Case for active physician involvement in US practice

被引:18
作者
Chan, V
Hanbidge, A
Wilson, S
Pron, G
Moore, L
机构
[1] TORONTO GEN HOSP,DEPT DIAGNOST IMAGING,GEN DIV,TORONTO,ON M5G 2C4,CANADA
[2] UNIV TORONTO,DEPT MED IMAGING,TORONTO,ON,CANADA
[3] UNIV TORONTO,DEPT PREVENT MED & BIOSTAT,TORONTO,ON,CANADA
关键词
quality assurance; radiology and radiologists; departmental management; socioeconomic issues; technologists; ultrasound (US);
D O I
10.1148/radiology.199.2.8668811
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
PURPOSE: To assess the benefit of active physician involvement in ultrasound (US) examinations. MATERIALS AND METHODS: Concordance of findings by technologists and physicians was assessed prospectively for examinations of 1,510 consecutive patients who underwent US during regular working hours. RESULTS: Overall concordance was generally good (74%). However, in cases in which a major or minor new diagnosis was made from the US scan, concordance rates were substantially lower (36% and 32%, respectively). Agreement varied with the type of examination. The discordance rate for obstetric examinations (17%) was only half that for abdominal and pelvic examinations (31%). Concordance improved with increasing years of experience of the technologist. CONCLUSION: An active role of physicians in the overall conduct of US examinations is essential to optimize provision of a complete, accurate report.
引用
收藏
页码:555 / 560
页数:6
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