Adams W M
Department of Surgical Sciences, School of Veterinary Medicine, University of Wisconsin-Madison, USA.
Vet Radiol Ultrasound. 1998 Sep-Oct;39(5):482-6. doi: 10.1111/j.1740-8261.1998.tb01638.x.
Radiologists from 28 veterinary schools and one private teaching hospital responded to a survey questionnaire focused on diagnostic image reporting. Radiologists at 26 hospitals generated a hard copy report on essentially all imaging studies performed. At 25 hospitals, radiologists dictated and transcriptionists typed all or most reports; radiologists at two institutions typed all or some of their reports. At five hospitals, preliminary and/or final handwritten reports were generated. The range of reports generated per day was <10 to 40 per radiologist on duty. Seven respondents generated reports as films came from the processor and another 12 routinely generated reports the day the studies were completed. Clinician access to a processed report averaged 2 to 4 days after study was completed (reported range: several hours to 7 or more days). Fifteen responding radiologists personally mounted films from storage jackets for a majority of their reporting. Fourteen respondents generated reports from films mounted on motorized or stationary viewers. Nineteen respondents generated reports in a busy viewing area where they were frequently interrupted. Radiologists' impression of clinician and resident satisfaction regarding availability of radiology reports was that they were satisfied or very satisfied at 15 of the 29 hospitals. Five respondents reported that clinicians and residents were not concerned about availability of processed radiology reports. Thirteen radiologists were planning to change their reporting method within the next 2 years. The change most frequently sought (12 respondents) was to decrease turn-around time of reports. Ten radiologists indicated an interest in trying a voice recognition dictation system. The most common reasons given for not planning any changes in radiology reporting in the next 2 years were: limited number of radiologists (8) and "satisfied as is" (7). Turn-around of radiology reports at these veterinary institutions averaged 2 to 3 times longer than for radiology departments in human health-care facilities.
来自28所兽医学院和一家私立教学医院的放射科医生对一份聚焦于诊断影像报告的调查问卷做出了回应。26家医院的放射科医生针对基本上所有进行的影像检查生成了一份硬拷贝报告。在25家医院,放射科医生口授,转录员录入所有或大部分报告;两家机构的放射科医生录入所有或部分报告。在5家医院,生成了初步和/或最终手写报告。每位值班放射科医生每天生成的报告数量范围为<10至40份。7名受访者在胶片从冲洗机出来时生成报告,另外12名受访者通常在检查完成当天生成报告。临床医生在检查完成后平均2至4天能够获取已处理的报告(报告范围:数小时至7天或更长时间)。15名做出回应的放射科医生在大多数报告过程中亲自从存储夹中取出胶片。14名受访者从安装在电动或固定观片器上的胶片生成报告。19名受访者在繁忙的阅片区域生成报告,在那里他们经常被打断。放射科医生对临床医生和住院医生对放射学报告可得性的满意度的印象是,在29家医院中的15家,他们感到满意或非常满意。5名受访者报告称临床医生和住院医生对已处理的放射学报告的可得性并不关心。13名放射科医生计划在未来2年内改变他们的报告方法。最常寻求的改变(12名受访者)是缩短报告周转时间。10名放射科医生表示有兴趣尝试语音识别听写系统。在未来2年内不计划对放射学报告做出任何改变的最常见原因是:放射科医生数量有限(8人)和“现状满意”(7人)。这些兽医机构的放射学报告周转时间平均比人类医疗保健机构的放射科长2至3倍。