ArticleJapanese journal of radiology2026
Optimizing efficiency in CT services: a data-driven approach using action logs from the radiology information system.
Article in Japanese journal of radiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeTo evaluate whether Radiology Information System (RIS) action log-guided continuous quality improvement (KAIZEN) improved CT operational efficiency. MATERIALS AND
methodsThis single-center retrospective before-and-after quality improvement study included 150,540 weekday CT examinations from 2018 to 2022. Five workflow interventions were introduced sequentially from January through February 2021. Daily median examination time, daily median patient entry/exit time, and the end time of the final weekday CT examination were analyzed using segmented interrupted time-series regression with interruptions in January 2020 and January 2021 and heteroskedasticity- and autocorrelation-consistent standard errors. Key performance indicator (KPI) models were adjusted for daily volume, day of the week, and inpatient proportion; unadjusted models were used as sensitivity analyses.
resultsDaily median examination time decreased from 351 s at baseline to 328 s after KAIZEN. KAIZEN initiation was associated with an immediate reduction in adjusted examination time (- 17.37 s; 95% CI, - 31.35 to - 3.40 s; p = 0.015), whereas the unadjusted sensitivity analysis was directionally consistent but non-significant (- 11.07 s; p = 0.060). Entry/exit time decreased from 216 to 198 s and showed a significant adjusted immediate reduction (- 15.99 s; 95% CI, - 23.93 to - 8.04 s; p < 0.001), consistent with the unadjusted analysis. The final weekday CT examination ended 12.49 min earlier (95% CI, - 22.11 to - 2.87 min; p = 0.011).
conclusionRIS action log-guided KAIZEN was temporally associated with shorter turnover, earlier completion of weekday operations, and reduced adjusted examination time. Replication in diverse settings is warranted. Secondary Abstract. In this single-center study, RIS action log-guided KAIZEN was temporally associated with shorter CT patient entry/exit time, earlier weekday completion, and reduced adjusted examination time, supporting routine log-based workflow monitoring.
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