{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T22:25:04Z","timestamp":1761863104721},"reference-count":19,"publisher":"BMJ","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Emerg Med J"],"accepted":{"date-parts":[[2012,4,1]]},"published-print":{"date-parts":[[2013,4]]},"abstract":"<jats:sec><jats:title>Background and purpose<\/jats:title><jats:p>In the UK, there is a continuing effort within the National Health Service to reduce patient waiting times in emergency departments (EDs). This audit aimed to evaluate whether a reporting radiographer-led discharge system could reduce waiting times from x-ray to discharge with no detrimental effect on patient outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A prospective audit over 2\u2005years was conducted. Patients were considered for discharge by a reporting radiographer-led service if they were &gt;5\u2005years old, attended the hospital ED between 9:00 and 17:00, Monday to Friday, had an injury below the elbow in the upper limb or below the knee in the lower limb that required an x-ray, and were able to be discharged home without further medical intervention. Outcomes of interest were overall waiting times, accuracy of diagnosis and re-attendance at the ED within 28\u2005days.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Between July 2006 and June 2008, 497 patients met the inclusion criteria and were discharged home by the radiographer-led service, and 2632 were discharged home using standard practices. Overall waiting times were &gt;20\u2005min quicker for the radiographer-led service at 100.9\u2005min. The false negative rate was reduced from 2.09% to 0.2%, and re-attendance at the ED within 28\u2005days for the same injury was reduced from 3.27% to only 0.4% for radiographer-led discharge.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The service reduced waiting times and re-attendance rates while improving the accuracy of diagnosis. The efficacy of such services should be further studied in relation to more complex patient groups.<\/jats:p><\/jats:sec>","DOI":"10.1136\/emermed-2011-200642","type":"journal-article","created":{"date-parts":[[2012,4,26]],"date-time":"2012-04-26T01:23:02Z","timestamp":1335403382000},"page":"298-302","source":"Crossref","is-referenced-by-count":12,"title":["Assessment of a reporting radiographer-led discharge system for minor injuries: a prospective audit over 2\u2005years"],"prefix":"10.1136","volume":"30","author":[{"given":"Deborah","family":"Henderson","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William K","family":"Gray","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa","family":"Booth","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2012,4,25]]},"reference":[{"key":"2024052623470712000_30.4.298.1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2648.1997.1997026364.x"},{"key":"2024052623470712000_30.4.298.2","unstructured":"Department of Health. 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London: Stationary Office, 2003."}],"container-title":["Emergency Medicine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/emermed-2011-200642","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,27]],"date-time":"2024-05-27T06:47:18Z","timestamp":1716792438000},"score":1,"resource":{"primary":{"URL":"https:\/\/emj.bmj.com\/lookup\/doi\/10.1136\/emermed-2011-200642"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,4,25]]},"references-count":19,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2013,3,19]]},"published-print":{"date-parts":[[2013,4]]}},"alternative-id":["10.1136\/emermed-2011-200642"],"URL":"https:\/\/doi.org\/10.1136\/emermed-2011-200642","relation":{},"ISSN":["1472-0205","1472-0213"],"issn-type":[{"value":"1472-0205","type":"print"},{"value":"1472-0213","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,4,25]]}}}