Abstract:
AIM:To determine whether the active involvement of radiographers in nasogastric tube (NGT) management at a large multisite healthcare institution can contribute to risk reduction regarding feeding through misplaced NGTs. MATERIALS AND METHODS:Despite national guidance in the National Health Service advising on safe practice to confirm NGT position, a number of "never events" (feeding through misplaced NGT) continue to occur due to misinterpretation of the check radiograph. Practice change was introduced, including all plain film radiographers providing contemporaneous comments on NGT position on the check radiograph. The success of the system was assessed to determine the accuracy of radiographer comments against the reference standard of the radiologist report to see whether the system has helped reduce the number of "never events". RESULTS:During the first 27 months post-implementation, 4,675 check NGT radiography examinations were analysed. Two hundred and twenty-seven examinations were excluded due to absent or incomplete radiographer comments. The accuracy of the radiographer comments was 98.5% (95% confidence interval [CI]: 97.7-99.5%), sensitivity 97.4% (95% CI: 96.3-98.3%), specificity 98.9% (95% CI: 98.5-99.2%), positive predictive value 96.8% (95% CI: 95.6-97.7%), and negative predictive value 99.1% (95% CI: 98.8-99.4%). CONCLUSION:After focused training, radiographer comments are a safe, sustainable, and workable solution offering an effective solution for image misinterpretation issues relating to NGT "never events". This should be considered for wider implementation in healthcare.
journal_name
Clin Radioljournal_title
Clinical radiologyauthors
Roe G,Harris KM,Lambie H,Tolan DJMdoi
10.1016/j.crad.2016.12.018subject
Has Abstractpub_date
2017-06-01 00:00:00pages
518.e1-518.e7issue
6eissn
0009-9260issn
1365-229Xpii
S0009-9260(17)30012-0journal_volume
72pub_type
杂志文章abstract::PURPOSE: To determine whether it is possible to select patients with obstructive hydrocephalus, in the under 1 age group for endoscopic third ventriculocisternostomy (ETV) using pre-operative T2 weighted turbo spin echo (T2W-TSE) sagittal sequence Magnetic Resonance (MR) imaging; and to assess ventriculocisternostomy ...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1053/crad.2000.0645
更新日期:2000-12-01 00:00:00
abstract::In this review, we illustrate the spectrum of imaging features after plastic surgical procedures including transverse rectus abdominis myocutaneous flap, deep inferior epigastric perforators flap, latissimus dorsi flap, liposuction, abdominoplasty, and buttocks augmentation. Examples of complications, including seroma...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2012.10.001
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abstract::In the past four decades, a variety of methods for minimal or non-invasive diagnosis and treatment of breast cancer have been introduced. Although breast imaging has become more and more specific for diagnosis, specimen biopsy with histopathological confirmation is still necessary. Core-needle biopsy under ultrasound ...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2017.10.018
更新日期:2018-08-01 00:00:00
abstract:AIM:To ascertain whether magnetic resonance imaging (MRI) can be used to suggest a diagnosis of endometrial carcinosarcoma. MATERIALS AND METHODS:A retrospective imaging review was performed of the MRI images of 39 patients with endometrial carcinosarcoma. Anteroposterior and longitudinal dimensions of the uterus and ...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2011.02.008
更新日期:2011-07-01 00:00:00
abstract::The absence of rectal gas is said to be a sign of Hirschsprung's disease, especially when there is also gaseous distension of the bowel proximally. This paper reviews 136 neonates who had plain abdominal radiographs. There were 83 patients with multiple examinations, of which 52 (63%) showed variability in the presenc...
