Literature DB >> 30807221

Optimization of MRI Turnaround Times Through the Use of Dockable Tables and Innovative Architectural Design Strategies.

Michael P Recht1, Kai Tobias Block1, Hersh Chandarana1, Jennifer Friedland1, Thomas Mullholland1, Donal Teahan1, Roy Wiggins1.   

Abstract

OBJECTIVE: The purpose of this study is to increase the value of MRI by reengineering the MRI workflow at a new imaging center to shorten the interval (i.e., turnaround time) between each patient examination by at least 5 minutes.
MATERIALS AND METHODS: The elements of the MRI workflow that were optimized included the use of dockable tables, the location of patient preparation rooms, the number of doors per scanning room, and the storage location and duplication of coils. Turnaround times at the new center and at two existing centers were measured both for all patients and for situations when the next patient was ready to be brought into the scanner room after the previous patient's examination was completed.
RESULTS: Workflow optimizations included the use of dockable tables, dedicated patient preparation rooms, two doors in each MRI room, positioning the scanner to provide the most direct path to the scanner, and coil storage in the preparation rooms, with duplication of the most frequently used coils. At the new imaging center, the median and mean (± SD) turnaround times for situations in which patients were ready for scanning were 115 seconds (95% CI, 113-117 seconds) and 132 ± 72 seconds (95% CI, 129-135 seconds), respectively, and the median and mean turnaround times for all situations were 141 seconds (95% CI, 137-146 seconds) and 272 ± 270 seconds (95% CI, 263-282 seconds), respectively. For existing imaging centers, the median and mean turnaround times for situations in which patients were ready for scanning were 430 seconds (95% CI, 424-434 seconds) and 460 ± 156 seconds (95% CI, 455-465 seconds), respectively, and the median and mean turnaround times for all situations were 481 seconds (95% CI, 474-486 seconds) and 537 ± 219 seconds (95% CI, 532-543 seconds), respectively.
CONCLUSION: The optimized MRI workflow resulted in a mean time savings of 5 minutes 28 seconds per patient.

Entities:  

Keywords:  MRI; dockable table; turnaround time; value

Year:  2019        PMID: 30807221      PMCID: PMC6927033          DOI: 10.2214/AJR.18.20459

Source DB:  PubMed          Journal:  AJR Am J Roentgenol        ISSN: 0361-803X            Impact factor:   3.959


  11 in total

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Journal:  AJR Am J Roentgenol       Date:  2017-07-20       Impact factor: 3.959

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Authors:  Hersh Chandarana; Li Feng; Tobias K Block; Andrew B Rosenkrantz; Ruth P Lim; James S Babb; Daniel K Sodickson; Ricardo Otazo
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Journal:  Nat Biomed Eng       Date:  2018-05-07       Impact factor: 25.671

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