Evidence map›Paper›PMID 28461168›Full record

Trial reportJournal of the American College of Radiology : JACR2017

Effects of Interpersonal Skills Training on MRI Operations in a Saturated Market: A Randomized Trial.

Amna A Ajam, Xuan V Nguyen, Ronda A Kelly, Joseph A Ladapo, Elvira V Lang

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of the American College of Radiology : JACR, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02427737 (Amelioration of Claustrophobia and Disruptive Patient Motion in MRI Imaging), which is not on this map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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.

NCT02427737 nacompletednot on this map

Amelioration of Claustrophobia and Disruptive Patient Motion in MRI Imaging (Phase 2 Randomized Training of Sites)

TypeinterventionalSponsorHypnalgesics, LLCRan2015 to 2017Enrolled12ConditionsClaustrophobia, Complication of Diagnostic ProcedureArmsComfort Talk® Training
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Comfort Talk®: From the Waiting Room to the Treatment Suite.Deutsche Zeitschrift fur zahnarztliche Hypnose · 2019
    Article
  5. Economics of MRI Operations After Implementation of Interpersonal Skills Training.Journal of the American College of Radiology : JACR · 2018
    Article
  6. Article
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

5 authors.

Amna A AjamDepartment of Radiology, The Ohio State University Wexner Medical Center, Columbus, Ohio. Electronic address: amna.ajam@osumc.edu.
Xuan V NguyenDepartment of Radiology, The Ohio State University Wexner Medical Center, Columbus, Ohio.
Ronda A KellyDepartment of Radiology, The Ohio State University Wexner Medical Center, Columbus, Ohio.
Joseph A LadapoDivision of General Internal Medicine and Health Services Research, David Geffen School of Medicine at UCLA, Los Angeles, California.
Elvira V LangHypnalgesics, Brookline, Massachusetts.

Funding

Amelioration of Claustrophobia and Disruptive Patient Motion in MR ImagingR44AT006296 · NCCIH · HYPNALGESICS, LLC · PI LANG-ANDERSON, ELVIRA VALENTINA · 2014 to 2015
$1.0M
NCCIH NIH HHS R44 AT006296
6 · The paper itself

Abstract

purposeThe aim of this study was to assess the effects of team training on operational efficiency during outpatient MRI.

methodsIn this institutional review board-approved, HIPAA-compliant study, six MRI outpatient sites of a midwestern hospital system were randomized to serve as controls or have their teams trained in advanced communication skills. The fourth quarter of fiscal year 2015 was the trial baseline. The trial ended in the third quarter (Q3) of fiscal year 2016 (FY16). Equipment utilization (completed scans/available slots), hourly scan rates (total orders completed per machine per hour of operation), and no-show rates stratified by time were analyzed using the Cochran-Mantel-Haenszel method, with individual comparisons performed with Bonferroni correction.

resultsThe study encompassed 27,425 MRI examinations. Overall volume peaked at baseline and then declined over the following quarters. Compared with baseline, untrained sites experienced significant drops in equipment utilization (P < .01 for the first quarter of FY16 and P < .0001 for the second quarter of FY16 and Q3 FY16), decreasing from 77% to 65% over the study period, corresponding to a decrease from 1.15 to 0.97 in hourly scan rates. For trained sites, these metrics showed no significant change, with maintenance of hourly scan rates of 1.23 and 1.27 and equipment utilization rates of 83% and 85% between baseline and Q3 FY16. No-show rates remained stable at trained sites but increased at untrained sites in the last two quarters (P < .05). Nationally benchmarked patient satisfaction percentile ranking gradually increased at trained sites from 56th at baseline to 70th and successively decreased at untrained sites from 66th to 44th.

conclusionsMRI outpatient facilities trained in advanced communication techniques may have more favorable operational efficiency than untrained sites in a saturated market.

Indexed as

EfficiencyMagnetic Resonance ImagingSocial SkillsHealth Insurance Portability and Accountability ActHumansUnited Statescommunicationequipment utilizationInterpersonal skillsMRIpatient satisfaction

Identifiers

PMID28461168
PMCPMC5604243

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Registered trials

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.