OPTIMIZING AFTER-HOURS WORKFLOW OF CT ORDERS FROM THE ED
A quality improvement project to implement a new process of order entry and CT scan protocoling that removes existing legacy barriers by leveraging existing computerized provider order entry (CPOE) systems.
Ordering and protocolling computerized tomography (CT) scans after-hours from Emergency Departments (EDs)
served by the Joint Department of Medical Imaging (JDMI) has been an inefficient process for ED staff and
radiology residents. Most scans required a discussion between the ED staff and radiology resident, leading to
multiple phone calls and interruptions. This is in contrast to daytime hours, where scans were protocolled based
on information provided with the order from ED staff. The purpose of this quality improvement initiative was to
modify this process for CT scans requested from the ED after-hours and observe its impact.
Term of project: March 2018-2019