Evaluation of a dual-room sliding gantry CT concept for workflow optimisation in polytrauma and regular in- and outpatient management.

Abstract:

OBJECTIVES:To reveal the impact on workflow from introducing a dual-room sliding gantry CT to the trauma room for polytrauma and regularly scheduled in- outpatients with regard to efficiency and degree of capacity utilisation. MATERIALS AND METHODS:Time analysis was performed for 30 polytrauma patients each in 2 different trauma room settings, the new trauma room comprising a sliding gantry CT, the old one a stationary single-room CT. Complete trauma room and diagnostic workup times were manually measured and compared for both groups. In a third scenario, the number of CT scans performed with one single sliding gantry CT and the two-room concept was compared to the number of CT scans performed on two separate regular CT units in a 5 days clinical routine sample. RESULTS:Patients demographics and type of CT examinations were comparable for all patient groups. The median time from patient arrival in the trauma room until beginning of CT scanning was 6 min shorter for the sliding gantry CT group (21 vs.15 min). Sliding gantry CT embedded in a two-room solution achieved 252 CT scans in 5 working days, compared to 250 CT scans on two separate regular CT units with the same man power. CONCLUSIONS:Sliding gantry CT in the trauma room allows for significant time saving in the diagnostic workup of polytrauma patients and faster resumption of the regular in- outpatient's CT schedule is possible. With the same man power, the dual-room solution is able to generate the same throughput as two separate CT units.

journal_name

Eur J Radiol

authors

Frellesen C,Boettcher M,Wichmann JL,Drieske M,Kerl JM,Lehnert T,Nau C,Geiger E,Wutzler S,Ackermann H,Vogl TJ,Bauer RW

doi

10.1016/j.ejrad.2014.10.013

subject

Has Abstract

pub_date

2015-01-01 00:00:00

pages

117-122

issue

1

eissn

0720-048X

issn

1872-7727

pii

S0720-048X(14)00478-1

journal_volume

84

pub_type

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