The Use of an Emergency Department Expeditor to Improve Emergency Department CT Workflow: Initial Experiences.
J Am Coll Radiol. 2019 Mar;16(3):327-332. doi: 10.1016/j.jacr.2018.11.003. Epub 2018 Dec 29.
Gyftopoulos S1, Jamin C2, Wu TS2, Rispoli J3, Fixsen E3, Rybak L3, Recht MP3.
The emergency department (ED) plays an increasingly important role in health care delivery in the United States, with up to 48% of hospital-associated medical care visits taking place in this setting . In 2015, the National Center for Health Statistics reported 44.5 ED visits for every 100 persons in the United States . As a result, there is increased pressure to evaluate, diagnose, and select appropriate follow-up care for patients in an efficient and timely manner. This emphasis on efficient patient management has led to increased dependence on other resources, most notably imaging, as it plays an important role in the diagnosis and management of patients seen in this setting. For instance, the number of ED visits that include some form of CT imaging has increased from 2.7 million to 16.2 million over a recent 12-year span . The percentage of ED visits that include CT as part of their workup has increased from 2.8% to 13.9% over this same period . Thus, improving the turnaround times (TATs) of CT imaging could improve the efficiency of patient management in the ED by allowing for quicker patient triage and treatment allocation.