Evidence map›Paper›PMID 25421302›Full record

ArticlePediatric radiology2015

Benefits of integration of radiology services across a pediatric health care system with locations in multiple states.

Lane F Donnelly, Debbie J Merinbaum, Monica Epelman, Leslie E Grissom, Kathlene E Walters, Ramona A Beasley, Jacqueline P Gustafson, Arabinda K Choudhary

Abstract read
PubMed Publisher
In one paragraph

Article in Pediatric radiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Lane F DonnellyNemours Foundation, Jacksonville, FL, USA, lane.donnelly@nemours.org.
Debbie J Merinbaum
Monica Epelman
Leslie E Grissom
Kathlene E Walters
Ramona A Beasley
Jacqueline P Gustafson
Arabinda K Choudhary

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntegration was implemented of previously independently practicing pediatric radiology services across a pediatric health care system with sites 1,000 miles apart.

objectiveThe purpose of this manuscript is to describe the process utilized to integrate imaging services across our enterprise and to study the direct effects on report turnaround time and other parameters. MATERIALS AND

methodsParameters were evaluated both the year before integration as well as the 2 years following integration and compared for improvement. Parameters studied included report turnaround time, academic productivity (as measured by peer review publications per year), and degree of sub-subspecialization within pediatric radiology (as measured by the percentage of neuroimaging CT and MRI studies read by pediatric neuroradiologists).

resultsComparing pre- to post-integration measures, the median report turnaround time decreased from 2.3 h to 1.1 h (52.1% improvement), the percentage of neuroimaging studies read by neuroimaging faculty increased from 15.0% to 86.6% (477% improvement), and peer review publication by calendar year increased from 3 to 30 (1,000% improvement). Other benefits included increased hours of in-house coverage and execution on multiple quality improvement efforts.

conclusionA pediatric health care system successfully integrated radiology services across multiple previously non-integrated locations into one functional group. This integration was associated with a positive effect on multiple parameters.

Indexed as

ChildDelivery of Health Care, IntegratedEfficiency, OrganizationalHumansMagnetic Resonance ImagingNeuroimagingPediatricsQuality ImprovementRadiologyTime FactorsTomography, X-Ray ComputedUnited States

Identifiers

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.