journal_title:Clinical radiology
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doi:10.1016/s0009-9260(05)80253-3
更新日期:1991-04-01 00:00:00
abstract:AIM:To examine the usage and value of computed tomography (CT) following simultaneous pancreas and kidney (SPK) transplantation. MATERIALS AND METHODS:Indications for postoperative CT, key findings, and their influence on management were determined by retrospective analysis. RESULTS:Ninety-eight patients underwent 31...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2015.06.086
更新日期:2015-11-01 00:00:00
abstract:AIM:To compare the performance of a direct digital mammography system with normal-view and magnified-view conventional screen-film methods using quality control phantoms. MATERIALS AND METHODS:Using a Siemens Mammomat((R))3000 and an Opdima((R))digital spot imaging and biopsy attachment, film and direct digital images...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1053/crad.2000.0521
更新日期:2000-10-01 00:00:00
abstract::Thirty-seven instant (unprepared) barium enemas in 30 patients with proven Crohn's colitis were reviewed. Plain films in 28 indicated that confluence or discontinuity of the colitis did not substantially alter the pattern of faecal residue. In only one patient was residue found overlying active mucosal disease. Aphtho...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)81454-0
更新日期:1993-05-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2010.06.009
更新日期:2010-11-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(99)91239-4
更新日期:1999-01-01 00:00:00
abstract::Three patients with pancreatic clonorchiasis were examined with endoscopic retrograde pancreatography. On each of the three cases there was diffuse irregular dilatation of tributaries of the pancreatic duct in the pancreatic tail. The main pancreatic duct and tributaries draining into the body and head portion were no...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)80967-5
更新日期:1990-03-01 00:00:00
abstract::Pulmonary cysts, cavities, and honeycombing are seen in a number of systemic disorders. The purpose of this review is to discuss the findings on thin-section computed tomography (CT) in both congenital and acquired multisystem conditions that give rise to multiple cystic spaces in the lungs. Conditions discussed inclu...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2008.09.015
更新日期:2009-04-01 00:00:00
abstract:AIM:To determine the preoperative computed tomography (CT) parameters that predict portal vein/superior mesenteric vein (PV-SMV) invasion in patients with pancreatic head cancer, and to assess whether PV-SMV invasion affects patient survival. MATERIALS AND METHODS:Sixty patients with PV-SMV invasion, and 60 randomly s...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2018.01.016
更新日期:2018-06-01 00:00:00
abstract:AIM:To assess the rate of upgrade in our screening population to determine whether open excision biopsy of mucocoele-like lesions (MLL) is still required. MATERIALS AND METHODS:A retrospective review of the breast screening database from 1999-2014 was performed. RESULTS:MLL were identified on core biopsy in 113 women...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2017.06.012
更新日期:2017-11-01 00:00:00
abstract::In the absence of abdominal operative procedures, symptomless spontaneous pneumoperitoneum is uncommon. The case is described of a patient with jejunal diverticulosis who developed spontaneous pneumoperitoneum on three occasions and brief details are given of six other cases of jejunal diverticulosis with pneumoperito...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(75)80070-5
更新日期:1975-07-01 00:00:00
abstract:AIM:To report the authors' experience of focal nodular haematopoietic marrow hyperplasia (FNHMH) and diffuse haematopoietic marrow hyperplasia (DHMH) clinically masquerading as skip, distant, or disseminated metastasis in seven patients with underlying malignant neoplasms. MATERIALS AND METHODS:Five patients with FNHM...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2016.10.015
更新日期:2017-03-01 00:00:00
abstract::Regional migratory osteoporosis is an uncommon self-limiting disease characterized by an arthralgia which migrates between the weight-bearing joints of the lower limb. The radiological features of the disease obtained by conventional radiography, CT, MRI and radionuclide scintigraphy are illustrated by means of five c...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2004.07.002
更新日期:2005-04-01 00:00:00
abstract::A prospective study, followed by a retrospective audit, was made of the radiographs and clinical features of 225 consecutive neonates with abdominal distension presenting during a period of 4 years. More than one major cause for the distension was found in a third of cases. Excluding cases of ano-rectal atresia, diagn...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(83)80217-7
更新日期:1983-07-01 00:00:00
abstract::In a controlled study of barium swallow radiographs in systemic sclerosis, longitudinal oesophageal mucosal folds were absent in eight of 30 patients and in one of 30 control subjects (P less than 0.03). Patients without mucosal folds developed Raynaud's phenomenon at an earlier age than those who retained their mucos...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(79)80177-4
更新日期:1979-09-01 00:00:00
abstract::During the last 4 years we have treated four patients with extensive mediastinal non-Hodgkin's lymphoma (NHL). None had extrathoracic disease and they were clinically stage I-II. All received intensive combination chemotherapy and radiotherapy resulting in good response. Nevertheless, when treatment was completed, com...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(89)80183-7
更新日期:1989-05-01 00:00:00
abstract:AIM:To assess the efficacy of dynamic contrast-enhanced magnetic resonance imaging (DCE MRI) in prediction of the response to treatment in patients with head and neck cancers (HNCs). METHODS AND MATERIALS:Twenty-one patients with advanced HNC, suitable for concurrent chemoradiotherapy underwent DCE MRI, for the quanti...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2012.03.005
更新日期:2012-09-01 00:00:00
abstract::This report describes a comparison of combination chemotherapy (CHOP) with total body irradiation (TBI) in the management of Stages III and IV Grade 2 non-Hodgkin's lymphoma. This prospective randomised study was carried out by the BNLI between 1974 and 1978. One hundred and fourteen previously untreated patients were...
