McWilliams Justin P, Shah Rajesh P, Quirk Matthew, White Sarah B, Dybul Stephanie L, Ahrar Judy, Steele Joseph R, Kwan Sharon W, Handel Jeremy, Winokur Ronald S, Gilliland Charles A, Durack Jeremy C
Department of Radiology, Division of Interventional Radiology, Ronald Reagan University of California, Los Angeles (UCLA), Medical Center, David Geffen School of Medicine at UCLA, 757 Westwood Plaza, 2nd Floor, Suite 2125C, Los Angeles, CA 90095.
Department of Radiology, Division of Interventional Radiology, Ronald Reagan University of California, Los Angeles (UCLA), Medical Center, David Geffen School of Medicine at UCLA, 757 Westwood Plaza, 2nd Floor, Suite 2125C, Los Angeles, CA 90095.
J Vasc Interv Radiol. 2016 Dec;27(12):1779-1785. doi: 10.1016/j.jvir.2016.07.016. Epub 2016 Sep 23.
To assess adoption and survey-based satisfaction rates following deployment of standardized interventional radiology (IR) procedure reports across multiple institutions.
Standardized reporting templates for 5 common interventional procedures (central venous access, inferior vena cava [IVC] filter insertion, IVC filter removal, uterine artery embolization, and vertebral augmentation) were distributed to 20 IR practices in a prospective quality-improvement study. Participating sites edited the reports according to institutional preferences and deployed them for a 1-year pilot study concluding in July 2015. Study compliance was measured by sampling 20 reports of each procedure type at each institution, and surveys of interventionalists and referring physicians were performed. Modifications to the standardized reporting templates at each site were analyzed.
Ten institutions deployed the standardized reports, with 8 achieving deployment of 3-12 months. The mean report usage rate was 57%. Each site modified the original reports, with 26% mean reduction in length, 18% mean reduction in wordiness, and 60% mean reduction in the number of forced fill-in fields requiring user input. Linear-regression analysis revealed that reduced number of forced fill-in fields correlated significantly with increased usage rate (R = 0.444; P = .05). Surveys revealed high satisfaction rates among referring physicians but lower satisfaction rates among interventional radiologists.
Standardized report adoption rates increased when reports were simplified by reducing the number of forced fill-in fields. Referring physicians preferred the standardized reports, whereas interventional radiologists preferred standard narrative reports.
评估在多个机构部署标准化介入放射学（IR）程序报告后的采用率和基于调查的满意度。
在一项前瞻性质量改进研究中，将5种常见介入程序（中心静脉通路、下腔静脉[IVC]滤器置入、IVC滤器取出、子宫动脉栓塞和椎体强化）的标准化报告模板分发给20个IR科室。参与的机构根据自身偏好编辑报告，并将其用于一项截至2015年7月结束的为期1年的试点研究。通过在每个机构抽取每种程序类型的20份报告来衡量研究依从性，并对介入医师和转诊医师进行调查。分析了每个机构对标准化报告模板所做的修改。
10个机构部署了标准化报告，其中8个机构的部署时间为3至12个月。报告的平均使用率为57%。每个机构都对原始报告进行了修改，报告长度平均减少了26%，冗长程度平均减少了18%，需要用户输入的必填字段数量平均减少了60%。线性回归分析显示，必填字段数量的减少与使用率的提高显著相关（R = 0.444；P = 0.05）。调查显示，转诊医师的满意度较高，但介入放射科医师的满意度较低。
通过减少必填字段数量简化报告时，标准化报告的采用率会提高。转诊医师更喜欢标准化报告，而介入放射科医师更喜欢标准的叙述性报告。
