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

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...

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Autores principales: Doda Khera, Ruhani, Singh, Ramandeep, Homayounieh, Fatemeh, Stone, Evan, Redel, Travis, Savage, Cristy A., Stockton, Katherine, Shepard, Jo-Anne O., Kalra, Mannudeep K., Digumarthy, Subba R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6694170/
https://www.ncbi.nlm.nih.gov/pubmed/31413297
http://dx.doi.org/10.1038/s41598-019-48423-7
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author Doda Khera, Ruhani
Singh, Ramandeep
Homayounieh, Fatemeh
Stone, Evan
Redel, Travis
Savage, Cristy A.
Stockton, Katherine
Shepard, Jo-Anne O.
Kalra, Mannudeep K.
Digumarthy, Subba R.
author_facet Doda Khera, Ruhani
Singh, Ramandeep
Homayounieh, Fatemeh
Stone, Evan
Redel, Travis
Savage, Cristy A.
Stockton, Katherine
Shepard, Jo-Anne O.
Kalra, Mannudeep K.
Digumarthy, Subba R.
author_sort Doda Khera, Ruhani
collection PubMed
description 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.
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spelling pubmed-66941702019-08-19 Deploying Clinical Process Improvement Strategies to Reduce Motion Artifacts and Expiratory Phase Scanning in Chest CT Doda Khera, Ruhani Singh, Ramandeep Homayounieh, Fatemeh Stone, Evan Redel, Travis Savage, Cristy A. Stockton, Katherine Shepard, Jo-Anne O. Kalra, Mannudeep K. Digumarthy, Subba R. Sci Rep Article 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. Nature Publishing Group UK 2019-08-14 /pmc/articles/PMC6694170/ /pubmed/31413297 http://dx.doi.org/10.1038/s41598-019-48423-7 Text en © The Author(s) 2019 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle Article
Doda Khera, Ruhani
Singh, Ramandeep
Homayounieh, Fatemeh
Stone, Evan
Redel, Travis
Savage, Cristy A.
Stockton, Katherine
Shepard, Jo-Anne O.
Kalra, Mannudeep K.
Digumarthy, Subba R.
Deploying Clinical Process Improvement Strategies to Reduce Motion Artifacts and Expiratory Phase Scanning in Chest CT
title 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_short 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
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6694170/
https://www.ncbi.nlm.nih.gov/pubmed/31413297
http://dx.doi.org/10.1038/s41598-019-48423-7
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