caa a22 4500 47584243X CHVBK 20180406123904.0 cr unu---uuuuu 170329e20000801xx s 000 0 eng 10.1007/PL00011826 doi (NATIONALLICENCE)springer-10.1007/PL00011826 Home teleconsultations with faculty subspecialists on chest images from an intensive care unit [Elektronische Daten] [R. J. Steckel, P. Batra, S. L. Johnson, M. Zucker, J. T. Mao, J. Sayre, J. Hill, A. Lai, A. Marumoto, C. McElroy, S. Muir, S. Sorenson, B. Sotomayor, M. Wang] Study objective: To determine whether teleconsultations by first-year radiology residents with faculty thoracic radiologists, using diagnostic-quality teleradiology workstations in the radiologists' homes, would add clinical value for the acute management of intensive care unit patients after regular working hours. Design and setting: First-year radiology residents recorded key findings on new computed chest radiographs from 173 cardiothoracic intensive care unit patients. After consulting with home-based thoracic radiologists on the same images via teleradiology, they recorded any revisions to their original interpretations. An interdisciplinary evaluation panel determined whether the revisions of the residents' initial readings after the teleradiology consultations would have influenced the acute clinical care of these patients. Measurements and results: In 119 of the 173 cases (69 %), differences in key findings on the chest images were observed between the first-year residents' preliminary readings and their revised readings after teleconsultation with a thoracic radiologist. The evaluation panel determined that the changes in key findings after the teleconsultations could have influenced acute patient care in 86 of the 173 cases (50 %). Conclusions: Through rapid teleradiology consultations with residents, focusing on the key findings on newly-obtained computed chest images, home-based thoracic radiologists provided information of added clinical value for the acute management of cardiothoracic intensive care unit patients in one-half of the cases studied. Diagnostic workstations in the homes of faculty subspecialists may enable first-year radiology residents on night or weekend duty to obtain clinical supervision from faculty subspecialists that approximates more closely the level of supervision that they receive during regular working hours. American Society of Emergency Radiology, 2000 Key words Home teleradiology - Resident supervision - Subspecialist teleconsultations nationallicence Steckel R. J. Department of Radiological Sciences, UCLA School of Medicine, Box 951721, Los Angeles, CA 90095-1721, USA e-mail: rsteckel@mednet.ucla.edu; Tel. (310) 794-6624; Fax (310) 794-6613, US aut Batra P. Department of Radiological Sciences, UCLA School of Medicine, Box 951721, Los Angeles, CA 90095-1721, USA e-mail: rsteckel@mednet.ucla.edu; Tel. (310) 794-6624; Fax (310) 794-6613, US aut Johnson S. L. Department of Radiological Sciences, UCLA School of Medicine, Box 951721, Los Angeles, CA 90095-1721, USA e-mail: rsteckel@mednet.ucla.edu; Tel. (310) 794-6624; Fax (310) 794-6613, US aut Zucker M. Department of Radiological Sciences, UCLA School of Medicine, Box 951721, Los Angeles, CA 90095-1721, USA e-mail: rsteckel@mednet.ucla.edu; Tel. (310) 794-6624; Fax (310) 794-6613, US aut Mao J. T. Department of Medicine (Pulmonary Medicine Division), UCLA School of Medicine, Box 951721, Los Angeles, CA 90095-1721, USA, US aut Sayre J. Department of Radiological Sciences, UCLA School of Medicine, Box 951721, Los Angeles, CA 90095-1721, USA e-mail: rsteckel@mednet.ucla.edu; Tel. (310) 794-6624; Fax (310) 794-6613, US aut Hill J. Department of Radiological Sciences, UCLA School of Medicine, Box 951721, Los Angeles, CA 90095-1721, USA e-mail: rsteckel@mednet.ucla.edu; Tel. (310) 794-6624; Fax (310) 794-6613, US aut Lai A. Department of Radiological Sciences, UCLA School of Medicine, Box 951721, Los Angeles, CA 90095-1721, USA e-mail: rsteckel@mednet.ucla.edu; Tel. (310) 794-6624; Fax (310) 794-6613, US aut Marumoto A. Department of Radiological Sciences, UCLA School of Medicine, Box 951721, Los Angeles, CA 90095-1721, USA e-mail: rsteckel@mednet.ucla.edu; Tel. (310) 794-6624; Fax (310) 794-6613, US aut McElroy