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Recht MP, Donoso-Bach L, Brkljačić B, Chandarana H, Jankharia B, Mahoney MC. Patient-centered radiology: a roadmap for outpatient imaging. Eur Radiol 2024; 34:4331-4340. [PMID: 38047974 DOI: 10.1007/s00330-023-10370-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2023] [Revised: 08/16/2023] [Accepted: 08/31/2023] [Indexed: 12/05/2023]
Abstract
Creating a patient-centered experience is becoming increasingly important for radiology departments around the world. The goal of patient-centered radiology is to ensure that radiology services are sensitive to patients' needs and desires. This article provides a framework for addressing the patient's experience by dividing their imaging journey into three distinct time periods: pre-exam, day of exam, and post-exam. Each time period has aspects that can contribute to patient anxiety. Although there are components of the patient journey that are common in all regions of the world, there are also unique features that vary by location. This paper highlights innovative solutions from different parts of the world that have been introduced in each of these time periods to create a more patient-centered experience. CLINICAL RELEVANCE STATEMENT: Adopting innovative solutions that help patients understand their imaging journey and decrease their anxiety about undergoing an imaging examination are important steps in creating a patient centered imaging experience. KEY POINTS: • Patients often experience anxiety during their imaging journey and decreasing this anxiety is an important component of patient centered imaging. • The patient imaging journey can be divided into three distinct time periods: pre-exam, day of exam, and post-exam. • Although components of the imaging journey are common, there are local differences in different regions of the world that need to be considered when constructing a patient centered experience.
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Affiliation(s)
- Michael P Recht
- Department of Radiology, NYU Langone Health, New York, NY, USA.
| | - Lluís Donoso-Bach
- Hospital Clinic of Barcelona, University of Barcelona, Barcelona, Spain
| | - Boris Brkljačić
- Department of Radiology, University Hospital Dubrava Zagreb, University of Zagreb School of Medicine, Zagreb, Croatia
| | | | | | - Mary C Mahoney
- Department of Radiology, University of Cincinnati Medical Center, Cincinnati, USA
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2
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Spilseth B, Giganti F, Chang SD. The importance and future of prostate MRI report templates: improving oncological care. Abdom Radiol (NY) 2024:10.1007/s00261-024-04434-1. [PMID: 38900327 DOI: 10.1007/s00261-024-04434-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2024] [Revised: 05/30/2024] [Accepted: 06/06/2024] [Indexed: 06/21/2024]
Abstract
The radiologist's report is crucial for guiding care post-imaging, with ongoing advancements in report construction. Recent studies across various modalities and organ systems demonstrate enhanced clarity and communication through structured reports. This article will explain the benefits of disease-state specific reporting templates using prostate MRI as the model system. We identify key reporting components for prostate cancer detection and staging as well as imaging in active surveillance and following therapy. We discuss relevant reporting systems including PI-QUAL, PI-RADS, PRECISE, PI-RR and PI-FAB systems. Additionally, we examine optimal reporting structure including disruptive technologies such as graphical reporting and using artificial intelligence to improve report clarity and applicability.
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Affiliation(s)
- Benjamin Spilseth
- Department of Radiology, University of Minnesota Medical School, Minneapolos, Minnesota, USA
| | - Francesco Giganti
- Department of Radiology, University College London Hospital NHS Foundation Trust, London, UK
- Division of Surgery & Interventional Science, University College London, London, UK
| | - Silvia D Chang
- Department of Radiology, University of British Columbia Vancouver General Hospital, 899 West 12th Avenue, Vancouver, B.C, V5Z 1M9, Canada.
