Overnight resident preliminary interpretations on CT Examinations: Should the process continue?

被引：40

作者：

Strub W.M. ^{[1
]}

Vagal A.A. ^{[1
]}

Tomsick T. ^{[1
]}

Moulton J.S. ^{[1
]}

机构：

[1] Department of Radiology, University of Cincinnati, ML 0761, Cincinnati, OH 45267

来源：

Emergency Radiology | 2006年 / 13卷 / 1期

关键词：

Accuracy; Imaging; Independent; Interpretation; Preliminary; Resident;

D O I：

10.1007/s10140-006-0498-4

中图分类号：

学科分类号：

摘要：

We report our experience with resident preliminary interpretations given at night on both abdominal and neurological CT scans to quantify the discrepancy rate when compared to the final report. An attempt was also made to document any adverse clinical outcomes as a result of the preliminary interpretation. From January 1, 2004 to December 31, 2004, adult CT examinations were prospectively interpreted by residents at night at a level I trauma center. Both the neurological and body CT scans were reviewed beginning at 7:00 a.m. the following morning by the respective subspecialty staff and discrepancies were noted. Adult CT examinations (6,858) were prospectively interpreted by residents: 5,206 cranial spinal CT examinations and 1,652 body CT examinations. Among the neurological studies, there were six cases identified as major discrepancies (0.1%) and 185 minor discrepancies (3.5%). Among the body CT cases, there were seven cases identified as major discrepancies (0.4%) and 23 cases of minor discrepancies (1.4%). There is a low discrepancy rate (0.2% major and 3.1% minor) in the preliminary resident interpretations from the final report. The process of overnight preliminary CT interpretations should continue as it is not substandard care. © 2006 Am Soc Emergency Radiol.

引用

页码：19 / 23

页数：4

共 17 条

[1]

Lal N.R., Murray U.M., Eldevik O., Et al., Clinical consequences of misinterpretations of neuroradiologic CT scans by on-call radiology residents, AJNR Am J Neuroradiol, 21, pp. 124-129, (2000)

[2]

Pysher L., Harlow C., Teleradiology using low-cost consumer-oriented computer hardware and software, Radiology, 199, pp. 717-720, (1996)

[3]

Hillman B.J., Swensson R.G., Hessel S.J., Gerson D.E., Herman P.G., The value of consultation among radiologists, AJR Am J Roentgenol, 127, pp. 807-809, (1976)

[4]

Hessel S.J., Herman P.G., Swensson R.G., Improving performance by multiple interpretations of chest radiographs: Effectiveness and cost, Radiology, 127, pp. 589-594, (1978)

[5]

Markus J.B., Somers S., O'Malley B.P., Stevenson G.W., Double contrast barium enema studies: Effect of multiple reading on perception, Radiology, 175, pp. 155-156, (1990)

[6]

Harvey J.A., Fajardo L.L., Innis C.A., Previous mammograms in patients with impalpable breast carcinoma, AJR Am J Roentgenol, 161, pp. 1167-1172, (1993)

[7]

Berlin L., Reporting the "missed" radiologic diagnosis: Medicolegal and ethical considerations, Radiology, 192, pp. 183-187, (1994)

[8]

Renfrew D.L., Franken E.A., Berbaum K.S., Weigelt F.H., Abu-Yousef M.M., Error in radiology: Classification and lessons in 182 cases presented at a problem case conference, Radiology, 183, pp. 145-150, (1992)

[9]

Erly W.K., Berger W.G., Krupinski E., Et al., Radiology resident evaluation of head CT Scan orders in the emergency department, AJNR Am J Neuroradiol, 23, pp. 103-107, (2002)

[10]

Rhea J.T., Potsaid M.S., DeLuca S.A., Errors of interpretation as elicited by a quality audit of an emergency radiology facility, Radiology, 132, pp. 277-280, (1979)

← 1 2 →