Acil Tıpta Farklı Monitör Kullanımının Radyografi Değerlendirmeye Etkisi

Amaç Radyoloji kılavuzlarında medikal monitör kullanımı önerilmesine rağmen medikal monitörlerin radyoloji dışı bölümlerde kullanımı nadirdir. Bu çalışmada acil serviste tecrübesiz hekimlerin radyografi yorumlanmasına; led, tablet ve medikal monitör kullanımının etkisini araştırdık. Gereç ve Yöntem Çalışmaya tıp fakültesinden 50 intörn doktor dahil edildi. Katılımcılardan önceden hazırlanmış radyografi setlerine led, tablet ve medikal monitörlerde tanı koymaları, karar veremedikleri radyografiler için radyoloji konsültasyonu istemeleri istendi. Katılımcıların tanıları ve radyoloji konsültasyonu isteme durumları kaydedildi. Bulgular Katılımcıların monitörlere göre doğru tanılarının median değerleri; led monitörde 13.5, tablet monitörde 13 ve medical monitörde 16 olarak bulundu. İstenilen radyoloji konsültasyonu sayılarının medyan değeri; led monitörde 6, tablet monitörde 7 ve medikal monitörde 4 olarak bulundu. Medikal monitör, doğru tanı ve istenilen konsültasyon sayısında diğer iki monitöre göre istatistiksel olarak üstün bulundu. Sonuç Tecrübesiz hekimlerin, acil servis gibi iş yükünün fazla ve zamanın değerli olduğu yerlerde medikal monitör kullanmaları tanı doğruluğunu artıracak ve konsültasyon isteme oranını azaltacaktır.

Anahtar Kelimeler:

Acil tıp, Radyografi, Radyolojik teknoloji

The Effect of Different Monitor Use on Radiography Interpretation in Emergency Medicine

Aim Although it is recommended to use a medical monitor in radiology guides, it is rare to use a medical monitor in non-radiology departments. In this study, the effect of using LED, tablet and medical monitor in the radiography evaluation of inexperienced physicians in the emergency room was investigated. Materials and Methods Fifty medical intern from the medical school were included in the study. Participants were asked to diagnose pre-prepared radiography sets on LEDs, tablets and medical monitors and to request a radiology consultation for radiographs they could not decide. The diagnoses of medical interns and cases of requesting radiology consultation were recorded. Results The median values of the correct diagnosis of the participants according to the monitors; 13.5 on led monitor, 13 on tablet monitor and 16 on medical monitor. The median value of the desired radiology consultation numbers; 6 on led monitor, 7 on tablet monitor and 4 on medical monitor. The medical monitor has statistically signficant difference to the other two monitors, in the correct diagnosis and number of consultations desired. Conclusion The use of medical monitors by inexperienced physicians in the emergency room where workload is extreme and time is valuable, will increase the diagnosis accuracy and decrease the rate of request for consultation.

Keywords:

Emergency Medicine, Radiography, Radiologic technology,

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