journal_title:Clinical radiology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0009-9260(81)80186-9
更新日期:1981-09-01 00:00:00
abstract:AIM:To analyse sensitivity, specificity and complication rate of endoscopy, and barium enema for the detection of colorectal neoplasia. MATERIALS AND METHODS:A MEDLINE search was performed (1980-2000) directed at the endoscopic and radiologic literature on barium enema. Articles were selected based on the type of stud...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1053/crad.2000.0672
更新日期:2001-05-01 00:00:00
abstract:AIM:To describe the use of MRI to identify and biopsy areas of dedifferentiation in patients with a suspected diagnosis of dedifferentiated chondrosarcoma. MATERIALS AND METHODS:Low-grade chondrosarcoma is characterized at magnetic resonance imaging (MRI) as having a lobulate, hyperintense appearance on T2-weighted sp...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2003.08.009
更新日期:2004-03-01 00:00:00
abstract::A prospective randomised trial was performed to examine the value of ureteric compression in intravenous urography. Calyceal distension improved during the urogram in 68% of kidneys when compression was used, in contrast to an improvement of 43% in patients not receiving compression. In both heavy patients and those w...
journal_title:Clinical radiology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0009-9260(87)80026-0
更新日期:1987-03-01 00:00:00
abstract:AIM:The purpose of the study was to determine the feasibility of three-dimensional (3D) constructive interference in steady state (CISS) sequences for evaluating the anterolateral ligament (ALL). MATERIALS AND METHODS:Magnetic resonance imaging (MRI) of the right knee joint in 30 healthy volunteers was performed using...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2019.08.014
更新日期:2019-12-01 00:00:00
abstract::This is the fifth in the series of short reviews of internet-based radiological learning resources and will focus on gastrointestinal (GI) and hepatobiliary radiology. Below are details of a few of the higher quality resources currently available. Most of the sites cater for medical students and trainee or non-special...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2006.01.005
更新日期:2006-05-01 00:00:00
abstract::The commonest causes of nasal obstruction are rhinitis and chronic rhinosinusitis, which affect up to 30% and 14% of the adult population, respectively. The global financial burden is huge, estimated at $5 billion for rhinitis and $8.6 billion for chronic rhinosinusitis per annum in the USA. On referral for imaging, c...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2019.07.027
更新日期:2020-09-01 00:00:00
abstract::Neuronal migration anomalies form a spectrum of congenital brain malformations with a variety of clinical manifestations. The widespread use of MRI in the investigation of neurological symptoms, and particularly in the imaging of epilepsy, has made the correct recognition and interpretation of these disorders importan...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/s0009-9260(96)80211-x
更新日期:1996-01-01 00:00:00
abstract:AIM:To describe the computed tomography (CT) findings in pseudomyxoma peritonei. MATERIALS AND METHOD:Two observers independently and retrospectively reviewed the CT images of 17 consecutive patients (nine women, eight men, mean age 53 years) with histologically proven pseudomyxoma peritonei. RESULTS:Six patients had...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1053/crad.2002.0942
更新日期:2002-07-01 00:00:00