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  1. Article ; Online: Focus Issue on Quality and Safety: The Role of Radiologists in High-Value Care Delivery.

    Quinn, Erina / Goldberg-Stein, Shlomit

    Journal of the American College of Radiology : JACR

    2023  Volume 21, Issue 1, Page(s) 50–51

    MeSH term(s) Humans ; Radiologists ; Delivery of Health Care
    Language English
    Publishing date 2023-11-08
    Publishing country United States
    Document type Editorial
    ZDB-ID 2274861-1
    ISSN 1558-349X ; 1546-1440
    ISSN (online) 1558-349X
    ISSN 1546-1440
    DOI 10.1016/j.jacr.2023.11.006
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  2. Article ; Online: Adding Value in Radiology Reporting.

    Goldberg-Stein, Shlomit / Chernyak, Victoria

    Journal of the American College of Radiology : JACR

    2019  Volume 16, Issue 9 Pt B, Page(s) 1292–1298

    Abstract: The major goal of the radiology report is to deliver timely, accurate, and actionable information to the patient care team and the patient. Structured reporting offers multiple advantages over traditional free-text reporting, including reduction in ... ...

    Abstract The major goal of the radiology report is to deliver timely, accurate, and actionable information to the patient care team and the patient. Structured reporting offers multiple advantages over traditional free-text reporting, including reduction in diagnostic error, comprehensiveness, adherence to national consensus guidelines, revenue capture, data collection, and research. Various technological innovations enhance integration of structured reporting into everyday clinical practice. This review discusses the benefits of innovations in radiology reporting to the clinical decision process, the patient experience, the cost of imaging, and the overall contributions to the health of the population. Future directions, including the use of artificial intelligence, are reviewed.
    MeSH term(s) Artificial Intelligence/trends ; Diagnostic Imaging/standards ; Diagnostic Imaging/trends ; Documentation/methods ; Humans ; Interdisciplinary Communication ; Quality Control ; Radiology/standards ; Radiology Information Systems/standards ; Reproducibility of Results ; Research Design/standards
    Language English
    Publishing date 2019-09-06
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2274861-1
    ISSN 1558-349X ; 1546-1440
    ISSN (online) 1558-349X
    ISSN 1546-1440
    DOI 10.1016/j.jacr.2019.05.042
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  3. Article ; Online: Applying Implementation Science Principles to Design the ACR Peer Learning Pathway: A Case Study.

    Goldberg-Stein, Shlomit / Bhargavan-Chatfield, Mythreyi / Donnelly, Lane F / Hernandez, Dina / Kunst, Mara M / Sharpe, Richard E / Broder, Jennifer

    Journal of the American College of Radiology : JACR

    2023  Volume 21, Issue 1, Page(s) 103–106

    MeSH term(s) Implementation Science
    Language English
    Publishing date 2023-11-08
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2274861-1
    ISSN 1558-349X ; 1546-1440
    ISSN (online) 1558-349X
    ISSN 1546-1440
    DOI 10.1016/j.jacr.2023.11.002
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  4. Article ; Online: Introduction to Special Issue on Performance Improvement and Safety.

    Goldberg-Stein, Shlomit / Kadom, Nadja / Rajiah, Prabhakar

    Current problems in diagnostic radiology

    2020  Volume 49, Issue 5, Page(s) 305

    MeSH term(s) Diagnostic Imaging/standards ; Humans ; Quality Improvement ; Radiology Department, Hospital/standards ; Safety Management
    Language English
    Publishing date 2020-05-11
    Publishing country United States
    Document type Editorial ; Introductory Journal Article
    ZDB-ID 198954-6
    ISSN 1535-6302 ; 0363-0188
    ISSN (online) 1535-6302
    ISSN 0363-0188
    DOI 10.1067/j.cpradiol.2020.04.004
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  5. Article ; Online: Letter to the editor.

