Lai Peng Chan
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View article: Optimising design of clinical decision support systems and implementation strategies to improve radiological imaging appropriateness – A qualitative study in the emergency department
Optimising design of clinical decision support systems and implementation strategies to improve radiological imaging appropriateness – A qualitative study in the emergency department Open
Participants expressed their expectations regarding the design and features of CDSS as end users. Many strategies to optimise the implementation of CDSS in the ED for appropriate imaging exist and can encourage acceptance by ED physicians.
View article: Implementing appropriateness criteria for use of imaging technology (Project ACUITY) in magnetic resonance imaging of the lumbar spine: a Singapore experience
Implementing appropriateness criteria for use of imaging technology (Project ACUITY) in magnetic resonance imaging of the lumbar spine: a Singapore experience Open
Introduction: Uncomplicated acute low back pain is usually self-limiting and does not warrant imaging. However, despite current recommendations, many patients continue to receive spinal imaging, increasing healthcare costs. The Ministry of…
View article: Using evidence-based imaging referral guidelines to facilitate appropriate imaging: Are they all the same?
Using evidence-based imaging referral guidelines to facilitate appropriate imaging: Are they all the same? Open
The guidelines demonstrated slight agreement for X-ray cervical spine and almost perfect agreement for CT cervical spine, complicating audit process and influencing audit output. Multidisciplinary buy-in positively impacts CT cervical spin…
View article: Assessing context and readiness of emergency medicine physicians to promote evidence-based imaging referral guidelines: a mixed-methods study
Assessing context and readiness of emergency medicine physicians to promote evidence-based imaging referral guidelines: a mixed-methods study Open
Background Assessment of context and readiness to change are key components in the implementation of imaging referral guidelines. Purpose In line with JBI’s (formerly known as the Joanna Briggs Institute) approach to evidence implementatio…
View article: A likely case of chronic graft-versus-host disease polymyositis affecting respiratory and truncal muscles - a comprehensive diagnostic approach
A likely case of chronic graft-versus-host disease polymyositis affecting respiratory and truncal muscles - a comprehensive diagnostic approach Open
GvHD polymyositis can affect various muscle groups and results in various clinical presentations. In our case, truncal involvement resulting in an inability to sit erect was a unique presentation. Prompt diagnosis is important, and we have…
View article: Survey of radiologists on work from home: Using the results to plan a hybrid work model
Survey of radiologists on work from home: Using the results to plan a hybrid work model Open
Background The COVID-19 pandemic saw many radiology departments worldwide adopting work from home (WFH) practices for social distancing and operational resilience. This paper explores the attitudes and perceptions of radiologists on WFH in…
View article: Managing a Renal Transplant Programme During the COVID-19 Pandemic: Practical Experience from a Singapore Transplant Centre
Managing a Renal Transplant Programme During the COVID-19 Pandemic: Practical Experience from a Singapore Transplant Centre Open
Introduction: Coronavirus Disease 2019 (COVID-19) has significantly affected the way healthcare is delivered in Singapore. Healthcare services such as renal transplantation had to rapidly adjust and meet the needs to (1) protect patients a…
View article: Computed tomography-based diagnosis of occult fragility hip fractures offer shorter waiting times with no inadvertent missed diagnosis
Computed tomography-based diagnosis of occult fragility hip fractures offer shorter waiting times with no inadvertent missed diagnosis Open
Purpose: Surgical delay due to the wait for advanced cross-sectional imaging in occult fragility hip fracture management is not well studied. Our study aims to investigate computed tomography (CT) as an alternative to the gold standard mag…
View article: Chest radiography to assess and prognosticate COVID-19
Chest radiography to assess and prognosticate COVID-19 Open
Background To determine the utility of chest radiography (CXR) for assessing and prognosticating COVID-19 disease with an objective radiographic scoring system. Methods A multicenter, prospective study was conducted, forty patients were in…
View article: Radiology Preparedness in the Ongoing Battle against COVID-19: Experiences from Large to Small Public Hospitals in Singapore
Radiology Preparedness in the Ongoing Battle against COVID-19: Experiences from Large to Small Public Hospitals in Singapore Open
The coronavirus disease 2019 (COVID-19) pandemic presents an unprecedented challenge to the health care systems of the world. In Singapore, early experiences of the radiology community on managing this pandemic was shaped by lessons learne…