of Radiology. For the University of Texas Health Science Center, this meant building a communication tool within PACS and assigning clerical staff to troubleshoot the system, rather than leaving radiologists to figure it out on their own.

Radiology residents lack training in how to communicate results to patients

Radiology’s shift to value-based care has providers considering even the smallest details related to the patient experience. A recent study published by Current Problems in Diagnostic Radiology, however, shows that radiology residents are not being trained on the proper way to communicate exam results to patients.

Radiology urged to beef up ethics education 4 ways

When it comes to knowing codes of ethics pertinent to their profession, radiologists and radiology trainees are largely wandering around in a darkness of their own choosing: In a recent survey, widely distributed and promoted online, more than three-quarters of rad respondents said they’ve never read the American Medical Association’s Code of Medical Ethics.

5 tips for running a technologist-focused QI project in radiology

A tech-centric project aimed at improving the quality of radiographic images in the radiology department of a pediatric teaching hospital has succeeded in cutting technologists’ collective error rate from 2.7 percent in the project’s first three months to 0.9 percent in the final six months. 

CT a justifiable choice over fluoroscopy for guiding spinal injections

Along with confirming CT as a fast and relatively low-radiation means of guiding epidural steroid injections for pain relief in the spine, researchers in New York City have shown CT guidance similarly safe and speedy for other back-pain interventions like injections to nerve roots and facet joints. 

When patients rate radiologists, radiologists should listen with discernment

Radiologists fare well overall in online physician reviews posted by patients at RateMDs.com, although the reviews betray evidence of the “halo effect”—the doc can either do no wrong or gets almost nothing right—according to a study running in the May edition of the American Journal of Roentgenology. 

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