    Goldberg-Stein, Shlomit / Goldschmiedt, Judah

    Skeletal radiology

    2016  Volume 45, Issue 2, Page(s) 279

    MeSH term(s) Biopsy, Needle/instrumentation ; Bone Neoplasms/pathology ; Bone Neoplasms/secondary ; Humans ; Male ; Osteotomy/instrumentation ; Sacrum/pathology
    Language English
    Publishing date 2016-02
    Publishing country Germany
    Document type Comment ; Letter
    ZDB-ID 527592-1
    ISSN 1432-2161 ; 0364-2348
    ISSN (online) 1432-2161
    ISSN 0364-2348
    DOI 10.1007/s00256-015-2295-1
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  6. Article ; Online: Handoffs in Radiology: Minimizing Communication Errors and Improving Care Transitions.

    Burns, Judah / Ciccarelli, Sarah / Mardakhaev, Edward / Erdfarb, Amichai / Goldberg-Stein, Shlomit / Bello, Jacqueline A

    Journal of the American College of Radiology : JACR

    2021  Volume 18, Issue 9, Page(s) 1297–1309

    Abstract: Handoffs are essential to achieving safe care transitions. In radiology practice, frequent transitions of care responsibility among clinicians, radiologists, and patients occur between moments of care such as determining protocol, imaging, interpreting, ... ...

    Abstract Handoffs are essential to achieving safe care transitions. In radiology practice, frequent transitions of care responsibility among clinicians, radiologists, and patients occur between moments of care such as determining protocol, imaging, interpreting, and consulting. Continuity of care is maintained across these transitions with handoffs, which are the process of communicating patient information and transferring decision-making responsibility. As a leading cause of medical error, handoffs are a major communication challenge that is exceedingly common in both diagnostic and interventional radiology practice. The frequency of handoffs in radiology underscores the importance of using evidence-based strategies to improve patient safety in the radiology department. In this article, reliability science principles and handoff improvement tools are adapted to provide radiology-focused strategies at individual, team, and organizational levels with the goal of minimizing handoff errors and improving care transitions.
    MeSH term(s) Communication ; Humans ; Patient Handoff ; Patient Transfer ; Radiology ; Reproducibility of Results
    Language English
    Publishing date 2021-05-11
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2274861-1
    ISSN 1558-349X ; 1546-1440
    ISSN (online) 1558-349X
    ISSN 1546-1440
    DOI 10.1016/j.jacr.2021.04.007
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  7. Article ; Online: Spectrum of common and uncommon causes of knee joint hyaline cartilage degeneration and their key imaging features.

    Komarraju, Aparna / Goldberg-Stein, Shlomit / Pederson, Roar / McCrum, Christopher / Chhabra, Avneesh

    European journal of radiology

    2020  Volume 129, Page(s) 109097

    Abstract: Hyaline cartilage lining the surfaces of diarthrodial joints is an important construct for transmission of load and to reduce friction between the bones. Normal wear and tear accounts for about 3-5 percent knee cartilage loss ever year in otherwise ... ...

    Abstract Hyaline cartilage lining the surfaces of diarthrodial joints is an important construct for transmission of load and to reduce friction between the bones. Normal wear and tear accounts for about 3-5 percent knee cartilage loss ever year in otherwise healthy people after the age of 30 years. Several conditions and diseases lead to premature cartilage degeneration. Standardized description of cartilage loss, detailed evaluation of the joint health and determining the underlying etiology of cartilage loss are important for effective reporting, multidisciplinary communications and patient management. In this article, the authors discuss normal and abnormal imaging appearances of the hyaline cartilage of knee with focus on using controlled terminology and MRI classifications. The reader will benefit and learn key MR imaging features of a spectrum of common and uncommon conditions and diseases affecting the knee cartilage, such as trauma, secondary injury associated with meniscus and ligament injury related instability, arthritis, ischemia, idiopathic, and hereditary conditions including Matrix metalloproteinase-2 (MMP-2) mutations and mucopolysaccharidosis type IX disease with illustrative case examples.
    MeSH term(s) Humans ; Hyaline Cartilage/diagnostic imaging ; Joint Diseases/diagnostic imaging ; Knee Joint/diagnostic imaging ; Magnetic Resonance Imaging/methods ; Male
    Language English
    Publishing date 2020-06-01
    Publishing country Ireland
    Document type Journal Article ; Review
    ZDB-ID 138815-0
    ISSN 1872-7727 ; 0720-048X
    ISSN (online) 1872-7727
    ISSN 0720-048X
    DOI 10.1016/j.ejrad.2020.109097
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  8. Article ; Online: Lessons Learned From the COVID-19 Response in a Major New York City Hot Zone.