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Vimalesvaran K, Robert D, Kumar S, Kumar A, Narbone M, Dharmadhikari R, Harrison M, Ather S, Novak A, Grzeda M, Gooch J, Woznitza N, Hall M, Shuaib H, Lowe DJ. Assessing the effectiveness of artificial intelligence (AI) in prioritising CT head interpretation: study protocol for a stepped-wedge cluster randomised trial (ACCEPT-AI). BMJ Open 2024; 14:e078227. [PMID: 38885990 PMCID: PMC11184206 DOI: 10.1136/bmjopen-2023-078227] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/29/2023] [Accepted: 04/30/2024] [Indexed: 06/20/2024] Open
Abstract
INTRODUCTION Diagnostic imaging is vital in emergency departments (EDs). Accessibility and reporting impacts ED workflow and patient care. With radiology workforce shortages, reporting capacity is limited, leading to image interpretation delays. Turnaround times for image reporting are an ED bottleneck. Artificial intelligence (AI) algorithms can improve productivity, efficiency and accuracy in diagnostic radiology, contingent on their clinical efficacy. This includes positively impacting patient care and improving clinical workflow. The ACCEPT-AI study will evaluate Qure.ai's qER software in identifying and prioritising patients with critical findings from AI analysis of non-contrast head CT (NCCT) scans. METHODS AND ANALYSIS This is a multicentre trial, spanning four diverse sites, over 13 months. It will include all individuals above the age of 18 years who present to the ED, referred for an NCCT. The project will be divided into three consecutive phases (pre-implementation, implementation and post-implementation of the qER solution) in a stepped-wedge design to control for adoption bias and adjust for time-based changes in the background patient characteristics. Pre-implementation involves baseline data for standard care to support the primary and secondary outcomes. The implementation phase includes staff training and qER solution threshold adjustments in detecting target abnormalities adjusted, if necessary. The post-implementation phase will introduce a notification (prioritised flag) in the radiology information system. The radiologist can choose to agree with the qER findings or ignore it according to their clinical judgement before writing and signing off the report. Non-qER processed scans will be handled as per standard care. ETHICS AND DISSEMINATION The study will be conducted in accordance with the principles of Good Clinical Practice. The protocol was approved by the Research Ethics Committee of East Midlands (Leicester Central), in May 2023 (REC (Research Ethics Committee) 23/EM/0108). Results will be published in peer-reviewed journals and disseminated in scientific findings (ClinicalTrials.gov: NCT06027411) TRIAL REGISTRATION NUMBER: NCT06027411.
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Affiliation(s)
- Kavitha Vimalesvaran
- Clinical Scientific Computing, Guy's and St Thomas' NHS Foundation Trust, London, UK
- King's College London, London, UK
| | | | | | | | | | | | - Mark Harrison
- Northumbria Healthcare NHS Foundation Trust, North Shields, UK
| | - Sarim Ather
- Oxford University Hospitals NHS Foundation Trust, Oxford, UK
| | - Alex Novak
- Emergency Medicine Research Oxford (EMROx), Oxford University Hospitals NHS Foundation Trust, Oxford, UK
| | | | | | - Nicholas Woznitza
- Department of Radiology, Homerton University Hospital NHS Foundation Trust, London, UK
- School of Allied & Public Health, Canterbury Christ Church University, Canterbury, UK
| | - Mark Hall
- NHS Greater Glasgow and Clyde, Glasgow, UK
| | - Haris Shuaib
- Guy's and St Thomas' NHS Foundation Trust, London, UK
| | - David J Lowe
- Emergency Medicine, Queen Elizabeth University Hospital, Glasgow, UK
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4
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Siewert B, Bruno MA, Fleishon HB, Hublall R, Slanetz PJ, Jankovic SN, Kotsenas AL, Schwartz ES, Pawley B, Mukherji SK, Bourland JD, Artunduaga M, Saif M, Poussaint TY, Scanlon MH, Kirsch J, Lexa FJ. Summary of the 2022 ACR Intersociety Meeting. J Am Coll Radiol 2023; 20:479-486. [PMID: 37121627 DOI: 10.1016/j.jacr.2023.03.005] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2023] [Accepted: 03/06/2023] [Indexed: 05/02/2023]
Abstract
The ACR Intersociety Committee meeting of 2022 (ISC-2022) was convened around the theme of "Recovering From The Great Resignation, Moral Injury and Other Stressors: Rebuilding Radiology for a Robust Future." Representatives from 29 radiology organizations, including all radiology subspecialties, radiation oncology, and medical physics, as well as academic and private practice radiologists, met for 3 days in early August in Park City, Utah, to search for solutions to the most pressing problems facing the specialty of radiology in 2022. Of these, the mismatch between the clinical workload and the available radiologist workforce was foremost-as many other identifiable problems flowed downstream from this, including high job turnover, lack of time for teaching and research, radiologist burnout, and moral injury.
