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The effectiveness of radiation diagnostics management using analytical dashboards: the oncological aspect
- Authors: Vasilev Y.A.1, Ivanova G.V.1, Mukhortova A.N.1, Filin M.E.1, Shulkin I.M.1, Vladzymyrskyy A.V.1
- Affiliations:
- State Budget-Funded Health Care Institution of the City of Moscow «Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Health Care Department»
- Issue: No 3 (2024)
- Section: Общественное здоровье и организация здравоохранения
- URL: http://bulleten-nriph.ru/journal/article/view/2838
- DOI: https://doi.org/10.69541/NRIPH.2024.03.011
- Cite item
Abstract
Early diagnosis plays an important role in the successful treatment of oncological diseases. The well-coordinated interaction of the radiological technician and the radiologist and the formation of the research protocol timely represent the key stages of effective medical care provision for patients. Today, a new trend prevails in healthcare management. It is management based on objective data, the implementation of which is possible by using a universal tool — dashboard.
Purpose. The purpose of our research was to study the effectiveness of using the analytical panel as a tool for monitoring the timeliness of the preparation of research protocols in radiation diagnostics.
Material and methods. The work of the radiology departments was constantly monitored with help of the developed analytical panel «Oncology CT, MRI, MMG». Among other analyzed parameters, the proportion of the results of radiation examinations sent for expert review and the proportion of the results of preventive mammography classified as BI-RADS 3 were evaluated. When deviations were detected, intervention was carried out (two types of management actions). The results of the interventions were evaluated after 1 year.
Results. In comparison with the data of 2022, in 2023 there was a decrease in the percentage of studies not sent to the second reading: for CT of the kidneys and urinary tract from 27.5% to 0%, for MRI of the prostate from 32.13% to 0.17%, for MMG — from 100% to 3%. According to the monitoring results, the intervention contributed to a decrease in the percentage of BI-RADS 3 in MMG protocols from 6.1% in 2022 to 4.16% in 2023.
Limitations of the study. The monitoring was carried out using the developed analytical panel «Oncology CT, MRI, MMG»
Conclusion. The implementation of the dashboard «Oncology CT, MRI, MMG» into clinical practice allowed to optimize the diagnostic process, eliminating delays in obtaining conclusions, as well as improving their quality, thanks to the double reading of images and continuous training of specialists.
About the authors
Yuriy A. Vasilev
State Budget-Funded Health Care Institution of the City of Moscow «Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Health Care Department»
Author for correspondence.
Email: VasilevYA1@zdrav.mos.ru
ORCID iD: 0000-0002-5283-5961
Russian Federation, 127051, Moscow, Russian Federation
Galina V. Ivanova
State Budget-Funded Health Care Institution of the City of Moscow «Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Health Care Department»
Email: IvanovaGV13@zdrav.mos.ru
ORCID iD: 0009-0009-8470-223X
Russian Federation, 127051, Moscow, Russian Federation
Anna N. Mukhortova
State Budget-Funded Health Care Institution of the City of Moscow «Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Health Care Department»
Email: MukhortovaAN@zdrav.mos.ru
ORCID iD: 0000-0001-9814-3533
Russian Federation, 127051, Moscow, Russian Federation
Michael E. Filin
State Budget-Funded Health Care Institution of the City of Moscow «Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Health Care Department»
Email: FilinME1@zdrav.mos.ru
ORCID iD: 0009-0008-9851-1058
Russian Federation, 127051, Moscow, Russian Federation
Igor M. Shulkin
State Budget-Funded Health Care Institution of the City of Moscow «Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Health Care Department»
Email: ShulkinIM@zdrav.mos.ru
ORCID iD: 0000-0002-7613-5273
Russian Federation, 127051, Moscow, Russian Federation
Anton V. Vladzymyrskyy
State Budget-Funded Health Care Institution of the City of Moscow «Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Health Care Department»
Email: VladzimirskijAV@zdrav.mos.ru
ORCID iD: 0000-0002-2990-7736
Russian Federation, 127051, Moscow, Russian Federation
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