C. Department of Radiological Sciences, UCLA School of Medicine, Box 951721, Los Angeles, CA 90095-1721, USA e-mail: rsteckel@mednet.ucla.edu; Tel. (310) 794-6624; Fax (310) 794-6613, US aut Muir S. Department of Radiological Sciences, UCLA School of Medicine, Box 951721, Los Angeles, CA 90095-1721, USA e-mail: rsteckel@mednet.ucla.edu; Tel. (310) 794-6624; Fax (310) 794-6613, US aut Sorenson S. Department of Radiological Sciences, UCLA School of Medicine, Box 951721, Los Angeles, CA 90095-1721, USA e-mail: rsteckel@mednet.ucla.edu; Tel. (310) 794-6624; Fax (310) 794-6613, US aut Sotomayor B. Department of Radiological Sciences, UCLA School of Medicine, Box 951721, Los Angeles, CA 90095-1721, USA e-mail: rsteckel@mednet.ucla.edu; Tel. (310) 794-6624; Fax (310) 794-6613, US aut Wang M. Department of Radiological Sciences, UCLA School of Medicine, Box 951721, Los Angeles, CA 90095-1721, USA e-mail: rsteckel@mednet.ucla.edu; Tel. (310) 794-6624; Fax (310) 794-6613, US aut https://doi.org/10.1007/PL00011826 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/PL00011826 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Steckel R. J. Department of Radiological Sciences, UCLA School of Medicine, Box 951721, Los Angeles, CA 90095-1721, USA e-mail: rsteckel@mednet.ucla.edu; Tel. (310) 794-6624; Fax (310) 794-6613, US aut NATIONALLICENCE 700 1- Batra P. Department of Radiological Sciences, UCLA School of Medicine, Box 951721, Los Angeles, CA 90095-1721, USA e-mail: rsteckel@mednet.ucla.edu; Tel. (310) 794-6624; Fax (310) 794-6613, US aut NATIONALLICENCE 700 1- Johnson S. L. Department of Radiological Sciences, UCLA School of Medicine, Box 951721, Los Angeles, CA 90095-1721, USA e-mail: rsteckel@mednet.ucla.edu; Tel. (310) 794-6624; Fax (310) 794-6613, US aut NATIONALLICENCE 700 1- Zucker M. Department of Radiological Sciences, UCLA School of Medicine, Box 951721, Los Angeles, CA 90095-1721, USA e-mail: rsteckel@mednet.ucla.edu; Tel. (310) 794-6624; Fax (310) 794-6613, US aut NATIONALLICENCE 700 1- Mao J. T. Department of Medicine (Pulmonary Medicine Division), UCLA School of Medicine, Box 951721, Los Angeles, CA 90095-1721, USA, US aut NATIONALLICENCE 700 1- Sayre J. Department of Radiological Sciences, UCLA School of Medicine, Box 951721, Los Angeles, CA 90095-1721, USA e-mail: rsteckel@mednet.ucla.edu; Tel. (310) 794-6624; Fax (310) 794-6613, US aut NATIONALLICENCE 700 1- Hill J. Department of Radiological Sciences, UCLA School of Medicine, Box 951721, Los Angeles, CA 90095-1721, USA e-mail: rsteckel@mednet.ucla.edu; Tel. (310) 794-6624; Fax (310) 794-6613, US aut NATIONALLICENCE 700 1- Lai A. Department of Radiological Sciences, UCLA School of Medicine, Box 951721, Los Angeles, CA 90095-1721, USA e-mail: rsteckel@mednet.ucla.edu; Tel. (310) 794-6624; Fax (310) 794-6613, US aut NATIONALLICENCE 700 1- Marumoto A. Department of Radiological Sciences, UCLA School of Medicine, Box 951721, Los Angeles, CA 90095-1721, USA e-mail: rsteckel@mednet.ucla.edu; Tel. (310) 794-6624; Fax (310) 794-6613, US aut NATIONALLICENCE 700 1- McElroy C. Department of Radiological Sciences, UCLA School of Medicine, Box 951721, Los Angeles, CA 90095-1721, USA e-mail: rsteckel@mednet.ucla.edu; Tel. (310) 794-6624; Fax (310) 794-6613, US aut NATIONALLICENCE 700 1- Muir S. Department of Radiological Sciences, UCLA School of Medicine, Box 951721, Los Angeles, CA 90095-1721, USA e-mail: rsteckel@mednet.ucla.edu; Tel. (310) 794-6624; Fax (310) 794-6613, US aut NATIONALLICENCE 700 1- Sorenson S. Department of Radiological Sciences, UCLA School of Medicine, Box 951721, Los Angeles, CA 90095-1721, USA e-mail: rsteckel@mednet.ucla.edu; Tel. (310) 794-6624; Fax (310) 794-6613, US aut NATIONALLICENCE 700 1- Sotomayor B. Department of Radiological Sciences, UCLA School of Medicine, Box 951721, Los Angeles, CA 90095-1721, USA e-mail: rsteckel@mednet.ucla.edu; Tel. (310) 794-6624; Fax (310) 794-6613, US aut NATIONALLICENCE 700 1- Wang M. Department of Radiological Sciences, UCLA School of Medicine, Box 951721, Los Angeles, CA 90095-1721, USA e-mail: rsteckel@mednet.ucla.edu; Tel. (310) 794-6624; Fax (310) 794-6613, US aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer