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Strategic Management in Radiology Department
Arash Deljou,Shayesteh Shariatmadari
Iranian Journal of Radiology , 2009,
Abstract: "nA radiologist makes literally hundreds of decisions each day, but once each of those decisions is made, the case is finished. The radiologist is free to move on to the next set of decisions. Radiology practice administrators, in contrast, may be tied up solidly for 6 months while carrying out one business decision. The decision-making processes, environments, and timetables differ so greatly between physicians and administrators that bridging those cultural gaps becomes, in itself, an important step in planning, strategic and operational. "nOne of the main premise is that there is no “Holy Grail” to be found in strategic management, only an understanding that planning and change are the responsibility of senior management in radiology sector. "nIn fact, it is now their primary job in today’s radiology world of constant change, “Analogue to Digital”. "nExcellent organizations don’t just have a budgeting cycle each year; they have a “strategic management” cycle led by senior management as they work on the organization, rather than just in the organization. As planning is just the first function of management, and strategic planning is just the highest order of planning and the purview of senior management in every radiology department, then every department has three basic goals: "n1. Develop strategic and operational plans. "n2. Ensure their successful implementation and change. "n3. Build and sustain high performance over the long term.
Is Lean Management implementable in a department of radiology?
Jens Karstoft,Lene Tarp
Insights into Imaging , 2011, DOI: 10.1007/s13244-010-0044-5
Abstract: Lean Management can successfully be used in a hospital radiology department. However, introducing Lean Management caused resistance from especially the mid-level managers.
What influences clinician’s satisfaction with radiology services?
Richard Lindsay,Steven McKinstry,Stephen Vallely,Gail Thornbury
Insights into Imaging , 2011, DOI: 10.1007/s13244-011-0099-y
Abstract: The only factor significantly associated with improved clinician satisfaction was the availability of an approachable radiology service. Availability of PACS did not appear to undermine the value placed on radiology reports.
Malpractice in Radiology: What Should You Worry About?  [PDF]
Alessandro Cannavale,Mariangela Santoni,Paola Mancarella,Roberto Passariello,Paolo Arbarello
Radiology Research and Practice , 2013, DOI: 10.1155/2013/219259
Abstract: Over recent years the professional role of the radiologist has been evolved due to the increasing involvement in the clinical management of the patient. Radiologists have thus been increasingly charged by new duties and liabilities, exposing them to higher risks of legal claims made against them. Malpractice lawsuits in radiology are commonly related to inappropriate medical care or to the poor physician-patient relationship. In the present paper, we provide overview of the basic principles of the medical malpractice law and the main legal issues and causes of legal actions against diagnostic and interventional radiologists. We also address some issues to help radiologists to reduce risks and consequences of malpractice lawsuits. These include (1) following the standard of care to the best of their ability, (2) cautious use of off-label devices, (3) better communication skills among healthcare workers and with the patient, and (4) ensuring being covered by adequate malpractice insurance. Lastly, we described definitions of some medicolegal terms and concepts that are thought to be useful for radiologists to know. 1. Introduction Over the last years radiologists have become substantial part of the clinical-therapeutic management of patients. This implies new liabilities and duties related to interventional procedures which are now added to already existing professional liability from diagnostic exams. Errors in radiology practice are quite common amounting for about 4% of radiologic interpretations rendered by radiologists [1]. Hence, most of the committed errors are of such minor degree or are resolved before a patient’s injury may happen. Nevertheless many errors in clinical practice may harm the patients leading to medical malpractice lawsuits [1]. A lot of the problems of medical malpractice generally are related to two issues: the physician-patient relationship or improper medical care leading bodily harm. Both knowledge of state law and appropriateness criteria may help the physician to prevent complications and thereby any legal issues with patients. In the first part of our review we overviewed the current laws and rules concerning the medical malpractice among different countries. Moreover we reported frequency and burden of causes of malpractice among radiologists and the related legal sequelae. Finally four pieces of advice to reduce the risk to incurring a malpractice complaint are outlined: (1) follow as long as possible the standard of care; (2) be careful in the off-label use of devices (3); improve communication skills with colleagues,
Teleradiology - Radiology at Distance
Rade Babi?,Zoran Milo?evi?,Gordana Stankovi? Babi?