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Affiliation(s)
- Bettina Siewert
- Associate Professor of Radiology, Harvard Medical School, Boston, Massachusetts, and Department of Radiology, Beth Israel Deaconess Medical Center, Boston, Massachusetts; Vice Chair of RSNA Quality Improvement Committee.
| | - Michael A Bruno
- Professor of Radiology and Professor of Medicine, Penn State University, University Park, Pennsylvania, and Department of Radiology, Penn State Health, Hershey Medical Center, Hershey, Pennsylvania
| | - Howard B Fleishon
- Associate Professor of Radiology, Department of Radiology and Imaging Sciences, Atlanta, Georgia; President, ACR
| | - Ronald Hublall
- Central Illinois Radiological Associates, East Peoria, Illinois
| | - Priscilla J Slanetz
- Professor of Radiology, Boston University Chobanian & Avedisian School of Medicine and Department of Radiology, Boston Medical Center, Boston, Massachusetts; President-Elect, AUR; Vice Chair of Academic Affairs in the Department of Radiology and Associate Program Director of the Diagnostic Radiology Residency, Boston Medical Center; Subspecialty Chair, ACR Appropriateness Criteria Breast Imaging Panels; Chair, Mentorship Committee, Society of Breast Imaging; Co-Chair, Fellowship Committee and Breast Imaging Committee of the Massachusetts Radiological Society
| | - Stephanie N Jankovic
- Department of Radiology, Oregon Health & Science University Hospital, Portland, Oregon
| | - Amy L Kotsenas
- Professor of Radiology, Mayo Clinic School of Medicine, Rochester, Minnesota, and Department of Radiology, Mayo Clinic, Rochester, Minnesota; Board of Chancellors, ACR
| | - Erin S Schwartz
- Professor of Radiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, Department of Radiology, University of Pennsylvania, Philadelphia, Pennsylvania and Department of Radiology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania
| | - Barbara Pawley
- Associate Professor of Radiology, University of Kentucky, Lexington, Kentucky, and Department of Radiology, UK Albert B. Chandler Hospital, Lexington, Kentucky; Immediate Past-President, American Association for Women Radiologists
| | | | - J Daniel Bourland
- Professor of Radiation Oncology, Department of Radiation Oncology, Wake Forest University School of Medicine, Winston-Salem, North Carolina; 2022 President, American Association of Physicists in Medicine, 2023 Chair, Board of Directors, American Association of Physicists in Medicine
| | - Maddy Artunduaga
- Assistant Professor of Radiology, Department of Radiology, Pediatric Radiology Division, UT Southwestern Medical Center, Dallas, Texas
| | - Manal Saif
- Department of Radiology, Penn State Health, Hershey Medical Center, Hershey, Pennsylvania
| | - Tina Y Poussaint
- Lionel W. Young Chair in Radiology, Professor of Radiology, Harvard Medical School, Boston, Massachusetts, and Department of Radiology, Boston Children's Hospital, Boston, Massachusetts, 1st Past President, American Society of Neyruradiology
| | - Mary H Scanlon
- Clinical Professor of Radiology, Perelman School of Medicine, University of Pennsylvania, Pennsylvania, Pennsylvania, and Department of Radiology, University of Pennsylvania, Philadelphia, Pennsylvania, President, Association of Program Directors in Radiology
| | - Jacobo Kirsch
- Chair, Florida Region Imaging Institute, Cleveland Clinic Florida, Weston Hospital, Weston, Florida
| | - Frank J Lexa
- Professor and Vice Chair Faculty Affairs, Department of Radiology, University of Pittsburgh Medical Center International, Pittsburgh, Pennsylvania; Vice President, ACR; Chief Medical Officer, The Radiology Leadership Institute of the ACR
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5
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O'Reilly PA, Lewis S, Reed W. Assessing the implementation of COVID-19 structured reporting templates for chest radiography: a scoping review. BJR Open 2023; 5:20220058. [PMID: 37389002 PMCID: PMC10301714 DOI: 10.1259/bjro.20220058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2022] [Revised: 02/24/2023] [Accepted: 02/24/2023] [Indexed: 03/04/2023] Open
Abstract
