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The mobile X-ray service and hip fractures: The impact of the mobile X-ray service on the hip fast track
Department of Radiology in Norrköping, and Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
Jönköping University, School of Health and Welfare, HHJ, Department of Clinical Diagnostics. Jönköping University, School of Health and Welfare, HHJ. CHILD. Jönköping University, School of Health and Welfare, HHJ. Studies on Integrated Health and Welfare (SIHW).ORCID iD: 0000-0003-2500-190x
2024 (English)In: Radiography, ISSN 1078-8174, E-ISSN 1532-2831, Vol. 30, no 3, p. 709-714Article in journal (Refereed) Published
Abstract [en]

INTRODUCTION: Hip fracture is a serious affliction that requires fast care and an X-ray examination, which are provided by an ambulance and a visit to the radiology department, respectively. If a well-functioning mobile X-ray service could be developed, by examining the patient in their own home, both the work strain of hospital workers and patient suffering could be reduced. The purpose of this study was to determine if the mobile X-ray service could be a supplement to the fast-track process that is utilised by the ambulance service. The study also examines other department's opinion of this implementation.

METHODS: A mixed method was used where data from a Swedish hospital's local RIS/PACS was collected from 706 patients for quantitative analysis, and six personnel working at the hospital were interviewed to obtain qualitative data.

RESULTS: The quantitative data demonstrates that the actual mobile X-ray service cannot act in such an acute manner as an ambulance service due to the staffing problems that the hospital is faced with, but with optimal staffing, radiographs with mobile X-ray service could be performed within an acute timeframe. The qualitative data shows that there is a strong wish for the mobile X-ray service to expand and be more active, but this requires a better staffing situation in the radiology department and better communication possibilities between other departments.

CONCLUSION: The mobile X-ray service is desirable in the investigated region, and it could benefit both the emergency ward and the ambulance service, and it could function as infection control for geriatric patients, but more radiographers on staff is required if the service should be functional as a complement to the hip-"fast track". More studies on the subject are required.

IMPLICATION FOR PRACTICE: A wide generalisation of the results is not applicable in this study, as mobile X-ray and the "hip fast track" is not a widespread service throughout Sweden. This means that this study only suggests trends, which needs to be studied further.

Place, publisher, year, edition, pages
Elsevier, 2024. Vol. 30, no 3, p. 709-714
Keywords [en]
Geriatric, Hip fracture, Mobile X-ray, Person-centred care, Radiography
National Category
Radiology, Nuclear Medicine and Medical Imaging Nursing Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:hj:diva-63818DOI: 10.1016/j.radi.2024.02.017ISI: 001210246400001PubMedID: 38428194Scopus ID: 2-s2.0-85186749476OAI: oai:DiVA.org:hj-63818DiVA, id: diva2:1844572
Available from: 2024-03-14 Created: 2024-03-14 Last updated: 2024-05-21Bibliographically approved

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Møller Christensen, Berit

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