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  1. Article ; Online: Radiologist and Radiology Practice Wellbeing: A Report of the 2023 ARRS Wellness Summit.

    Azour, Lea / Goldin, Jonathan G / Kruskal, Jonathan B

    Academic radiology

    2023  Volume 31, Issue 1, Page(s) 250–260

    Abstract: In April 2023, the first American Roentgen Ray Society (ARRS) Wellness Summit was held in Honolulu, Hawaii. The Summit was a communal call to action bringing together professionals from the field of radiology to critically review our current state of ... ...

    Abstract In April 2023, the first American Roentgen Ray Society (ARRS) Wellness Summit was held in Honolulu, Hawaii. The Summit was a communal call to action bringing together professionals from the field of radiology to critically review our current state of wellness and reimagine the role of radiology and radiologists to further wellbeing. The in-person and virtual Summit was available free-of-cost to all meeting registrants and included 12 sessions with 44 invited moderators and panelists. The Summit aimed to move beyond simply rehashing the repeated issues and offering theoretical solutions, and instead focus on intentional practice evolution, identifying implementable strategies so that we as a field can start to walk our wellness talk. Here, we first summarize the thematic discussions from the 2023 ARRS Wellness Summit, and second, share several strategic action items that emerged.
    MeSH term(s) United States ; Humans ; X-Rays ; Radiologists ; Radiology ; Burnout, Professional
    Language English
    Publishing date 2023-09-16
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1355509-1
    ISSN 1878-4046 ; 1076-6332
    ISSN (online) 1878-4046
    ISSN 1076-6332
    DOI 10.1016/j.acra.2023.08.025
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Peer learning in abdominal radiology: iterative process improvements over a 20-year experience.

    Siewert, Bettina / Brook, Olga R / Kruskal, Jonathan B

    Abdominal radiology (New York)

    2023  Volume 49, Issue 2, Page(s) 662–677

    Abstract: Purpose: After a slow and challenging transition period, peer learning and improvement (PLI) is now being more widely adopted by practices as an option for continuous personal and practice performance improvement. In addition to gaps that exist in the ... ...

    Abstract Purpose: After a slow and challenging transition period, peer learning and improvement (PLI) is now being more widely adopted by practices as an option for continuous personal and practice performance improvement. In addition to gaps that exist in the understanding of what PLI is and how it should be practiced, wide variation exists in how the process is implemented, administered, how outcomes are measured, and what strategies are employed to engage radiologists. This report aims to describe lessons learned from our 20-year experience with the design, implementation, and continuous improvements of a PLI program in a large academic program.
    Methods: Since initial implementation in 2004, an oversight team prospectively documented iterative process improvements and data submission trends in our PLI process. Process data included strategies for engaging radiologists in the PLI process (fostering case submission, PLI meeting participation), steps for achieving regulatory compliance, and template content for facilitating the value and impact of PLI meetings (case analysis, review of contributing factors, identification of improvement opportunities).
    Results: Submission trends, submitted case content, and improvement opportunities varied by clinical section. Process improvements that fostered engagement included closing the loop with participants, expanding criteria for case submission beyond interpretive disagreements (e.g., great pickups, near misses), minimizing impacts to workflow, and using evidence-based templates for case and contributor categorization, bias analysis, and identification of improvement opportunities.
    Conclusion: Implementing an effective PLI program requires sustained communication, education, and continuous process improvement. While PLI can certainly lead to process and individual performance improvement, the program requires trained champions, designated time, effort, resources, education, and patience to be effectively implemented.
    MeSH term(s) Humans ; Radiologists ; Radiology/education
    Language English
    Publishing date 2023-12-14
    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/s00261-023-04118-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Radiologist Well-Being and Professional Fulfillment in the COVID-19 Era: Fostering Posttraumatic Growth.

    Kruskal, Jonathan B / Shanafelt, Tait

    Journal of the American College of Radiology : JACR

    2021  Volume 18, Issue 8, Page(s) 1198–1207

    Abstract: The acute consequences of the COVID-19 pandemic have impacted wellness strategies aimed at mitigating the pre-existing epidemic of burnout in radiology. Specifically, safety measures including social distancing requirements, effective communications, ... ...

