copies as needed was easy and inexpensive—similar to burning copies
of imaging exams when requested by
Initially, twenty-five copies were made
and the patient name and appointment
date corresponding to each copy released
was noted. This way, there would be a
mechanism for following up with the
parents on the day of the appointments
to ask their opinions about the DVD. The
first copies were handed out quickly—
within three days—and the feedback was
overwhelmingly positive. The need for a
Spanish version of the content quickly
became evident. The transcript of the
segment was sent to a service for translation. This was accomplished for a few
hundred dollars. Rather than reproduce
the entire video segment, the decision
was made to use the translation and create sub-titles on the English version, saving both time and money. This plan was
used as the model for creating Spanish
versions of the remaining segments.
In order to create a wider reach for
the video segments, they have been set
up as links on the hospital website in
order to facilitate viewing without the
need to come in to the hospital. We have
also been discussing the feasibility of
incorporating these segments into the
regular daily inpatient programming on
the hospital’s closed circuit television
channel. In this way, when x-ray exams
are ordered for pediatric inpatients, the
children and their parents can be asked
to view the segments prior to them coming down to radiology.
Technical staff in the radiology
department were responsible for asking
parents of pediatric patients whether
they felt the DVD segment had aided in
helping the child and parent understand
more fully what would occur once inside
the department. The majority responded
favorably. It should be noted that some
respondents said they had been in the
department with their children for imag-
ing studies prior to this visit. Although
repeat visits can, by themselves, lessen
anxiety levels in children, some parents
did comment that they felt showing the
video segment to their children was a
contributing factor to a decreased anxi-
ety level on this visit.
A total of four segments were completed over the course of nine months.
The goal is to produce the remaining
segment—targeted toward radiologic
technologists who work with children—
before the end of 2013.
Time and again, the old adage has proven
to be true: a picture is worth a thousand
words. Our department believed that
having video segments that explain and
demonstrate to young children what will
happen during an imaging exam would
lessen anxiety, enable greater cooperation, and help get the optimal images on
the first attempt. The positive feedback
has supported that belief and contributed to greater patient satisfaction.
As director of radiology at St. Joseph’s
Healthcare System, my role is to put the
department on a course that will challenge us to always look for opportunities to become better at what we do.
The AHRA & Toshiba grant is a wonderful example of how technical staff
saw an opportunity, collaborated with
other hospital departments, and produced teaching aids that will continue
to enhance the care they provide. I was
privileged to be along for the ride.
View the videos here:
1Mattingly MA. Improving safety in CT
through the use of educational media.
Radiol Manage. 2011;May–Jun( 33): 36–39.
2Children’s National Medical Center. “
Provider-Patient Communication Research.” 2013.
Available at: http://www.childrensnational.
Accessed August 14, 2013.
John Warren Hart is the administrative director of
radiology for the St. Joseph’s Health System in
northern New Jersey. He holds an MPA in Health Policy
& Management from New York University and has
been in the imaging field for almost thirty years. His
main strengths are in operational efficiency, team
building, and survey readiness. John may be
contacted at HartJ@sjhmc.org.