Deploying Clinical Process Improvement Strategies to Reduce Motion Artifacts and Expiratory Phase Scanning in Chest CT

Abstract We hypothesized that clinical process improvement strategies can reduce frequency of motion artifacts and expiratory phase scanning in chest CT. We reviewed 826 chest CT to establish the baseline frequency. Per clinical process improvement guidelines, we brainstormed corrective measures and...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Ruhani Doda Khera, Ramandeep Singh, Fatemeh Homayounieh, Evan Stone, Travis Redel, Cristy A. Savage, Katherine Stockton, Jo-Anne O. Shepard, Mannudeep K. Kalra, Subba R. Digumarthy
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2019
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/6dad2e01a6444cd4812eab9416130e4b
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:6dad2e01a6444cd4812eab9416130e4b
record_format	dspace
spelling	oai:doaj.org-article:6dad2e01a6444cd4812eab9416130e4b2021-12-02T15:09:58ZDeploying Clinical Process Improvement Strategies to Reduce Motion Artifacts and Expiratory Phase Scanning in Chest CT10.1038/s41598-019-48423-72045-2322https://doaj.org/article/6dad2e01a6444cd4812eab9416130e4b2019-08-01T00:00:00Zhttps://doi.org/10.1038/s41598-019-48423-7https://doaj.org/toc/2045-2322Abstract We hypothesized that clinical process improvement strategies can reduce frequency of motion artifacts and expiratory phase scanning in chest CT. We reviewed 826 chest CT to establish the baseline frequency. Per clinical process improvement guidelines, we brainstormed corrective measures and priority-pay-off matrix. The first intervention involved education of CT technologists, following which 795 chest CT were reviewed. For the second intervention, instructional videos on optimal breath-hold were shown to 245 adult patients just before their chest CT. Presence of motion artifacts and expiratory phase scanning was assessed. We also reviewed 311 chest CT scans belonging to a control group of patients who did not see the instructional videos. Pareto and percentage run charts were created for baseline and post-intervention data. Baseline incidence of motion artifacts and expiratory phase scanning in chest CT was 35% (292/826). There was no change in the corresponding incidence following the first intervention (36%; 283/795). Respiratory motion and expiratory phase chest CT with the second intervention decreased (8%, 20/245 patients). Instructional videos for patients (and not education and training of CT technologists) reduce the frequency of motion artifacts and expiratory phase scanning in chest CT.Ruhani Doda KheraRamandeep SinghFatemeh HomayouniehEvan StoneTravis RedelCristy A. SavageKatherine StocktonJo-Anne O. ShepardMannudeep K. KalraSubba R. DigumarthyNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 9, Iss 1, Pp 1-7 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Ruhani Doda Khera Ramandeep Singh Fatemeh Homayounieh Evan Stone Travis Redel Cristy A. Savage Katherine Stockton Jo-Anne O. Shepard Mannudeep K. Kalra Subba R. Digumarthy Deploying Clinical Process Improvement Strategies to Reduce Motion Artifacts and Expiratory Phase Scanning in Chest CT
description	Abstract We hypothesized that clinical process improvement strategies can reduce frequency of motion artifacts and expiratory phase scanning in chest CT. We reviewed 826 chest CT to establish the baseline frequency. Per clinical process improvement guidelines, we brainstormed corrective measures and priority-pay-off matrix. The first intervention involved education of CT technologists, following which 795 chest CT were reviewed. For the second intervention, instructional videos on optimal breath-hold were shown to 245 adult patients just before their chest CT. Presence of motion artifacts and expiratory phase scanning was assessed. We also reviewed 311 chest CT scans belonging to a control group of patients who did not see the instructional videos. Pareto and percentage run charts were created for baseline and post-intervention data. Baseline incidence of motion artifacts and expiratory phase scanning in chest CT was 35% (292/826). There was no change in the corresponding incidence following the first intervention (36%; 283/795). Respiratory motion and expiratory phase chest CT with the second intervention decreased (8%, 20/245 patients). Instructional videos for patients (and not education and training of CT technologists) reduce the frequency of motion artifacts and expiratory phase scanning in chest CT.
format	article
author	Ruhani Doda Khera Ramandeep Singh Fatemeh Homayounieh Evan Stone Travis Redel Cristy A. Savage Katherine Stockton Jo-Anne O. Shepard Mannudeep K. Kalra Subba R. Digumarthy
author_facet	Ruhani Doda Khera Ramandeep Singh Fatemeh Homayounieh Evan Stone Travis Redel Cristy A. Savage Katherine Stockton Jo-Anne O. Shepard Mannudeep K. Kalra Subba R. Digumarthy
author_sort	Ruhani Doda Khera
title	Deploying Clinical Process Improvement Strategies to Reduce Motion Artifacts and Expiratory Phase Scanning in Chest CT
title_short	Deploying Clinical Process Improvement Strategies to Reduce Motion Artifacts and Expiratory Phase Scanning in Chest CT
title_full	Deploying Clinical Process Improvement Strategies to Reduce Motion Artifacts and Expiratory Phase Scanning in Chest CT
title_fullStr	Deploying Clinical Process Improvement Strategies to Reduce Motion Artifacts and Expiratory Phase Scanning in Chest CT
title_full_unstemmed	Deploying Clinical Process Improvement Strategies to Reduce Motion Artifacts and Expiratory Phase Scanning in Chest CT
title_sort	deploying clinical process improvement strategies to reduce motion artifacts and expiratory phase scanning in chest ct
publisher	Nature Portfolio
publishDate	2019
url	https://doaj.org/article/6dad2e01a6444cd4812eab9416130e4b
work_keys_str_mv	AT ruhanidodakhera deployingclinicalprocessimprovementstrategiestoreducemotionartifactsandexpiratoryphasescanninginchestct AT ramandeepsingh deployingclinicalprocessimprovementstrategiestoreducemotionartifactsandexpiratoryphasescanninginchestct AT fatemehhomayounieh deployingclinicalprocessimprovementstrategiestoreducemotionartifactsandexpiratoryphasescanninginchestct AT evanstone deployingclinicalprocessimprovementstrategiestoreducemotionartifactsandexpiratoryphasescanninginchestct AT travisredel deployingclinicalprocessimprovementstrategiestoreducemotionartifactsandexpiratoryphasescanninginchestct AT cristyasavage deployingclinicalprocessimprovementstrategiestoreducemotionartifactsandexpiratoryphasescanninginchestct AT katherinestockton deployingclinicalprocessimprovementstrategiestoreducemotionartifactsandexpiratoryphasescanninginchestct AT joanneoshepard deployingclinicalprocessimprovementstrategiestoreducemotionartifactsandexpiratoryphasescanninginchestct AT mannudeepkkalra deployingclinicalprocessimprovementstrategiestoreducemotionartifactsandexpiratoryphasescanninginchestct AT subbardigumarthy deployingclinicalprocessimprovementstrategiestoreducemotionartifactsandexpiratoryphasescanninginchestct
_version_	1718387758030913536

Deploying Clinical Process Improvement Strategies to Reduce Motion Artifacts and Expiratory Phase Scanning in Chest CT

Ejemplares similares