    Abstract The acute consequences of the COVID-19 pandemic have impacted wellness strategies aimed at mitigating the pre-existing epidemic of burnout in radiology. Specifically, safety measures including social distancing requirements, effective communications, supporting remote and distributed work teams, and newly exposed employment and treatment inequities have challenged many major efforts at fostering professional fulfillment. To get our wellness efforts back on track and to achieve a new and perhaps even a better "normal" will require refocusing and reconsidering ways to foster and build a culture of wellness, implementing practices that improve work efficiencies, and supporting personal health, wellness behaviors, and resilience. Optimizing meaning in work is also critical for well-being and professional fulfillment. In addition to these earlier approaches, organizations and leaders will need to reprioritize efforts to build high-functioning cohesive and connected teams; to train, implement, and manage peer-support practices; and to support posttraumatic growth. This growth represents the positive psychological changes that can occur after highly challenging life circumstances and, when successful, allows individuals to achieve a higher level of functioning by addressing and learning from the precipitating event. Our practices can support this growth through education, emotional regulation, and disclosure, by developing a narrative that reimagines a hoped-for better future and by finding meaning through services that benefit others.
    MeSH term(s) Burnout, Professional/epidemiology ; Burnout, Professional/prevention & control ; COVID-19 ; Humans ; Pandemics ; Posttraumatic Growth, Psychological ; Radiologists ; SARS-CoV-2
    Language English
    Publishing date 2021-04-15
    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.2021.03.016
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: A Call to Action - Our Radiology Chairs Are Burning Out.

    Kruskal, Jonathan B / Norbash, Alexander

    Academic radiology

    2019  Volume 26, Issue 10, Page(s) 1385–1389

    MeSH term(s) Burnout, Psychological ; Radiography ; Radiology ; Radiology Department, Hospital ; United States
    Language English
    Publishing date 2019-04-30
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 1355509-1
    ISSN 1878-4046 ; 1076-6332
    ISSN (online) 1878-4046
    ISSN 1076-6332
    DOI 10.1016/j.acra.2019.03.002
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Strategies for Radiology to Thrive in the Value Era.

    Kruskal, Jonathan B / Larson, David B

    Radiology

    2018  Volume 289, Issue 1, Page(s) 3–7

    MeSH term(s) Humans ; Quality of Health Care ; Radiography ; Radiologists ; Radiology/organization & administration ; Radiology/standards ; Radiology/trends
    Language English
    Publishing date 2018-09-04
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80324-8
    ISSN 1527-1315 ; 0033-8419
    ISSN (online) 1527-1315
    ISSN 0033-8419
    DOI 10.1148/radiol.2018180190
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: The 2018 RadioGraphics Monograph Issue: Radiology Practice Management Editor's Page.

    Kruskal, Jonathan B / Sarwar, Ammar

    Radiographics : a review publication of the Radiological Society of North America, Inc

    2018  Volume 38, Issue 6, Page(s) 1591–1592

    MeSH term(s) Humans ; Leadership ; Patient-Centered Care/organization & administration ; Practice Management, Medical/organization & administration ; Radiology Department, Hospital/organization & administration
    Language English
    Publishing date 2018-10-10
    Publishing country United States
    Document type Editorial ; Introductory Journal Article
    ZDB-ID 603172-9
    ISSN 1527-1323 ; 0271-5333
    ISSN (online) 1527-1323
    ISSN 0271-5333
    DOI 10.1148/rg.2018184009
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Outcomes of Postprocedural Closeout Checklist Implementation to Prevent Adverse Events during Interventional Radiology Procedures: An Initiative to Improve Outcomes.

    Siewert, Bettina / Brook, Olga R / Swedeen, Suzanne / Ahmed, Muneeb / Kruskal, Jonathan B

    Journal of vascular and interventional radiology : JVIR

    2022  Volume 33, Issue 10, Page(s) 1240–1246

    Abstract: Purpose: To assess whether adherence to a postprocedural closeout (PPC) checklist decreases adverse events during image-guided procedures.: Materials and methods: Based on the analysis of prior adverse events related to image-guided procedures, the ... ...