Objective One of the common modalities used in imaging COVID-19 positive patients is chest radiography (CXR), and serves as a valuable imaging method to diagnose and monitor a patients' condition. Structured reporting templates are regularly used for the assessment of COVID-19 CXRs and are supported by international radiological societies. This review has investigated the use of structured templates for reporting COVID-19 CXRs. Methods A scoping review was conducted on literature published between 2020 and 2022 using Medline, Embase, Scopus, Web of Science, and manual searches. An essential criterion for the inclusion of the articles was the use of reporting methods employing either a structured quantitative or qualitative reporting method. Thematic analyses of both reporting designs were then undertaken to evaluate utility and implementation. Results Fifty articles were found with the quantitative reporting method used in 47 articles whilst 3 articles were found employing a qualitative design. Two quantitative reporting tools (Brixia and RALE) were used in 33 studies, with other studies using variations of these methods. Brixia and RALE both use a posteroanterior or supine CXR divided into sections, Brixia with six and RALE with four sections. Each section is scaled numerically depending on the level of infection. The qualitative templates relied on selecting the best descriptor of the presence of COVID-19 radiological appearances. Grey literature from 10 international professional radiology societies were also included in this review. The majority of the radiology societies recommend a qualitative template for reporting COVID-19 CXRs. Conclusion Most studies employed quantitative reporting methods which contrasted with the structured qualitative reporting template advocated by most radiological societies. The reasons for this are not entirely clear. There is also a lack of research literature on both the implementation of the templates or comparing both template types, indicating that the use of structured radiology reporting types may be an underdeveloped clinical strategy and research methodology. Advances in knowledge This scoping review is unique in that it has undertaken an examination of the utility of the quantitative and qualitative structured reporting templates for COVID-19 CXRs. Moreover, through this review, the material examined has allowed a comparison of both instruments, clearly showing the favoured style of structured reporting by clinicians. At the time of the database interrogation, there were no studies found had undertaken such examinations of both reporting instruments. Moreover, due to the enduring influence of COVID-19 on global health, this scoping review is timely in examining the most innovative structured reporting tools that could be used in the reporting of COVID-19 CXRs. This report could assist clinicians in decision-making regarding templated COVID-19 reports.
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Affiliation(s)
- Peter A O'Reilly
- Academic, Discipline of Medical Imaging Science, The University of Sydney School of Health Sciences, Camperdown, Sydney, Australia
| | - Sarah Lewis
- Associate Dean Research Performance, Faculty of Medicine and Health, The University of Sydney School of Health Sciences, Camperdown, Sydney, Australia
| | - Warren Reed
- Program Director, Bachelor of Applied Science (Diagnostic Radiography), The University of Sydney School of Health Sciences, Camperdown, Sydney, Australia
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Sharma U, Gomindes AR, Sharma K, Choudhry J, C Searle HK. Compliance With the Royal College of Radiologists Guideline for Actionable Reporting and Its Impact on Patient Care: A Retrospective Analysis of Reporting Practices From a Major Trauma Center. Cureus 2023; 15:e35921. [PMID: 37056531 PMCID: PMC10089639 DOI: 10.7759/cureus.35921] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/09/2023] [Indexed: 04/15/2023] Open
Abstract
Introduction Prompt diagnosis forms the mainstay of management of any patient arriving at the hospital. In developed settings, apart from clinical assessment, imaging in the form of computed tomography (CT) scan plays a vital role in arriving at the patient diagnosis. The reporting should follow pre-defined Royal College of Radiologists (RCR) standards to improve the quality of the diagnostic process. Objectives To identify the compliance of reporting as per the RCR standards for the communication of radiological reports and fail-safe alert notification. Materials and methods A retrospective review of body CT scans was done in two cycles within a span of three months. A total of 100 randomized scans were assessed in each cycle, both from the A&E (accident and emergency) and inpatients. Normal scans and outpatient scans were excluded from the study. Data were collected using the online portal (CRIS) and statistical analysis was performed. Results After the first cycle of the audit, 95 reports out of 100 met the standard RCR criteria. After the second cycle, 97 reports met the criteria of the audit. One inpatient scan and two A&E reports did not meet the specified criteria in the second cycle. Conclusion After the two cycles of the audit carried out over three months, we were able to achieve almost 97% of reporting standards as compared to 95% obtained previously through a quality improvement project and create awareness.
