Department of Radiology, 8166University of British Columbia, Vancouver, British Columbia, Canada.
Faculty of Science, 8166University of British Columbia, Vancouver, British Columbia, Canada.
Can Assoc Radiol J. 2021 Aug;72(3):533-540. doi: 10.1177/0846537120902067. Epub 2020 Feb 24.
This study is an evaluation of the emergency department (ED) satisfaction with the current radiologic reporting system used at a major Northeastern academic medical center. The radiology reports are the main form of communication and usually the final product of any radiological investigation delivered to clinicians. The aim of this study was to improve current radiology reporting practices and to better tailor reports to match the needs and expectations of ED clinicians.
A 9-question online survey was sent to ED residents, fellows, faculty, and nurse practitioners/advanced practice providers at a major Northeastern academic medical center in the United States. For the open-ended section, coding and emergent theme categorization was conducted for quantification of responses. The survey was designed to evaluate the attitudes toward the structure, style, form, and wording used in reports.
The response rate was 48.6% (68/140). The ED respondents were generally satisfied with radiology reports, their language, vocabulary, and clarity. They preferred the impression section to be before the findings in simple examinations and to stratify the reports according to emergency status for complex examinations. They did not like extended differential, hedge terms, and delayed reporting. Additionally, ED respondents recommended focused, fast reporting with considerable changes toward a more standardized report.
This evaluation delivered a list of actionable recommendations. The top recommendation is to standardize reporting structure, style, and lexicon, in addition to being focused, timely, and brief.
本研究评估了一家美国东北部学术医疗中心的急诊科（ED）对当前放射学报告系统的满意度。放射学报告是沟通的主要形式，通常是向临床医生提供的任何放射学检查的最终产品。本研究旨在改进当前的放射学报告实践，并更好地根据 ED 临床医生的需求和期望调整报告。
在美国一家主要的东北部学术医疗中心，向 ED 住院医师、研究员、教员和护士执业医师/高级实践提供者发送了一份 9 个问题的在线调查。对于开放式部分，进行了编码和新兴主题分类，以量化响应。该调查旨在评估对报告的结构、风格、形式和措辞的态度。
应答率为 48.6%（68/140）。ED 受访者对放射学报告、其语言、词汇和清晰度普遍感到满意。他们更喜欢在简单检查中印象部分在发现之前，并且根据复杂检查的紧急情况对报告进行分层。他们不喜欢扩展鉴别诊断、对冲术语和延迟报告。此外，ED 受访者建议进行重点突出、快速的报告，并朝着更标准化的报告方向进行重大更改。
这项评估提出了一系列可行的建议。最重要的建议是标准化报告结构、风格和词汇，同时注重重点、及时性和简洁性。
