5.CONCLUSION
The present study sought to identify the factors that influence the quality of the information between the requesting physician and the radiology sector when requesting imaging tests.
Among the factors presented in the diagram,
we emphasize the need to train the attending physician regarding the importance of transferring patient data through the clinical information field of the examination request,
allowing the appropriate choice of the image acquisition protocol,
reducing the releasing the report,
reducing the need for complementary images or repetitions.
The radiologist now has the tools to produce a report aimed at clarifying the diagnostic issue of the requesting physician.
The double reading,
through the evaluation of a sample of exams performed,
shows the quantitative of correct reports,
and should be a learning tool for the group of radiologists.
6.FUTURE STUDIES
As future studies,
we suggest a qualitative evaluation of the clinical information provided,
considered appropriate (with more than 15 characters),
evaluating the need to seek additional information for the protocol choice,
evaluating the quality and resolution of the acquired images,
evaluating the satisfaction of the radiologist as to the report generated and evaluated agreement of results by double reading.
Also,
as a future study,
it is suggested to raise the minimum requirements necessary to compose the clinical information of specific exams.
This would allow the construction of a request model to be completed by the attending physician.
7.RECOMMENDATIONS
7.1.Recommendation 1 - Provision of clinical information:
Qualify and enable the attending physician to provide adequate clinical information
It is recommended that the qualified medical practitioner (Ordinance 453/98,
who understands the justification and the provision of clinical information as a channel of communication with radiology) can add value to the result by assisting in the diagnosis by requesting complementary examinations for their patients appropriately.
7.2.Recommendation 2 - Release time:
It is recommended to invest in improvements in the factors that contribute to the decrease of the release time of report.
Factors such as the functioning,
stability and tools of the systems of reading of images; choice of the appropriate protocol of images through the provision of clinical information and experience of the radiologist.
7.3.Recommendation 3 - Further examination:
It is recommended to provide adequate and relevant clinical information that allows the interaction between the referring physician and the radiologist in the joint evaluation of the images,
creating a partnership in the diagnostic and therapeutic decisions,
based on trust between the parties,
with a right reflex in the patient.
Do it right the first time.
8.
FINAL CONSIDERATIONS - GOALS
1.
Correct examination,
in the right patient,
a first time.
2.
Reduction of individual doses of radiation.
3.Reduce waiting lists and improve access of other patients to the system.
4.Reduce the delivery time of results from the best acquisition of images for that pathology.
5.
Reduce the need to seek additional information in the patient's chart (time).