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Affiliation(s)
- Utkarsh Sharma
- Major Trauma Services, Queen Elizabeth Hospital Birmingham, Birmingham, GBR
| | - Austin R Gomindes
- Higher Education Academy, Advanced Higher Education - UK Professional Standards Framework, Birmingham, GBR
- School of Medical and Dental Science, University of Birmingham, Birmingham, GBR
- Trauma and Orthopaedics, University Hospitals of Coventry and Warwickshire, Coventry, GBR
| | - Kritika Sharma
- Paediatrics and Child Health, Lok Nayak Jai Prakash Narayan Hospital, New Delhi, IND
| | - Jamaal Choudhry
- Trauma and Orthopaedics, University Hospitals of Coventry and Warwickshire, Coventry, GBR
| | - Henry K C Searle
- Trauma and Orthopaedics, University Hospitals of Coventry and Warwickshire, Coventry, GBR
- Warwick Clinical Trials Unit, Clinical Sciences and Research Laboratories, University Hospitals of Coventry and Warwickshire, Coventry, GBR
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Gaetke-Udager K, Mahoney M, Omary RA, Chan S, Ros PR. The 2022 AUR Academic Radiology and Industry Leaders Roundtable. Acad Radiol 2022:S1076-6332(22)00594-3. [DOI: 10.1016/j.acra.2022.11.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2022] [Accepted: 11/01/2022] [Indexed: 11/22/2022]
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8
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Vincoff NS, Barish MA, Grimaldi G. The patient-friendly radiology report: history, evolution, challenges and opportunities. Clin Imaging 2022; 89:128-135. [DOI: 10.1016/j.clinimag.2022.06.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2022] [Revised: 06/08/2022] [Accepted: 06/28/2022] [Indexed: 11/17/2022]
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Paluch J, Kohr J, Squires A, Loving V. Patient-centered Care and Integrated Practice Units: Embracing the Breast Care Continuum. JOURNAL OF BREAST IMAGING 2022; 4:413-422. [PMID: 38416987 DOI: 10.1093/jbi/wbac031] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2021] [Indexed: 03/01/2024]
Abstract
Patient-centered care is a health care approach optimized for the needs of the patient. As patients have sought more autonomy in recent years, this model has been more frequently adopted. Breast radiologists aspiring to advance patient-centered care should seek greater ownership of the breast diagnostic imaging and intervention workflows, helping their patients navigate the complex breast care landscape with patients' preferences taken into account. Applying this approach to breast radiology will increase patient satisfaction and compliance while also limiting wasted health care dollars, unnecessary diagnostic delays, and overall confusion. Herein, the benefits of patient-centered breast radiology are discussed, and numerous suggestions and case examples are provided to help readers reshape their practice toward the priorities of their patients.
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Affiliation(s)
- Jeremy Paluch
- Virginia Mason Medical Center, Department of Radiology, Seattle, WA, USA
| | - Jennifer Kohr
- Virginia Mason Medical Center, Department of Radiology, Seattle, WA, USA
| | | | - Vilert Loving
- Banner MD Anderson Cancer Center, Division of Diagnostic Imaging, Gilbert, AZ, USA
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10
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Talking Points: Enhancing Communication Between Radiologists and Patients. Acad Radiol 2022; 29:888-896. [PMID: 33846062 DOI: 10.1016/j.acra.2021.02.026] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2021] [Revised: 02/15/2021] [Accepted: 02/21/2021] [Indexed: 11/23/2022]
Abstract
Radiologists communicate along multiple pathways, using written, verbal, and non-verbal means. Radiology trainees must gain skills in all forms of communication, with attention to developing effective professional communication in all forms. This manuscript reviews evidence-based strategies for enhancing effective communication between radiologists and patients through direct communication, written means and enhanced reporting. We highlight patient-centered communication efforts, available evidence, and opportunities to engage learners and enhance training and simulation efforts that improve communication with patients at all levels of clinical care.
