In this role, he will focus on continuously improving care quality and patient safety as well as consistently striving to help enhance outcomes. These groups will work in a collaborative and complementary fashion with Dr. Donnelly to create more positive outcomes for patients. Donnelly earned his medical degree from the University of Cincinnati in and also completed his radiology residency there in While there, he attained the chief fellow position. Donnelly is a nationally recognized physician and scholar with accomplishments in research, multidisciplinary care, teaching, patient safety and quality improvement.

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The American Board of Radiology B. American journal of roentgenology Wallner, P. Current problems in diagnostic radiology Donnelly, L. Radiology reports for two imaging examinations were analyzed and compared - one which was more templated ultrasound - appendicitis and one which relied on more free text chest radiograph - single view. For each metric, the mean and standard deviation for defined outlier results for all dictations individual and group mean was calculated.

The mean number of outlier metrics per reader per study was calculated and compared between radiologists and between the two report types. Wilcoxon rank test and paired Wilcoxon signed rank test were applied. The radiologists were also ranked based on the number of outlier metrics identified per study. RESULTS: There was great variability in radiologist dictation styles - outlier metrics per report varied greatly between radiologists with the maximum 10 times higher than the minimum score.

This variability can be an obstacle to providing effective communication and reliability of care. Fidget spinners have been marketed to improve attention and have been suggested as a therapeutic alternative to medications in children with attention deficit hyperactivity disorder ADHD.

To describe the radiographic appearance and features of ingested fidget spinner components. To evaluate clinical significance via rates of endoscopic intervention, incidence in patients on ADHD medications, and mean age compared to other accidental foreign body ingestions. A nested retrospective case control study analyzed pediatric accidental foreign body ingestions identified via electronic medical record search between March 1, , and Feb. Radiographic identifiability, component type and maximum diameter of ingested fidget spinner components were described.

A nested cohort of non-fidget spinner ingestions between May 1 and Aug. There were 1, unintentional foreign body ingestions. Ten were ingested fidget spinner component ingestions. Eight of the 10 ingested components were radiographically identifiable.

Compared with other foreign body ingestions, patients who ingested fidget spinner components were more likely to undergo endoscopic intervention, had a higher rate of ADHD medication use and were older. Familiarity with the radiographic appearance of ingested fidget spinner components is important for patient management. Health care is brimming with potential triggers of disruptive behavior.

Given omnipresent environmental and cultural factors such as constrained resources, stressful environments, commercialization, fatigue, unrealistic expectation of perfectionism, and burdensome documentation, a burnout epidemic is raging, and medical providers are understandably at tremendous risk to succumb and manifest these unprofessional behaviors.

Each medical specialty has its own unique challenges. Radiology is not exempt; these issues do not respect specialty or professional boundaries. Unfortunately, preventive measures are too frequently overlooked, provider support programs rarely exist, and often organizations either tolerate or ineffectively manage the downstream disruptive behaviors.

This review summarizes the background, key definitions, contributing factors, impact, prevention, and management of disruptive behavior. Every member of the health care team can gain from an improved understanding and awareness of the contributing factors and preventive measures.

Application of these principles can foster a just culture of understanding, trust, support, respect, and teamwork balanced with accountability. The authors discuss these general topics along with specific issues for radiologists in the current medical environment. Patients, providers, health care organizations, and society all stand to benefit from better prevention of these behaviors.

There is a strong moral, ethical, and business case to address this issue head-on. RSNA, In medical specialties such as radiology, understanding models for procedure-based costing will become increasingly important.

Using bottom-up models for procedure-based costing, such as time-driven activity-based costing, is more advantageous than using the inaccurate ratio of costs to charges approach; however, these approaches are more resource intensive when compared to top-down approaches.

Understanding the costs of quality is also important for creating an accounting and budgeting process that reflects the total cost of quality.

The costs of quality are divided into two main categories: the cost of control also referred to as the costs of conformance and the costs of failure of control also referred to as the costs of nonconformance. The costs of control are the expenditures that occur to ensure quality. The costs of noncontrol are the expenses that arise from the lack of quality and safety.

The cost of control has two subcategories: prevention costs and appraisal costs. The cost of noncontrol also has two subcategories: internal failure costs and external failure costs. Adopting a mind-set that takes into account the costs of control, or the costs to ensure high-quality care, and the costs of noncontrol, or the hidden costs of poor-quality care, will be essential for successful health care organizations in the future.


Pediatric Imaging

Pediatr Radiol. Epub Aug Gauging potential risk for patients in pediatric radiology by review of over 2, incident reports. OBJECTIVE: To study incident reports submitted during a 5-year period at a large pediatric imaging system to evaluate which imaging modalities and other factors were associated with a greater rate of filed incident reports. The number of incident reports was compared to the number of imaging studies performed during that time period to calculate an incident report rate for each factor. Statistical analysis of whether there were differences in these rates between factors was performed. RESULTS: During the study period, there were 2, incident reports filed and 1,, imaging studies performed for an incident report rate of 0.


Pediatric Imaging: The Fundamentals


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