Showing 8 Abstracts.
The purpose of this study is to share our experience implementing a clinical decision support (CDS) solution for imaging at a quaternary care pediatric academic hospital. Read More
Meeting name: SPR 2020 Annual Meeting & Postgraduate Course , 2020
Authors: Sher Andrew, Hayatghaibi Shireen, Sammer Marla
Keywords: decision support, pediatric, informatics
Midgut volvulus (MV) is a surgical emergency conventionally diagnosed with fluoroscopy. Ultrasonography (US) is an alternate method to expedite diagnosis when a radiologist is not on-site, but can be limited by interpreter and sonographer familiarity with the key findings needed to make the diagnosis. The primary objective of this study was to see if a newly-designed curriculum improved trainee knowledge of US for midgut volvulus. Read More
Meeting name: SPR 2020 Annual Meeting & Postgraduate Course , 2020
Authors: Nguyen Haithuy, Mehollin-ray Amy, Sammer Marla
Keywords: education, resident, ultrasound
To evaluate the peer collaborative improvement (PCI) process used in our pediatric radiology department since January 2016, differences in sequential surveys and temporal change in types of submissions were assessed. Read More
Meeting name: SPR 2020 Annual Meeting & Postgraduate Course , 2020
Authors: Sammer Marla, Kan J., Donnelly Lane
Keywords: Peer Learning, Survey
At our children’s hospital, we deployed clinical decision support (CDS) software to support appropriate use of imaging. The software is primarily based on ACR appropriateness criteria. To determine if by using CDS, lower rates of payer claim denials could be expected, we evaluated rates of payer claim denials based on CDS score prior to CDS go-live. Read More
Meeting name: SPR 2020 Annual Meeting & Postgraduate Course , 2020
Authors: Sher Andrew, Hayatghaibi Shireen, Kan J., Sammer Marla
Keywords: CT
To analyze the effect of point-of-care ACR-clinical decision support (CDS) software embedded in the electronic health records (EHR) on CT ordering patterns in a quaternary care pediatric emergency center (EC). Read More
Meeting name: SPR 2020 Annual Meeting & Postgraduate Course , 2020
Authors: Sher Andrew, Hayatghaibi Shireen, Kan J., Sammer Marla
Keywords: decision support, pediatric, informatics
In our pediatric radiology department, radiographs (XR) are the shared responsibility of body radiologists, expected to be read in addition to daily modality-based or site-specific assignments. Due to concerns that the increasing XR volume was unevenly shared amongst colleagues, a software intervention was developed to improve weekday 7am-5pm workload balance by auto-distributing exams at 10-minute intervals during peak hours to rotation worklists within PACS; a cap of 20 distributed exams to each target worklist was set. Metrics to evaluate the intervention’s effectiveness were assessed. Additionally, as there was concern that assigning exams may result in slower turnaround times (TATs) and increased errors, TATs and error rates were evaluated. Read More
Meeting name: SPR 2020 Annual Meeting & Postgraduate Course , 2020
Authors: Sammer Marla, Hayatghaibi Shireen, Nguyen Haithuy, Sher Andrew
Keywords: turnaround time, informatics, radiographs
Rapid detection and accurate diagnosis of midgut volvulus are crucial due to the risk of bowel infarction with delayed diagnosis. The purpose of our study is to evaluate the diagnostic accuracy of abdominal ultrasound (US) for midgut volvulus in the clinical setting of multiple sonographers and radiologists. Read More
Meeting name: SPR 2020 Annual Meeting & Postgraduate Course , 2020
Authors: Nguyen Haithuy, Guillerman R, Orth Robert, Seghers Victor, Bales Brandy, Sammer Marla
Keywords: Midgut volvulus, Malrotation, bowel
While a definitive conclusion regarding the optimal diagnostic strategy for midgut volvulus remains elusive, value can also be derived from cost. The purpose is to quantify and compare the monetary and time costs, from a provider perspective of imaging with Upper GI (UGI) versus Ultrasound (US) of children with suspected midgut volvulus. Read More
Meeting name: SPR 2020 Annual Meeting & Postgraduate Course , 2020
Authors: Hayatghaibi Shireen, Sher Andrew, Varghese Varsha, Sammer Marla, Bales Brandy, Cano Melissa, Nguyen Haithuy