Worrell J
South Med J. 1983 Feb;76(2):216-7.
I reviewed 100 consecutive radiologic examinations with particular attention to the clinical information included. The referring physician originated this clinical information in only 33% of cases. Other personnel, including nurses and aides, added information on the requisitions 57% of the time. When nonphysician personnel completed the requisitions, 46% of the cases were completed with either inappropriate or misleading clinical information. In 9% of the cases, there was no clinical information. Because all of the cases originated by physicians were appropriately completed, a strong plea is made for requiring physicians to originate radiologic requisitions.
我回顾了连续100例放射学检查,特别关注其中包含的临床信息。在仅33%的病例中,转诊医生提供了这些临床信息。其他人员,包括护士和护理员,在57%的情况下补充了申请单上的信息。当非医生人员填写申请单时,46%的病例填写的临床信息不恰当或有误导性。在9%的病例中,没有临床信息。由于所有由医生发起的病例都填写恰当,因此强烈呼吁要求医生发起放射学检查申请。