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Video Radiology Reports: A Valuable Tool to Improve Patient-Centered Radiology. AJR Am J Roentgenol 2022; 219:509-519. [PMID: 35441532 DOI: 10.2214/ajr.22.27512] [Citation(s) in RCA: 18] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Background: Improved communication between radiologists and patients is a key component of patient-centered radiology. Objective: The purpose of this study was to create patient-centered video radiology reports using simple-to-understand language and annotated images and to assess the effect of these reports on patients' experience and understanding of their imaging results. Methods: During a 4-month study period, faculty radiologists created video radiology reports using a tool integrated within the diagnostic viewer that allows both image and voice capture. To aid patients' understanding of cross-sectional images, cinematic rendered images were automatically created and made immediately available to radiologists at the workstation, allowing their incorporation into video radiology reports. Video radiology reports were made available to patients via the institutional health portal along with the written radiology report and the examination images. Patient views of the video report were recorded, and descriptive analyses were performed on radiologist and examination characteristics as well as patient demographics. A survey was sent to patients to obtain feedback on their experience. Results: During the study period, 105 out of 227 faculty radiologists created a total of 3763 video radiology reports (mean number of reports per radiologist ± SD, 36 ± 27 reports). Mean time to create a video report was 238 ± 141 seconds. Patients viewed 864 unique video reports. The overall video radiology report experience rating based on 101 patient surveys was 4.7 out of 5. The rating for how well the video report helped patients understand their findings was also 4.7 out of 5. Of the patients who responded to the survey,91% preferred having both written and video reports together over having written reports alone. Conclusion: Patient-centered video radiology reports are a useful tool to help improve patient understanding of imaging results. The mechanism of creating the video reports and delivering them to patients can be integrated into existing informatics infrastructure. Clinical Impact: Video radiology reports can play an important role in patient-centered radiology, increasing patient understanding of imaging results, and they may improve the visibility of radiologists to patients and highlight the radiologist's important role in patient care.
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12
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Chilanga CC, Olerud HM, Lysdahl KB. Radiographers' actions and challenges when confronted with inappropriate radiology referrals. Eur Radiol 2022; 32:4210-4217. [PMID: 34989841 PMCID: PMC8732969 DOI: 10.1007/s00330-021-08470-z] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2021] [Revised: 10/26/2021] [Accepted: 11/15/2021] [Indexed: 11/26/2022]
Abstract
OBJECTIVES To explore radiographers' actions toward inappropriate referrals and hindrances to assessing referrals. METHODS An online survey was distributed to radiographers via the International Society of Radiographers and Radiological Technologists (ISRRT) networks. The questionnaire consisted of 5-point Likert scale questions on radiographers' actions to supplement referral information, actions for unjustified referrals and hindrances to referral assessment. The questionnaire was validated using a test-retest reliability analysis. Kappa values ≥ 0.6 were accepted. SPSS software was used for data analysis and chi-square tests to compare subgroups. RESULTS Total responses received were 279. The most reported actions to supplement missing referral information were to ask the patient or relative, examine the body region of concern and check medical records (73%, 70%, 67%, responded often/always, respectively). The actions when confronted with unjustified referrals were reported equally to consult the radiologist, referring clinician and radiographer (69-68% often/always responses). The hindering factors ranked high (agreed/strongly agreed responses) pertained to inadequate information in referral forms (83%), ineffective communication among healthcare professionals (79%), lack of training (70%) and allocated time (61%). Statistically significant associations were observed for a few actions and hindrances with education level, modality of practice and responsibility to screen imaging referrals. CONCLUSION Radiographers consult colleagues about suspected unjustified referrals. Effective communication pathways, training and time allocation to improve radiographers' skills to assess referrals may enhance appropriate imaging and delivery of quality patient care. KEY POINTS • Radiographers' actions of supplementing missing information in radiology referrals facilitate provision of high-quality health services. • Radiographers' strategy when confronted with inappropriate referrals is to consult radiologists and referring clinicians. • Better inter-professional communication and organisation of tasks can facilitate radiographers' participation in referral assessment to ensure appropriate imaging.
