Congress:
EuroSafe Imaging 2019
Keywords:
Action 6 - Clinical audit tool for imaging, Radioprotection / Radiation dose, RIS, Audit and standards, Health policy and practice, Education, Education and training, Quality assurance
Authors:
R. A. Lucena, R. Sastre, T. Saurin
DOI:
10.26044/esi2019/ESI-0013
Background/introduction
1.INTRODUCTION
Hospitals are complex systems proportional to their size,
to the diversity of human resources,
to the size of the population they serve,
to their specialization and to their economic and geographic context.
Within the complexity of hospital health care,
the numerous multidisciplinary teams interact in the search for diagnosis and in the treatment of patients.
The demand for care of an increasing number of patients in large public hospitals tends to reduce the time of consultation and physical examination and transfers the search for diagnostic answers to the complementary exams.
In the issue of complementary imaging,
the focus of this study,
is a deficit in communication between clinical-surgical medical teams and medical imaging teams.
The justification of imaging examinations is mandatory,
by Federal Ordinance 453/98 of the Ministry of Health of Brazil,
in exams that require ionizing radiation,
and would be a channel of communication between these teams if it were used with focus on the patient.
It would add value and time to the diagnosis and treatment of patients if the two ends of the process (medical assistants on the one hand,
and medical radiologists on the other) interact more efficiently.
Justification is one of the basic universal principles of radiation protection.
This study aims to identify the factors and relationships that influence the quality and flow of information between the physician and the radiology system of the Hospital de Clínicas de Porto Alegre - HCPA,
in the procedure of requesting exams.
The relationship analysis is developed with the support of system dynamics,
which is an approach that helps to better understand problem situations and solve similar problems through the search for different management policies and alternative organizational structures.
In the 1960s,
Jay Forrester introduced modeling of system dynamics at the Massachusetts Institute of Technology as a methodology for modeling and simulation of complex systems for business management decision making.
It has now been widely used,
including in health care.
Schoenenberger et al.
(2016) studied the overcrowding of a Department of Medical Emergencies in Singapore from a systemic thinking perspective using the causal loop diagram as a tool for assessing system complexity.
They also assessed the impact of the introduction of a geriatric medical emergency,
the expansion of emergency medicine training and the implementation of improved primary care to reduce overcrowding.
2.SEARCH QUESTION
What are the factor,
as well as the relationships between them,
that influence the quality of information between the attending physician and the radiology sector when requested radiological examination?