Abstract
Background
To preserve radiology rounds in the changing health care environment, we have introduced virtual radiology rounds, an initiative enabling clinicians to remotely review imaging studies with the radiologist.
Objective
We describe our initial experience with virtual radiology rounds and referring provider impressions.
Materials and methods
Virtual radiology rounds, a web-based conference, use remote sharing of radiology workstations. Participants discuss imaging studies by speakerphone. Virtual radiology rounds were piloted with the Neonatal Intensive Care Unit (NICU) and the Congenital Cardiovascular Care Unit (CCVCU). Providers completed a survey assessing the perceived impact and overall value of virtual radiology rounds on patient care using a 10-point scale. Pediatric radiologists participating in virtual radiology rounds completed a survey assessing technical, educational and clinical aspects of this methodology.
Results
Sixteen providers responded to the survey; 9 NICU and 7 CCVCU staff (physicians, nurse practitioners and fellows). Virtual radiology rounds occurred 4–5 sessions/week with an average of 6.4 studies. Clinicians rated confidence in their own image interpretation with a 7.4 average rating for NICU and 7.5 average rating for CCVCU. Clinicians unanimously rated virtual radiology rounds as adding value. NICU staff preferred virtual radiology rounds to traditional rounds and CCVCU staff supported their new participation in virtual radiology rounds. Four of the five pediatric radiologists participating in virtual radiology rounds responded to the survey reporting virtual radiology rounds to be easy to facilitate (average rating: 9.3), to moderately impact interpretation of imaging studies (average rating: 6), and to provide substantial educational value for radiologists (average rating: 8.3). All pediatric radiologists felt strongly that virtual radiology rounds enable increased integration of the radiologist into the clinical care team (average rating: 8.8).
Conclusion
Virtual radiology rounds are a viable alternative to radiology rounds enabling improved patient care and education of providers.
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References
Krestin GP (2010) Commoditization in radiology: threat or opportunity? Radiology 256:338–342
Hoff WS, Sicoutris CP, Lee SY et al (2004) Formalized radiology rounds: the final component of the tertiary survey. J Trauma 56:291–295
Callisen HE, Patel JF, Gruden AB et al (2013) The impact of formalized radiology rounds in the intensive care unit: a retrospective review. Am J Respir Crit Care Med 187:A6039
Nesterova GV, Leftridge CA Jr, Natarajan AR et al (2010) Discordance in interpretation of chest radiographs between pediatric intensivists and a radiologist: impact on patient management. J Crit Care 25:179–183
Stinson H, Reid J, Saul D et al (2015) Implementation of virtual radiology rounds in a pediatric ICU: A pilot study. Crit Care Med 2015;43:abstract 226
Hains IM, Creswick N, Westbrook JI (2011) Does PACS facilitate work practice innovation in the intensive care unit? Stud Health Technol Inform 169:397–401
Reiner B, Siegel E, Protopapas Z et al (1999) Impact of filmless radiology on frequency of clinician consultations with radiologists. AJR Am J Roentgenol 173:1169–1172
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Fefferman, N.R., Strubel, N.A., Prithiani, C. et al. Virtual radiology rounds: adding value in the digital era. Pediatr Radiol 46, 1645–1650 (2016). https://doi.org/10.1007/s00247-016-3675-y
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DOI: https://doi.org/10.1007/s00247-016-3675-y