Implementation of a standardized pregnancy screening process to address gender disparities in radiology turn-around-time and ED length of stay

Dana E. Loke*, Andra M. Farcas, Justine S. Ko, Laurie M. Aluce, Valerie R. McDonald, Nahzinine Shakeri, Abra L. Fant

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Objective: The objective of this initiative was to quantify and intervene upon suspected gender disparities in CT turn-around-time and emergency department (ED) length of stay. Methods: This was a single-site before-after quality improvement initiative including patients aged 12–50 who underwent CT chest and/or abdomen/pelvis. The intervention included protocolization of the pregnancy screening process in triage. Primary outcomes included the difference between women of childbearing age and similarly aged men in regards to CT turn-around-time and ED length of stay. Pre- and post-intervention data were analyzed, including an “intensive intervention period” subanalysis. Results: CT turn-around-time for women of childbearing age was 19 min longer than for similarly aged men at baseline and did not change significantly post-intervention. ED length of stay was 27 min longer for women of childbearing age compared to similarly aged men at baseline and 7 min longer post-intervention, although this was still a significant difference. During the intensive intervention period, CT turn-around-time for women of childbearing age was 15 min longer than similarly aged men but the difference in ED length of stay of 10 min was no longer significant. Conclusions: There is gender disparity in CT turn-around-time and ED length of stay in our ED, highlighting an important area for improvement to promote equitable care. A quality improvement initiative that aimed to protocolize pregnancy testing in triage did not show sustainable improvement in these outcomes but did result in increased pregnancy testing.

Original languageEnglish (US)
Pages (from-to)206-213
Number of pages8
JournalCanadian Journal of Emergency Medicine
Volume24
Issue number2
DOIs
StatePublished - Mar 2022

Keywords

  • Gender disparities
  • Length of stay
  • Patient safety
  • Radiology turn-around-time
  • Women of childbearing age

ASJC Scopus subject areas

  • Emergency Medicine

Fingerprint

Dive into the research topics of 'Implementation of a standardized pregnancy screening process to address gender disparities in radiology turn-around-time and ED length of stay'. Together they form a unique fingerprint.

Cite this