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.