2004, Number 1
<< Back Next >>
Anales de Radiología México 2004; 3 (1)
Organización y gestión de una Unidad de Diagnóstico por Imagen de Urgencias
Fernández SJ
Language: Spanish
References: 35
Page:
PDF size: 100.97 Kb.
ABSTRACT
A great number of patients attend to
emergency departments every day.
Many of these patients need to be
evaluated with several diagnostic
imaging methods. Most of the
radiological results have an impact on
the further management of the
emergency patients. Therefore, all
hospitals should have an Emergency
Diagnostic Imaging Unit (EDIU). The
organization and management of an
EDIU is described and discussed. This
Unit must be located in the
Emergency Department in order to
avoid an unnecessary and sometimes
vital lost of time due to the waiting
time and transport of the patient to
the diagnostic rooms of the
Radiological Department. The EDIU
belows to the central Diagnostic
Imaging/Radiological Department, but
works independently on a 24-hr basis
with a continous presence of
radiological staff. An EDIU should
have, at least, two modern X-ray
equipments for conventional
radiology (specially, for radiographic
examinations of the chest, abdomen
and bones), an ultrasound equipment
with Color Doppler and an helical CT
scanner. All diagnostic imaging
examinations of the EDIU must be
accompanied by a written report. A
quality control of the EDIU (quality
assurance for X-ray units, films and
processing systems, such as for
anatomical structures represented in
the radiographs, evaluating if the
views were or not complete, and
quality assurance of the radiological
reports) should also routinely be
performed. This concept may
improve patient care and
management in the Emergency
Department.
REFERENCES
Mower WR. Optimal imaging strategies in emergency radiology. Emergency Radiology. 2000; 7:1-2.
Hirschl MM, Seidler D, Herold C. et al. Referral outpatients with non-traumatic conditions for radiographic examinations in an emergency department. Eur J Emerg Med. 1997; 4:140-4.
Havill JH, Van Alphen S, Fairweather S. et al. Waiting in the emergency department. N Z Med J. 1996; 109:159-61.
Romeo MA, Skrtich P, Alexander J. An imaging department for the 90s: 3 years experience. European Journal of Radiology. 1992; 16:10-2.
Harris JH Jr., Harris WH. The radiology of emergency medicine. 4 ed. Philadelphia, Lippincott Williams & Wilkins; 2000.
Harris JH. Reflections: Emergency Radiology. Radiology. 2001; 218:309-16.
Heller M. Emergency ultrasound: out of the acoustic shadows. Ann Emerg Med. 1997; 29:380-2.
Fernández Sánchez J, Buecklein W, Klotz E. Detection of deep venous thrombosis by high-resolution realtime ultrasonography: Evaluation of the vein diameter as diagnostic criterion. Eur Radiol. 1991; 1: 102-3.
Fernández Sánchez J, Buecklein W. Trombosis venosa profunda de la extremidad inferior en pacientes geriátricos. Geriátrika. 2000; 16: 280-6.
Lingawi SS, Buckley A. Focused abdominal ultrasound in patients with trauma. Radiology. 2000; 217:426-9.
McGahan JP, Wang L, Richards JR. Focused abdominal ultrasound for Trauma. Radiographics. 2001; 21:191-9.
Novelline RA, Rhea JT, Rao PM et al. Helical CT in Emergency Radiology. Radiology. 1999;213:321-39.
Gore RM, Miller FH, Pereles FS et al. Helical CT in the evaluation of the acute abdomen. AJR. 2000; 174:901-913.
Huda W, Smith DA, Staab EV. Current status of computed tomography in emergency departments. J Digit Imaging. 1997; 10:139-46.
Arienta C, Caroli M, Balbi S. Management of head-injuried patients in the emergency department: a practical protocol. Surg Neurol. 1997; 48:213-9.
Williams RM. Distribution of emergency department costs. Ann Emerg Med. 1996; 28:671-6.
Linsenmaier U, Rieger J, Brandl T. et al. New method for fast spiral CT of trauma patients – RUSH CT. Emergency Radiology. 2000; 7:135-9.
Evens RG. The organization of a modern radiology department. Radiology. 1989; 172:609-11.
Stiles RG. Radiology department organization and radiology education. Radiology. 1990; 174:579-80.
Gemell N. Radiology department organization. Radiology. 1990;176:876-7.
Peters PE, Winter M, Attwood-Wood D. et al. Radiologische Leistungen im Nacht- und Bereitschaftsdienst. Radiologe. 1997; 37:124-9.
Steele RD, Kerr HH. 24-Hour Radiology. AJR. 1997; 169:953-4.
Fernández Sánchez J. Implicaciones jurídicas de la información al paciente en Radiología. Curso de Actualización. XXIV Congreso Nacional de la Sociedad Española de Radiología. Madrid 2000. Radiología. 2000;42: 27.
Vincenzoni M, Campioni P, Vecchioli A. et al. Information management of a department of diagnostic imaging. Rays. 1998; 23:353-63.
Ramaswamy MR, Wong AW, Lee JK et al. Accesing Picture Archiving and Communication System text and image information through personal computers. AJR. 1994; 163:1239-43.
Fernández Sánchez J. Juicios por malpráctica médica en Radidodiagnóstico. Radiología. 1995; 37:305-09.
Berlin L. Communication of the significant but not urgent finding. AJR. 1997; 168:329-32.
Gwynne A, Barber P, Tavener F. A review of 105 negligence claims against accident and emergency departments. J Accid Emerg Med. 1997; 14:243-5.
West RW. Radiology malpractice in the emergency room setting. Emergency Radiology. 2000; 7:14-8.
Documento de la Comisión Europea. Criterios de calidad de imagen en Radiodiagnóstico. XII/173/90. Radiología. 1994: 36:A1-12.
Leitlinien der Bundesaerztekammer zur Qualitaetssicherung in der Roentgendiagnostik. Qualitaetskriterien roentgenologische Untersuchungen Deutsches Aerzteblatt. 1995; 49:1691-703.
Carrasco F, Ruiz Cruces R, Sendra F. et al. Control de calidad de películas radiográficas sensibles a la luz azul: Estudio comparativo. Radiología. 1994; 4: 241-7.
Otto H, Ewen K. Geraetetechnische Pruefungen, personelle Voraussetzungen. Deutsches Aerzteblatt. 1995; 19:1663-6.
Deitch CH, Chan WC, Sunshine JH. et al. Quality assessment and improvement: What Radiologists do and think. AJR. 1994; 163:1245-54.
Guenther S, Waydhas C, Ose C, Nast-Kolb D; Multiple Trauma Task Force, German Trauma Society. Quality of multiple care in 33 German and Swiss trauma centers during a 5-year period: regular versus on-call service. J Trauma. 2003; 54:973-8.