    Yee, Judy / Erdfarb, Amichai / Goldberg-Stein, Shlomit / Clemente, Bradley / Rodriguez, Jose / Rehani, Bhavya / Liszewski, Mark

    Current problems in diagnostic radiology

    2021  Volume 50, Issue 6, Page(s) 764–767

    Abstract: The COVID-19 pandemic had significant impact on radiology departments across the United States. Radiology departments have adjusted to the effects of the pandemic. This article presents the changes made by the Radiology department at the Montefiore ... ...

    Abstract The COVID-19 pandemic had significant impact on radiology departments across the United States. Radiology departments have adjusted to the effects of the pandemic. This article presents the changes made by the Radiology department at the Montefiore Medical Center (MMC) of the Albert Einstein College of Medicine located in the Bronx, New York City which is one of the major hot spots of the COVID-19 pandemic.
    MeSH term(s) COVID-19 ; Humans ; Medicine ; New York City ; Pandemics ; SARS-CoV-2
    Language English
    Publishing date 2021-07-04
    Publishing country United States
    Document type Journal Article
    ZDB-ID 198954-6
    ISSN 1535-6302 ; 0363-0188
    ISSN (online) 1535-6302
    ISSN 0363-0188
    DOI 10.1067/j.cpradiol.2021.06.011
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  9. Article ; Online: Use of a Macro as Nudge Factor in Communication Between Radiologists and Referring Physicians.

    Burns, Judah / Gordon, Sharon / Scheinfeld, Meir / Erdfarb, Amichai / Sprayragen, Seymour / Goldberg-Stein, Shlomit

    Current problems in diagnostic radiology

    2020  Volume 49, Issue 5, Page(s) 317–321

    Abstract: Introduction/methods: Radiologists provide value through communication of imaging findings. We outline a quality improvement effort using a dedicated dictation macro as a behavioral nudge to increase direct communication between radiologists and ... ...

    Abstract Introduction/methods: Radiologists provide value through communication of imaging findings. We outline a quality improvement effort using a dedicated dictation macro as a behavioral nudge to increase direct communication between radiologists and referring physicians. Use of the macro was encouraged by departmental leadership and publicised widely prior to implementation. Monthly data regarding the use of the macro and corresponding departmental volumes were acquired over a 24 month period.
    Results: Over the 24-month study period, there were 1,334,555 total exams performed and 52,276 total communications (3.90%; monthly range 2.21-4.67%). The greatest increase in adoption rate occurred during the initial 4-month period, with sustained rates of communication achieved after month 4. Results were more frequently communicated to a clinician when a resident trainee was involved in the dictation process. The greatest number of documented communications was for x-ray, followed by Computed Tomography (CT), Magnetic Resonance Imaging (MRI), Ultrasound (US), and nuclear medicine. Inpatient studies (7.23%) were communicated at a statistically significantly higher rate than Emergency Department (ED) (3.86%) or Outpatient (OP) studies (1.31%), P < 0.0001 for all comparisons. The rate of documented communication steadily increased across all patient classes.
    Conclusion: Our findings demonstrate that simple interventions to increase the rate of documented communication can have durable results, and highlight the critical role radiologists play in timely and effective patient care delivery. Introduction of a communication macro coupled with departmental nudges resulted in increased direct communication of imaging results. This effort has promoted mutual engagement between radiologists and their colleagues, and demonstrates the active role of radiologists in direct imaging consultation.
    MeSH term(s) Humans ; Interdisciplinary Communication ; Quality Improvement ; Radiologists ; Radiology Information Systems ; Referral and Consultation ; User-Computer Interface
    Language English
    Publishing date 2020-02-29
    Publishing country United States
    Document type Journal Article
    ZDB-ID 198954-6
    ISSN 1535-6302 ; 0363-0188
    ISSN (online) 1535-6302
    ISSN 0363-0188
    DOI 10.1067/j.cpradiol.2020.02.002
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  10. Article ; Online: Abdominopelvic CT findings in patients with novel coronavirus disease 2019 (COVID-19).

