Radiology services in the pediatric emergency department.
We analyzed surveys from 42 (91%) of 46 responding directors of pediatric emergency departments with fellowship programs to ascertain the scope of radiology services and the level of satisfaction. X-ray units but not computed tomography scanners were usually located on the same floor as the emergency department, but only 14 (33%) had imaging capacity within the department. In 67% of programs, emergency physicians provided the initial interpretation. Turnaround time varied from 30 minutes or less (31%) to 90 minutes or more (10%). Overall, 22 (52%) of the directors were satisfied with radiology services. A turnaround time of 45 minutes or less occurred more often with an x-ray unit in the department (P = 0.015), and directors tended to be more satisfied with this arrangement (P = 0.27). We conclude that the current state of the art consists of an x-ray unit in close proximity to the emergency department and a turnaround time of 60 minutes or less, but directors expressed more satisfaction with the service to their patients when a unit was in the department and turnaround time was shorter than 60 minutes.
Delgado
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CA
Division of Emergency Medicine, Children's Hospital, Boston, MA 02115, USA.
Fleisher
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GR
D002170:Canada; D002648:Child; D004636:Emergency Service, Hospital / Q000458:organization & administration; D005160:Facility Design and Construction; D006801:Humans; D010372:Pediatrics; D011871:Radiology / Q000458:organization & administration; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D014193:Trauma Centers / Q000458:organization & administration; D014481:United States