Mehta Tej I, Assimacopoulos Aikaterina, Heiberger Caleb J, Weissman Simcha, Yim Douglas
Radiology, University of South Dakota Sanford School of Medicine, Sioux Falls, USA.
Obstetrics and Gynecology, University of South Dakota Sanford School of Medicine, Sioux Falls, USA.
Cureus. 2019 Oct 2;11(10):e5822. doi: 10.7759/cureus.5822.
This study seeks to examine a potential agreement and/or discordance of specific aspects of the radiology report between referring clinicians and radiologists within a medical group in a predominately rural setting. This study also aims to compare results with similar studies conducted in other geographic regions. This was done using a previously validated survey tool that examines five different aspects of the radiology report: importance, clinical correlation, clinicians' satisfaction, content, structure, and style. Dichotomized results were statistically analyzed using or Fischer's exact test and showed significant differences in the areas of importance and content. Non-dichotomized results unique to clinicians and radiologists were assessed qualitatively. Most clinicians found the radiology report to be useful in their clinical decision making and that they received radiology reports in a timely enough fashion to affect their decision making. These results were largely found to be in accordance with similar studies, but significant differences unique to the sampled population were present. Based on these findings, we have included specific recommendations that may enhance the clinical efficiency of radiology reports as used by clinicians and potentially reduce medical errors secondary to clinical information not always fully captured in radiology reports.
本研究旨在考察在一个以农村为主的医疗集团中,转诊临床医生与放射科医生之间在放射学报告特定方面可能存在的一致性和/或不一致性。本研究还旨在将结果与在其他地理区域进行的类似研究进行比较。这是通过使用一种先前经过验证的调查工具来完成的,该工具考察放射学报告的五个不同方面:重要性、临床相关性、临床医生满意度、内容、结构和风格。对二分结果使用卡方检验或费舍尔精确检验进行统计分析,结果显示在重要性和内容方面存在显著差异。对临床医生和放射科医生特有的非二分结果进行了定性评估。大多数临床医生发现放射学报告对他们的临床决策有用,并且他们能及时收到放射学报告以影响他们的决策。这些结果在很大程度上与类似研究一致,但抽样人群存在显著差异。基于这些发现,我们提出了一些具体建议,这些建议可能会提高临床医生使用放射学报告的临床效率,并有可能减少因放射学报告中临床信息未被充分捕捉而导致的医疗差错。