    Goldberg-Stein, Shlomit / Fink, Adam / Paroder, Viktoriya / Kobi, Mariya / Yee, Judy / Chernyak, Victoria

    Abdominal radiology (New York)

    2020  Volume 45, Issue 9, Page(s) 2613–2623

    Abstract: Purpose: Some patients with novel coronavirus disease 2019 (COVID-2019) present with abdominal symptoms. Abdominal manifestations of COVID on imaging are not yet established. The goal of this study was to quantify the frequency of positive findings on ... ...

    Abstract Purpose: Some patients with novel coronavirus disease 2019 (COVID-2019) present with abdominal symptoms. Abdominal manifestations of COVID on imaging are not yet established. The goal of this study was to quantify the frequency of positive findings on abdominopelvic CT in COVID-positive patients, and to identify clinical factors associated with positive findings to assist with imaging triage.
    Materials and methods: This retrospective study included adult COVID-positive patients with abdominopelvic CT performed within 14 days of their COVID PCR nasal swab assay from 3/1/2020 to 5/1/2020. Clinical CT reports were reviewed for the provided indication and any positive abdominopelvic findings. Demographic and laboratory data closest to the CT date were recorded. Multivariate logistic regression model with binary outcome of having no reported positive abdominopelvic findings was constructed.
    Results: Of 141 COVID-positive patients having abdominopelvic CT (average age 64 years [± 16], 91 [64%] women), 80 (57%) had positive abdominopelvic findings. Abdominal pain was the most common indication, provided in 54% (43/80) and 74% (45/61) of patients with and without reported positive abdominopelvic findings, respectively (p = 0.015). 70% (98/141) of patients overall had reported findings in the lung bases. Findings either typical or intermediate for COVID were reported in 50% (40/80) and 64% (39/61) of patients with and without positive abdominopelvic findings, respectively (p = 0.099). Of 80 patients with positive abdominopelvic findings, 25 (31%) had an abnormality of gastrointestinal tract, and 14 (18%) had solid organ infarctions or vascular thromboses. In multivariate analysis, age (OR 0.85, p = 0.023), hemoglobin (OR 0.83, p = 0.029) and male gender (OR 2.58, p = 0.032) were independent predictors of positive abdominopelvic findings, adjusted for race and Charlson comorbidity index.
    Conclusion: Abdominopelvic CT performed on COVID-positive patients yielded a positive finding in 57% of patients. Younger age, male gender, and lower hemoglobin were associated with higher odds of having reportable positive abdominopelvic CT findings.
    MeSH term(s) Age Factors ; Aged ; Betacoronavirus ; COVID-19 ; Coronavirus Infections/complications ; Coronavirus Infections/diagnostic imaging ; Female ; Gastrointestinal Diseases/diagnostic imaging ; Gastrointestinal Diseases/etiology ; Humans ; Male ; Middle Aged ; Pandemics ; Pelvis/diagnostic imaging ; Pneumonia, Viral/complications ; Pneumonia, Viral/diagnostic imaging ; Radiography, Abdominal/methods ; Retrospective Studies ; SARS-CoV-2 ; Sex Factors ; Tomography, X-Ray Computed/methods
    Keywords covid19
    Language English
    Publishing date 2020-08-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2839786-1
    ISSN 2366-0058 ; 2366-004X
    ISSN (online) 2366-0058
    ISSN 2366-004X
    DOI 10.1007/s00261-020-02669-2
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