Improving CT Read Time Efficiency at Holland Hospital CT Department

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The project at Holland Hospital focused on enhancing efficiency in CT read times through performance improvement initiatives. They tracked read times, investigated delays, set goals, and provided education to staff. Their goal for 2021 was to achieve CT read times within 30 minutes for trauma activations at a rate exceeding 80%. Progress was monitored monthly, with most months showing successful outcomes towards meeting the goal.


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  1. HOLLAND HOSPITAL CT READ TIME PI PROJECT 2020 - 2021

  2. PDSA 2020 Identified an increase in CT read times through PI reviews Tracked CT read times for 6 months to gain insight to average read times, how often reads are >30 minutes & investigate reasons for delayed reads Met with radiology leadership & ARS leadership to review read time delays & set PI goals Education provided to ED & radiology staff 2021 Monitored all trauma activation read times All cases with read times >30 min sent to radiology leadership & ARS for review In the moment education provided based on identified reasons for delay

  3. CT READ TIME TRACKING MRN DOS RN y or n TAI/TAII CT Type Start Signed Time X 12/14/2020 Y TAII Head 10:33 10:48 00:15 X Cspine 10:40 10:51 00:11 X Tspine 11:04 11:47 00:43 Reformatted X Lspine 11:04 11:47 00:43 Reformatted X MF 10:40 10:48 00:08 X CAP 11:04 12:04 1:00 No Tech Alert

  4. 2021 CT READ TIME GOAL CT Read Time < 30 Minutes For All Trauma Activations for > 80% of all reads

  5. TA CT Scans Read Within 30 Minutes 84/101=83% YTD PERCENTAGE GOAL 80% 100% 90% 80% 70% 60% 100% 100% 50% 89% 85% 40% 78% 73% 64% 30% 20% 10% 0% JANUARY (11/11) FEBUARY (6/6) MARCH( 9/14) APRIL (11/13) MAY (8/11) JUNE (25/28) JULY (14/18)

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