Harshna Vinodbhai Vadvala MD, Presenter: Nothing to Disclose

Brian Burns Ghoshhajra MD, Abstract Co-Author: Nothing to Disclose

Udo Hoffmann MD, Abstract Co-Author: Nothing to Disclose

Clinical implementation of coronary CT angiography (CCTA) must be carefully managed to safely evaluate low to intermediate risk emergency department (ED) patients with chest pain. In this process we learned: • Maintaining a dedicated registry • Ensuring appropriate patient selection by referring physicians • Maintaining accuracy of CCTA interpretations • Limiting radiation exposures as well as length of stay to a reasonable level • Feedback spreads awareness and improves the service quality  

In our registry we recorded variables, querying it at minimum 45 days: • Patient characteristics - age, gender, risk facts for calculating Framingham risk score and TIMI score • Scan parameters - acquisition method, heart rate, radiation dose (mSv), tube potential, and CCTA result including calcium score • Results of other downstream testing such as Invasive Coronary Angiography (ICA), Single photon emission computed tomography myocardial perfusion imaging (SPECT MPI), exercise tolerance test (ETT) and echocardiography. • Disposition location plan (ED, observation unit, admission) and disposition time (ED to scanner room, CCTA reporting time, report to discharge time and total length of stay)  

http://abstract.rsna.org/uploads/2014/14019094/14019094_wn4b.pdf

Vadvala, H, Ghoshhajra, B, Hoffmann, U, Essentials of Quality Metrics for an Emergency Department Coronary CTA Program at a Tertiary Medical Center: Efficiency in Registry Maintenance.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14019094.html