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Affiliation(s)
- Catherine Chilute Chilanga
- Department of Optometry, Radiography and Lighting Design, Faculty of Health and Social Sciences, University of South-Eastern Norway (USN), Pb 235, 3603, Kongsberg, Norway.
| | - Hilde Merete Olerud
- Department of Optometry, Radiography and Lighting Design, Faculty of Health and Social Sciences, University of South-Eastern Norway (USN), Pb 235, 3603, Kongsberg, Norway
| | - Kristin Bakke Lysdahl
- Department of Optometry, Radiography and Lighting Design, Faculty of Health and Social Sciences, University of South-Eastern Norway (USN), Pb 235, 3603, Kongsberg, Norway
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13
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Mehan WA, Brink JA, Hirsch JA. 21st Century Cures Act: Patient-Facing Implications of Information Blocking. J Am Coll Radiol 2021; 18:1012-1016. [DOI: 10.1016/j.jacr.2021.01.016] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2021] [Revised: 01/25/2021] [Accepted: 01/25/2021] [Indexed: 11/17/2022]
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14
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McFarland JA, Elkassem AMA, Casals L, Smith GD, Smith AD, Gunn AJ. Objective comparison of errors and report length between structured and freeform abdominopelvic computed tomography reports. Abdom Radiol (NY) 2021; 46:387-393. [PMID: 32676735 DOI: 10.1007/s00261-020-02646-9] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2020] [Revised: 06/23/2020] [Accepted: 07/04/2020] [Indexed: 12/24/2022]
Abstract
PURPOSE To objectively compare structured and freeform abdominopelvic CT reports based on the number and types of errors as well as report length. METHODS 90 structured and 89 freeform reports from abdominopelvic CT scans with IV contrast obtained for the indication of abdominal pain were randomly selected for review. Each report was reviewed for errors, which were counted and categorized based on the type of error. The total number of words in each report was tallied. RESULTS 105 total errors were found in the structured reports, compared to 157 total errors in freeform reports. There were 1.16 errors per structured report and 1.76 errors per freeform report (p < 0.001). 48% of structured reports contained at least one error, while 71% of freeform reports contained at least one error (p = 0.002). When a difference existed between the styles with regard to error categories, more errors were observed in freeform reports, with the exception of the duplicated period error where structured reports had more errors. No difference on the basis of average words per report existed, with 219.2 words per report for each reporting style. CONCLUSION The use of structured reporting for abdominopelvic CT results in less errors in the report when compared to freeform reporting, potentially reducing clinically significant adverse outcomes in patient care. The report length on the basis of number of words per report is not different between the two reporting styles.
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Affiliation(s)
- J Alex McFarland
- Department of Radiology, University of Alabama at Birmingham, 619 19th St South, Birmingham, AL, 35249, USA
| | - Asser M Abou Elkassem
- Department of Radiology, University of Alabama at Birmingham, 619 19th St South, Birmingham, AL, 35249, USA
| | - Luke Casals
- University of Alabama at Birmingham School of Medicine, 1670 University Blvd, Birmingham, AL, 35233, USA
| | - Grant D Smith
- University of Alabama at Birmingham School of Medicine, 1670 University Blvd, Birmingham, AL, 35233, USA
| | - Andrew D Smith
- Department of Radiology, University of Alabama at Birmingham, 619 19th St South, Birmingham, AL, 35249, USA
| | - Andrew J Gunn
- Department of Radiology, University of Alabama at Birmingham, 619 19th St South, Birmingham, AL, 35249, USA.
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15
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Hartung MP, Bickle IC, Gaillard F, Kanne JP. How to Create a Great Radiology Report. Radiographics 2020; 40:1658-1670. [DOI: 10.1148/rg.2020200020] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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16
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Short RG, Befera NT, Hoang JK, Tailor TD. A Normal Thyroid by Any Other Name: Linguistic Analysis of Statements Describing a Normal Thyroid Gland from Noncontrast Chest CT Reports. J Am Coll Radiol 2018; 15:1642-1647. [DOI: 10.1016/j.jacr.2018.04.016] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2018] [Revised: 03/30/2018] [Accepted: 04/12/2018] [Indexed: 10/16/2022]
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