Routine Use of Structured Reporting in Whole-body Trauma CT Facilitates Quality Improvement.
Rofo
; 195(6): 521-528, 2023 06.
Article
em En
| MEDLINE
| ID: mdl-37019142
ABSTRACT
PURPOSE:
Structured reporting (SR) is increasingly used. So far, there is minimal experience with SR in whole-body computed tomography (WBCT). The aim of this study was to investigate the value of routine use of SR in WBCT in trauma with a focus on reporting time, reporting errors, and referrer satisfaction. MATERIALS ANDMETHODS:
Reporting time and reporting errors of CT reports were prospectively quantified for residents and board-certified radiologists 3 months before and for 6 months after implementation of a structured report in the clinical routine. Referrer satisfaction was prospectively quantified by means of a survey before and after the implementation period of SR using a 5-point Likert scale. Before and after results were compared to determine the effect of structured reporting on WBCT in trauma at our institution.RESULTS:
The mean reporting time was lower when using SR (65â±â52âmin. vs. 87â±â124âmin., pâ=â.25). After 4 months, the median reporting time was significantly lower with SR (pâ=â.02). Consequently, the rate of reports that were finished within one hour rose from 55.1â% to 68.3â%. Likewise, reporting errors decreased (12.6â% vs. 8.4â%, pâ=â.48). Residents and board-certified radiologists reported fewer errors when using SR with 16.4â% vs. 12.6â% and 8.8â% vs. 2.7â%, respectively. General referrer satisfaction improved (1.7â±â0.8 vs. 1.5â±â1.1, pâ=â.58). Referrers graded improvements for standardization of reports (2.2â±â1.1 vs. 1.3â±â1.1, pâ=â.03), consistency of report structure (2.1â±â1.1 vs. 1.4â±â1.1, pâ=â.09), and retrievability of relevant pathologies (2.1â±â1.2 vs. 1.6â±â1.1, pâ=â.32).CONCLUSION:
SR has the potential to facilitate process improvement for WBCT in trauma in the daily routine with a reduction of reporting time and reporting mistakes while increasing referrer satisfaction. KEY POINTS · SR for WBCT in trauma is feasable in clinical routine.. · Reporting time in WBCT in trauma decreases by SR.. · SR for WBCT in trauma has the potential to decrease reporting mistakes.. · SR for WBCT in trauma might increase referrer satisfaction.. CITATION FORMAT · Blum SF, Hertzschuch D, Langer E etâal. Routine Use of Structured Reporting in Whole-body Trauma CT Facilitates Quality Improvement. Fortschr Röntgenstr 2023; 195 521â-â528.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Imagem Corporal Total
/
Melhoria de Qualidade
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article