Rickett A B, Finlay D B, Jagger C
Department of Radiology, Leicester Royal Infirmary, UK.
Injury. 1992;23(7):458-60. doi: 10.1016/0020-1383(92)90063-x.
The effect of clinical information on the accuracy of reporting accident and emergency (A&E) radiographs was studied in two A&E officers and five radiologists involved in their daily reporting. Each was shown 50 sets of radiographs, 30 subtle fractures and 20 controls. In one half the clinical history and precise localization was provided, and in the other half no such information was given. After an interval of 6 months the radiographs were viewed again with the amount of information reversed. The observers were asked to determine the presence of injury, describe its site, and indicate how sure they were of their diagnosis. Correct diagnosis was improved from 72.3 per cent to 80.3 per cent overall, and from 68.1 per cent to 81.4 per cent in the fracture group. All observers improved their performance with clinical details. The results confirm that accurate clinical details improve injury location.
在两名急症室工作人员和五名参与日常报告工作的放射科医生中，研究了临床信息对急症室（A&E）X光片报告准确性的影响。向每个人展示了50组X光片，其中30组为细微骨折，20组为对照。在一半的X光片中提供了临床病史和精确的定位信息，而在另一半中则未提供此类信息。间隔6个月后，再次查看X光片，信息的提供情况颠倒过来。要求观察者确定是否存在损伤，描述其位置，并表明他们对自己诊断的确定程度。总体上，正确诊断率从72.3%提高到了80.3%，骨折组从68.1%提高到了81.4%。所有观察者在有临床细节时表现都有所改善。结果证实，准确的临床细节有助于提高损伤位置的判断。
