ED Comfort Care
SmartScan ED
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SmartScan ED

Pipeline: development stage

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+ 4 mo
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Topic:

The problem of excessive CT scanning in Hospital Emergency Departments

Each CT scan is 50-1000 X-rays, depending on the body area.
The examination is not indifferent to health!

Evidence Based Medicine (EBM) clearly identifies patients
in whom CT is necessary. Studies show that in head injuries alone, 1 in 3 CT scans are performed without any indication.

Computed tomography represents a cost of
300-400 zloty / per examination.

The waiting time for the description is from an hour to even up to several
hours, Which significantly prolongs the patient's stay in the Hospital Emergency Department

10-12%

CT scans in the ED are performed unnecessarily,
Which is approximately 0.5 million PLN per ED,
That is, on a national scale, more than PLN 120 million.

Topic:

The problem of excessive CT scanning in Hospital Emergency Departments

Each CT scan is 50-1000 X-rays, depending
on the body area. The examination is not indifferent to health!

Evidence Based Medicine (EBM)
clearly identifies patients in whom
CT is necessary. Studies show that in
head injuries alone, 1 in 3 CT scans are
performed without any indication.

Computed tomography represents a cost
of 300-400 zloty / per examination.

The waiting time for the description
is from an hour to even up to several hours, Which significantly prolongs the patient's stay in the Hospital Emergency Department

10-12%

CT scans in the ED are performed unnecessarily, Which is approximately 0.5 million PLN per ED, That is, on a national scale, more than PLN 120 million.

Purpose and scope of the project

Cost Reduction

.

Shortening Queues

Improving Comfort

Analysis of EBM sources and selection of the factual basis for the introduction of the standard

Preparation of the Procedure and Instructions for performing CT based on the prepared criteria

Obtaining the opinion of a national consultant

Introduction of a tool layer for Personnel dla Personelu

Development of an information clause

Training for Personnel

Standardization of the implementation of changes in the form of a systemic regulation

Expected results

1. Modern methods
The Evidence Based Medicine (EBM) approach is the most effective
mechanism for improving procedures. It is based on real
data, collected worldwide, evaluated against outcomes.

1. Modern methods
The Evidence Based Medicine (EBM) approach is the most effective mechanism for improving procedures. It is based on real data, collected worldwide, evaluated against outcomes.

2. Exposure reduction
Despite major technological advances and dose
reductions, radiation X-ray is not inert to health. One
CT scan of the head, is up to 300 x-rays!

2. Exposure reduction
Despite major technological advances and dose reductions, radiation X-ray is not inert to health. One CT scan of the head, is up to 300 x-rays!

3. Number of orders for TK
The Emergency Department's reimbursement is based on a fixed fee schedule,
with CT scans accounting for 3 out of 7 fee categories. Decreasing the volume
of CT scans has a positive impact on the department's budget.

3. Number of orders for TK
The Emergency Department's reimbursement is based on a fixed fee schedule, with CT scans accounting for 3 out of 7 fee categories. Decreasing the volume
of CT scans has a positive impact on the department's budget.

4. Overcrowding in the ED
Hospital Emergency Departments are significantly overcrowded. One of the factors
is also the long wait for the description of the results of the radiological findings.
In extreme cases, there is even a wait of several hours for a description.

4. Overcrowding in the ED
Hospital Emergency Departments are significantly overcrowded. One of the factors is also the long wait for the description of the results of the radiological findings. In extreme cases, there is even a wait of several hours for a description.

5. Formal criteria
The introduction of procedural mechanisms for assessing the condition based
on based on EBM helps ensure the comfort of both patient and physician,
reducing misunderstandings.

5. Formal criteria
The introduction of procedural mechanisms for assessing the condition based on based on EBM helps ensure the comfort of both patient and physician, reducing misunderstandings.

6. Less risk of infections
Reduced length of time patients stay in overcrowded waiting rooms
ED reduces the length of exposure to pathogens,
reduces the risk of secondary infections.

6. Less risk of infections
Reduced length of time patients stay in overcrowded waiting rooms ED reduces the length of exposure to pathogens, which
reduces the risk of secondary infections.

A systemic solution to Reduce by 80% the of performing
unnecessary CTs, worth PLN 96 million annually.

Project plan

Project plan

Project plan

Let's make changes for health together!

Radosław Bondarczuk

+48 608 692 963
radoslaw.bondarczuk@leanmedic.pl

Grzegorz Hołody

+48 663 333 828
grzegorz.holody@leanmedic.pl