Acta Facultatis Medicae Naissensis , 2012,
Abstract: Teleradiology has made using the Internet explorer possible to access to images and patient findings, to browse, view and write radiological reports on any computer in any location, with all the appropriate rights (security and confidentiality). Diagnosis, consultation and education of students, doctors and paramedical staff, scientific research, administration, management, planning and improvement of public health got in teleradiology new and powerful tools. In this paper, the authors try to give the right answer to the following questions: what is teleradiology, why teleradiology, the benefits of teleradiology, teleradiolgy success, teleradiology failure, radiology workflow, teleradiology scenarios, mobile radiology etc. The authors conclude that today's teleradiology creates the future radiology.
What Is The Purpose Of Launching World Journal Of Radiology?  [cached]
Lian-Sheng Ma
World Journal of Radiology , 2009,
Abstract: The first issue of World Journal of Radiology (WJR), whose preparatory work was initiated on August 24, 2009, will be published on December 31, 2009. The WJR Editorial Board has now been established and consists of 303 distinguished experts from 38 countries. Our purpose of launching WJR is to publish peer-reviewed, high-quality articles via an open-access online publishing model, thereby acting as a platform for communication between peers and the wider public, and maximizing the benefits to editorial board members, authors and readers.
Interventional Radiology in Dialysis Fistulas Management
Hossein Ghanaati,Mahyar Mohammadifard,Hadi Rokni,Mohammadreza Abedini
Iranian Journal of Radiology , 2010,
Abstract: Management of failing hemodialysis access includes percutaneous or surgical repair, but angioplasty re-mains the primary technique for treatment. Indica-tion of management of failing hemodialysis access includes presence of a clinical and hemodynamic abnormality (eg, elevated venous pressure, decreased intra-access blood flow, prolonged bleeding following needle removal, presence of stenosis causing more than a 50% reduction in the luminal diameter of the vessel, clinical and angiographic findings which are both abnormal and correlative, arteriovenous fistulas that have failed to mature into useful vascular access within 3 months). Stents may be indicated with failed angioplasty and stenosis that recurs within 3 months after previously successful angioplasty.
Interventional radiology in the management of malignant biliary obstruction  [cached]
Cherian George,Oliver Richard Byass,James Edmund Ian Cast
World Journal of Gastrointestinal Oncology , 2010,
Abstract: Malignant biliary obstruction is commonly due to pancreatic carcinoma, cholangiocarcinoma and metastatic disease which are often inoperable at presentation and carry a poor prognosis. Percutaneous biliary drainage and stenting provides a safe and effective method of palliation in such patients, thereby improving their quality of life. It may also be an adjunct to surgical management by improving hepatic and, indirectly, renal function before resection of the tumor.
Europeanisation in the Societal/Trans-National Realm: What European Integration Studies Can Get Out Of Analysing Football
Alexander Brand,Arne Niemann
Journal of Contemporary European Research , 2007,
Abstract: This article combines our empirical analysis concerning the impact of EU- and European-level developments on socio-economic patterns in the field of German football with the growing Europeanisation research agenda in EU Studies. Going beyond the traditional top-down (and bottom-up) approaches dominating this field of study, we seek to contribute to this debate by focusing on what we term the ‘societal/trans-national’ dimension of Europeanisation. This allows us to draw attention to societal spheres and transnational agency as important aspects/properties of change in Europeanisation processes. Through analysing five cases within the area of German football, we not only want to shed some light on an under-researched field of study for political scientists interested in Europeanisation. We also aim at exploring the applicability of systemising factors of the Europeanisation process derived from the analysis of political contexts to other areas of social interaction in order to capture hitherto neglected processes.
Quelles frontières pour l’état d’Isra l ? (What Borders for Israel?)  [cached]
Alain Dieckhoff
Ceriscope , 2011,
Abstract: Le sionisme a été fondamentalement un projet de recentrement géographique mais, qui, longtemps, a ignoré la question des frontières. Cette dernière ne s'est véritablement posée qu'avec la nécessité de défendre le territoire national fixé par la guerre de 1948. Un nouveau conflit, celui de 1967, devait la rouvrir, brutalement. Si certaines frontières ont été stabilisées depuis, il reste à tracer une limite politique avec le futur état palestinien. Son avènement marquerait du même coup l'achèvement étatique d'Isra l.(Zionism is essentially a project focused on geography but which for many years ignored the issue of national borders. Borders only became an issue when it became necessary to defend the national territory created by the war of 1948. The conflict of 1967 brought the issue to the fore once again. While some of the borders have been set, political boundaries with a future Palestinian state are still to be determined. Doing so would at one and the same time establish the state of Israel).
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