    Abstract Purpose: To assess whether adherence to a postprocedural closeout (PPC) checklist decreases adverse events during image-guided procedures.
    Materials and methods: Based on the analysis of prior adverse events related to image-guided procedures, the Radiology Quality Committee developed a PPC checklist. The rates of serious reportable events related to image-guided procedures performed in the radiology department were recorded annually from 2015 to 2021. The rate of adverse events was normalized to the procedure volume in the corresponding periods. The number of patients requiring repeat procedures was recorded. The severity of impact was classified according to the Society of Interventional Radiology Adverse Event Classification System. The annual rates before (2015 and 2016) and after (2017-2021) the implementation of PPC were compared.
    Results: Seventy-seven safety reports were identified in image-guided procedures over the study period, of which 43 cases were not related to the PPC, leaving 34 cases for the analysis. Radiology adverse events decreased from 0.069% (14/20,218, 7/y) before PPC implementation to 0.034% (20/58,793, 4/y) after implementation (P = .05, 43% decrease). Radiology repeat procedures decreased from 0.040% (8/20,218, 4/y) before PPC implementation to 0.007% (4/58,793, 0.8/y) after implementation (P = .0033, 80% decrease). Moreover, severity of adverse events decreased (P = .009).
    Conclusions: Implementation of a PPC checklist improved patient outcomes by decreasing the number of adverse events that occur from inadequate safety processes at the end of image-guided procedures by 43%, need for repeat procedures by 80%, and severity of impact of errors.
    MeSH term(s) Checklist ; Humans ; Radiology, Interventional
    Language English
    Publishing date 2022-07-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1137756-2
    ISSN 1535-7732 ; 1051-0443
    ISSN (online) 1535-7732
    ISSN 1051-0443
    DOI 10.1016/j.jvir.2022.06.023
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Invited Commentary on "Realizing Improvement through Team Empowerment (RITE)".

    Kadom, Nadja / Kruskal, Jonathan B

    Radiographics : a review publication of the Radiological Society of North America, Inc

    2016  Volume 36, Issue 7, Page(s) 2183–2185

    MeSH term(s) Humans ; Leadership ; Power (Psychology)
    Language English
    Publishing date 2016-11
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 603172-9
    ISSN 1527-1323 ; 0271-5333
    ISSN (online) 1527-1323
    ISSN 0271-5333
    DOI 10.1148/rg.2016160181
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Enabling Your Radiology Business to Thrive Strategic Lessons Learned During the Initial and Subsequent Surges of the Covid-19 Pandemic.

    Kruskal, Jonathan B / Rosen, Max P / Hara, Amy K / Canon, Cheri / Wald, Christoph

    Academic radiology

    2021  Volume 28, Issue 3, Page(s) 393–401

    Abstract: The Covid-19 pandemic surges of 2020 resulted in major operational, personal, and financial impacts on US radiology practices. In response, a series of strategic and intentional operational changes were implemented, varying by practice size, structure ... ...

    Abstract The Covid-19 pandemic surges of 2020 resulted in major operational, personal, and financial impacts on US radiology practices. In response, a series of strategic and intentional operational changes were implemented, varying by practice size, structure and model. In reviewing the many business lessons that we learned during the pandemic, it became clear that for a business to be successful, a host of additional supportive factors are necessary. In addition to timely expense reductions, optimizing revenue capture and close monitoring and management of cash and reserves available for use, we also consider effective leadership and communication strategies, maintenance of a healthy and adequately staffed team, support for a remote work environment and flexible staffing models. Other ingredients include effectively embracing digital media for communications, careful attention to current and new stakeholders and the service delivered to them, understanding federal and state regulatory changes issued in response to the pandemic, close collaboration with the Human Resources office, and an early focus on redesigning your future practice structure and function, including disaster and downtime planning. This review aims to share lessons to enable leaders of an imaging enterprise to be better prepared for similar and future surges.
    MeSH term(s) COVID-19 ; Humans ; Internet ; Pandemics/prevention & control ; Radiology ; SARS-CoV-2
    Language English
    Publishing date 2021-01-13
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1355509-1
    ISSN 1878-4046 ; 1076-6332
    ISSN (online) 1878-4046
    ISSN 1076-6332
    DOI 10.1016/j.acra.2021.01.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: The Society of Abdominal Radiology at 10 years: Reflections, status report, and look to the future.

    Maturen, Katherine E / Canon, Cheri L / Fletcher, Joel G / Hara, Amy K / Kim, David H / Kruskal, Jonathan B / Miller, Frank H / Remer, Erick M / Silverman, Stuart G

    Abdominal radiology (New York)

    2023  Volume 48, Issue 2, Page(s) 441–447

    Abstract: In 2012, the Society of Abdominal Radiology (SAR) was formed by the merger of the Society of Gastrointestinal Radiologists (SGR) and the Society of Uroradiology (SUR). On the occasion of SAR's ten year anniversary, this commentary describes important ... ...

    Abstract In 2012, the Society of Abdominal Radiology (SAR) was formed by the merger of the Society of Gastrointestinal Radiologists (SGR) and the Society of Uroradiology (SUR). On the occasion of SAR's ten year anniversary, this commentary describes important changes in society structure, the growth and diversity of society membership, new educational and research initiatives, intersociety and international outreach, and plans for the future.
    MeSH term(s) Humans ; Radiology ; Societies, Medical ; Forecasting ; Radiography, Abdominal
    Language English
    Publishing date 2023-01-05
    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/s00261-022-03767-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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