{
  "abstract": "Rapid neuroimaging is critical in acute neurological emergencies, but film-based workflows in resource-limited hospitals often cause delays. This study evaluated a web-Based digital radiology system embedded in EMR on emergency head CT turnaround times (TAT). A quasi-experimental pre-post study with independent samples was conducted at a private class C non-teaching hospital in East Java, Indonesia, comparing two six-month periods: pre-implementation (January–June 2023) and post-implementation (January–June 2025), separated by a 12-month stabilization period. Technical TAT (scan completion to digital upload) was assessed in 200 cases (100 pre, 100 post); clinical TAT (scan completion to final report) in 990 cases (485 pre, 505 post) using a census approach. Normality was tested using Shapiro-Wilk, followed by Mann-Whitney U test and chi-square test for quality standard achievement (≤15 minutes for technical TAT, ≤90 minutes for clinical TAT), with effect sizes (r, Phi) reported. Median technical TAT decreased from 19:04 to 11:12 minutes (41.3% reduction, U=2.000, p<.001, r=0.864), with ≤15-minute achievement rising from 0% to 98% (χ2=192.157, p<.001, Phi=0.980). Median clinical TAT decreased from 1:49:00 to 1:09:00 hours (39.6% reduction, U=79,576.000, p<.001, r=0.303), with ≤90-minute achievement improving from 45.8% to 76.0% (χ2=95.452, p<.001, Phi=0.311). This study shows that web-based digital radiology enhances emergency neuroimaging efficiency in limited-resource hospitals.",
  "abstract_shown": true,
  "affiliations": [
    "Master of Hospital Administration, Universitas Muhammadiyah Yogyakarta, Yogyakarta, Indonesia"
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 2,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Lidiyawati",
      "orcid": "0009-0009-8387-0055"
    },
    {
      "affs": [
        0
      ],
      "name": "Merita Arini",
      "orcid": "0000-0001-5193-6050"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/dc8z633yya260.bib",
  "cited_by": 0,
  "doi": "10.15294/kemas.v22i1.47515",
  "fulltext_url": "https://journal.unnes.ac.id/journals/kemas/article/view/47515",
  "id": "dc8z633yya260",
  "issns": [
    "1858-1196",
    "2355-3596"
  ],
  "landing_url": "https://doi.org/10.15294/kemas.v22i1.47515",
  "language": "en",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "journal",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "lcc",
      "R"
    ],
    [
      "lcc",
      "R5-920"
    ],
    [
      "lcc",
      "RA1-1270"
    ],
    [
      "openalex",
      "2741|Radiology practices and education"
    ]
  ],
  "openalex": "W7214934969",
  "pdf_url": "https://journal.unnes.ac.id/journals/kemas/article/download/47515/11528",
  "pmcid": null,
  "pmid": null,
  "published": "2026-09-01",
  "publisher": "Universitas Negeri Semarang",
  "ris": "https://research.draconitic.com/paper/dc8z633yya260.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T13:45:26Z",
      "native_id": "e1848a1f9efe4d60a157bbe70bf22aaf",
      "source": "doaj",
      "url": "https://doi.org/10.15294/kemas.v22i1.47515"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2741|Radiology practices and education",
      "subfield": "imaging"
    }
  ],
  "title": "Web-Based Digital Radiology Cuts Emergency Head CT Time in Limited-Resource Hospital",
  "title_text": "Web-Based Digital Radiology Cuts Emergency Head CT Time in Limited-Resource Hospital",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T13:45:26Z",
  "url": "https://research.draconitic.com/paper/dc8z633yya260",
  "venue": "KEMAS: Jurnal Kesehatan Masyarakat",
  "versions": []
}