Emergency radiology
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Emergency radiology · Dec 2015
Safety incident reporting in emergency radiology: analysis of 1717 safety incident reports.
The aim of this article is to describe the incidence and types of safety reports logged in the radiology safety incident reporting system in our emergency radiology section over an 8-year period. Electronic incident reporting system of our institute was searched for the variables in emergency radiology. All reports from April 2006 to June 2014 were included and deindentified. ⋯ Forty-six percent of safety incidents (789/1717) caused no harm and did not reach the patient, 36 % (617/1717) caused no harm but reached the patient, 18 % (308/1717) caused temporary or minor harm/ damage, and less than 1 % caused permanent or major harm/ damage or death. Our study shows an overall safety incident report rate of 0.19 % in emergency radiology including radiography, CT, and MRI modalities. The most common safety incidents were diagnostic test orders, medication/IV safety, and service coordination.
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Emergency radiology · Dec 2015
Pediatric trauma care with computed tomography--criteria for CT scanning.
Trauma centers, trauma management concepts, as well as integration of whole-body computed tomography (CT) reduced mortality significantly. The accuracy of a trauma care algorithm with emergency CT in children was evaluated. Data of 71 children with emergency CT were recorded retrospectively. ⋯ In children, our algorithm detected all injuries, but only one third of the children had relevant trauma related findings in the CT scan. In order to reduce radiation exposure but preserve the advantages of CT, a new algorithm was developed with more flexibility taking the child's age and mental status more into account as well as clinical findings. The mechanism of injury itself is not anymore an indication for CT scanning.
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Emergency radiology · Dec 2015
The top 100 articles in the radiology of trauma: a bibliometric analysis.
The purpose of this study was to identify the 100 top-cited articles in the radiology of trauma, analyze the resulting database to understand factors resulting in highly cited works, and establish trends in trauma imaging. An initial database was created via a Web of Science (WOS) search of all scientific journals using the search terms "trauma" and either "radiology" or a diagnostic modality. Articles were ranked by citation count and screened by two attending radiologists plus a tiebreaker for appropriateness. ⋯ Neuroradiology (n = 48) and abdominal radiology (n = 36) were the most common subspecialties. The 100 top-cited articles in the radiology of trauma are diverse. Subspecialty bibliometric analyses identify the most influential articles of a particular field, providing more implications to clinical radiologists, trainees, researchers, editors, and reviewers than radiology-wide lists.