One of the more interesting and unique benefits Dose Registry Support Services’ DoseID Program has for facilities is its ability to shed light on duplicate and superfluous protocols in use at their facilities.
The table to the right shows how one facility had 7 different protocols being used on a single scanner during a recent 3 month period. As you can see, all protocols are purportedly for a CT Abdomen/Pelvis without contrast exam, yet they are used with significantly varying frequency. One is used by staff 714 (79%) of the 903 without contrast studies performed, yet 2 were used just under 40 times and 3 were used five or fewer times. One has to question why these protocols exist and on what basis is staff choosing the infrequently used protocols.
This creates several issues, from hanging protocols in PACS to patient safety issues. For example, when it is time to alter the protocol will whomever is updating the scanner parameters really change all 7 protocols? This is important as facilities review their Dose reports and begin to make protocols changes to lower patient doses.
This is a widely recognized issue within the industry. In its 2016-2017 development cycle Integrating the Healthcare Enterprise (IHE) is developing a new profile titled Enterprise Scanner Protocol Management to address this very issue. Click here for more information on IHE’s initiative.
The good news is that because of the information contained in our reports, we are able to help them identify and eliminate duplicate and superfluous scanner protocols.