Department of Radiology, Thomas Jefferson University Hospital and Jefferson Medical College, 132 South Tenth Street, Philadelphia, PA 19107, USA.
J Digit Imaging. 2012 Jun;25(3):330-6. doi: 10.1007/s10278-011-9419-5.
Attending radiologists routinely edit radiology trainee dictated preliminary reports as part of standard workflow models. Time constraints, high volume, and spatial separation may not always facilitate clear discussion of these changes with trainees. However, these edits can represent significant teaching moments that are lost if they are not communicated back to trainees. We created an electronic method for retrieving and displaying changes made to resident written preliminary reports by attending radiologists during the process of radiology report finalization. The Radiology Information System is queried. Preliminary and final radiology reports, as well as report metadata, are extracted and stored in a database indexed by accession number and trainee/radiologist identity. A web application presents to trainees their 100 most recent preliminary and final report pairs both side by side and in a "track changes" mode. Web utilization audits showed regular utilization by trainees. Surveyed residents stated they compared reports for educational value, to improve future reports, and to improve patient care. Residents stated that they compared reports more frequently after deployment of this software solution and that regular assessment of their work using the Report Comparator allowed them to routinely improve future report quality and improved radiological understanding. In an era with increasing workload demands, trainee work hour restrictions, and decentralization of department resources (e.g., faculty, PACS), this solution helps to retain an important part of the educational experience that would have otherwise run the risk of being lost and provides it to the trainees in an efficient and highly consumable manner.
主治放射科医师通常会在标准工作流程模型中编辑放射科受训者口述的初步报告。时间限制、高工作量和空间分离可能并不总是有利于与受训者清楚地讨论这些更改。但是，如果这些编辑内容没有反馈给受训者，它们可能代表着重要的教学机会，而这些机会将会丢失。我们创建了一种电子方法，可以检索和显示主治放射科医师在放射科报告定稿过程中对住院医师书面初步报告所做的更改。查询放射信息系统。初步和最终的放射学报告以及报告元数据被提取并存储在一个数据库中，该数据库按访问号和受训者/放射科医师身份进行索引。一个网络应用程序向受训者展示他们最近的 100 份初步和最终报告对，并排显示和“跟踪更改”模式。网络使用情况审计显示，受训者经常使用该软件。接受调查的住院医师表示，他们比较报告是为了获得教育价值，改进未来的报告，并改善患者护理。住院医师表示，在部署此软件解决方案后，他们更频繁地比较报告，并且经常使用报告比较器评估他们的工作，这使他们能够常规地提高未来报告的质量并提高放射学理解。在工作量需求不断增加、受训者工作时间限制以及部门资源（例如，教师、PACS）分散的时代，该解决方案有助于保留教育体验的重要部分，否则这些部分可能会有丢失的风险，并以高效和高度消耗的方式将其提供给受训者。
