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报告速度对X线平片报告错误的影响。

The effect of reporting speed on plain film reporting errors.

作者信息

Edwards A J, Ricketts C, Dubbins P A, Roobottom C A, Wells I P

机构信息

Department of Radiology, Derriford Hospital, Devon, Plymouth, UK.

出版信息

Clin Radiol. 2003 Dec;58(12):971-9. doi: 10.1016/s0009-9260(03)00289-7.

Abstract

AIM

To determine whether reporting plain films at faster rates lead to a deterioration in accuracy.

METHODS

Fourteen consultant radiologists were asked to report a total of 90 radiographs in three sets of 30. They reported the first set at the rate they would report normally and the subsequent two sets in two thirds and one half of the original time. The 90 radiographs were the same for each radiologist, however, the order was randomly generated for each.

RESULTS

There was no significant difference in overall accuracy for each of the three film sets (p=0.74). Additionally no significant difference in the total number of false-negatives for each film set was detected (p=0.14). However, there was a significant decrease in the number of false-positive reports when the radiologists were asked to report at higher speeds (p=0.003).

CONCLUSIONS

When reporting accident and emergency radiographs increasing reporting speed has no overall effect upon accuracy, however, it does lead to less false-positive reports.

摘要

目的

确定以更快的速度报告X线平片是否会导致准确性下降。

方法

邀请14位放射科顾问医师报告总共90张X线片,分三组,每组30张。他们以正常报告速度报告第一组,随后两组分别在原来时间的三分之二和二分之一时间内报告。每位放射科医师的90张X线片相同,但每组的报告顺序是随机生成的。

结果

三组X线片的总体准确性无显著差异(p = 0.74)。此外,每组假阴性总数也未检测到显著差异(p = 0.14)。然而,当要求放射科医师更快速度报告时,假阳性报告数量显著减少(p = 0.003)。

结论

在报告急诊X线片时,提高报告速度对准确性无总体影响,但会减少假阳性报告。

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