Analysis of the Rate of Discrepancy between Preliminary Reports by Radiology Residents and Final Reports by Certified Radiologists for Emergency Radiology: Studies in a University Hospital
Purpose In the adult emergency department of a university hospital, we investigated the frequency of major discrepancies between the preliminary reports by radiology residents and the final reports by certified radiologists. Materials and Methods Based on CT and MRI scans obtained between Decembe...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
The Korean Society of Radiology
2021-09-01
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| Series: | 대한영상의학회지 |
| Subjects: | |
| Online Access: | https://doi.org/10.3348/jksr.2020.0189 |
| _version_ | 1818888731533246464 |
|---|---|
| author | Younbeom Jeong Cheong-Il Shin Hwan Jun Jae Jung Hoon Kim Jin Wook Chung |
| author_facet | Younbeom Jeong Cheong-Il Shin Hwan Jun Jae Jung Hoon Kim Jin Wook Chung |
| author_sort | Younbeom Jeong |
| collection | DOAJ |
| description | Purpose In the adult emergency department of a university hospital, we investigated the frequency
of major discrepancies between the preliminary reports by radiology residents and the
final reports by certified radiologists.
Materials and Methods Based on CT and MRI scans obtained between December 2016 and
November 2019, we selected cases with diagnoses or treatment plans that could be changed
due to discrepancies between preliminary and final reports and classified them by the type of
discrepancy. We also examined the distributions of the major discrepancies and stratified them
by residents’ working time zone, experience, and subspecialty.
Results Based on the 72137 preliminary reports evaluated, 1348 tests (1.9%) showed major
discrepancies. Most of the major discrepancies were false negatives (72.0%), followed by misdiagnosis
(26.3%) and false positives (1.7%). Acute findings (87.2%) were more common than nonacute
findings (12.8%). The major discrepancy rate increased toward the second half of the 24-
hour shift, with the highest rate of 2.9% occurring between 2 am and 4 am. The major discrepancy
rate did not vary with experience, and it varied from 0.6% to 4.5% for each subspecialty.
Conclusion The major discrepancy rate was less than 2%, and it increased with longer working hours
during a 24-hour shift. |
| first_indexed | 2024-12-19T16:57:47Z |
| format | Article |
| id | doaj.art-10622e34702a49278b46b93dc3ca69f7 |
| institution | Directory Open Access Journal |
| issn | 2288-2928 |
| language | English |
| last_indexed | 2024-12-19T16:57:47Z |
| publishDate | 2021-09-01 |
| publisher | The Korean Society of Radiology |
| record_format | Article |
| series | 대한영상의학회지 |
| spelling | doaj.art-10622e34702a49278b46b93dc3ca69f72022-12-21T20:13:22ZengThe Korean Society of Radiology대한영상의학회지2288-29282021-09-0182511861195https://doi.org/10.3348/jksr.2020.0189Analysis of the Rate of Discrepancy between Preliminary Reports by Radiology Residents and Final Reports by Certified Radiologists for Emergency Radiology: Studies in a University HospitalYounbeom JeongCheong-Il ShinHwan Jun JaeJung Hoon KimJin Wook ChungPurpose In the adult emergency department of a university hospital, we investigated the frequency of major discrepancies between the preliminary reports by radiology residents and the final reports by certified radiologists. Materials and Methods Based on CT and MRI scans obtained between December 2016 and November 2019, we selected cases with diagnoses or treatment plans that could be changed due to discrepancies between preliminary and final reports and classified them by the type of discrepancy. We also examined the distributions of the major discrepancies and stratified them by residents’ working time zone, experience, and subspecialty. Results Based on the 72137 preliminary reports evaluated, 1348 tests (1.9%) showed major discrepancies. Most of the major discrepancies were false negatives (72.0%), followed by misdiagnosis (26.3%) and false positives (1.7%). Acute findings (87.2%) were more common than nonacute findings (12.8%). The major discrepancy rate increased toward the second half of the 24- hour shift, with the highest rate of 2.9% occurring between 2 am and 4 am. The major discrepancy rate did not vary with experience, and it varied from 0.6% to 4.5% for each subspecialty. Conclusion The major discrepancy rate was less than 2%, and it increased with longer working hours during a 24-hour shift.https://doi.org/10.3348/jksr.2020.0189radiologyradiologistsemergency medical servicesinternship and residencydiagnostic errors |
| spellingShingle | Younbeom Jeong Cheong-Il Shin Hwan Jun Jae Jung Hoon Kim Jin Wook Chung Analysis of the Rate of Discrepancy between Preliminary Reports by Radiology Residents and Final Reports by Certified Radiologists for Emergency Radiology: Studies in a University Hospital 대한영상의학회지 radiology radiologists emergency medical services internship and residency diagnostic errors |
| title | Analysis of the Rate of Discrepancy between Preliminary Reports by Radiology Residents and Final Reports by Certified Radiologists for Emergency Radiology: Studies in a University Hospital |
| title_full | Analysis of the Rate of Discrepancy between Preliminary Reports by Radiology Residents and Final Reports by Certified Radiologists for Emergency Radiology: Studies in a University Hospital |
| title_fullStr | Analysis of the Rate of Discrepancy between Preliminary Reports by Radiology Residents and Final Reports by Certified Radiologists for Emergency Radiology: Studies in a University Hospital |
| title_full_unstemmed | Analysis of the Rate of Discrepancy between Preliminary Reports by Radiology Residents and Final Reports by Certified Radiologists for Emergency Radiology: Studies in a University Hospital |
| title_short | Analysis of the Rate of Discrepancy between Preliminary Reports by Radiology Residents and Final Reports by Certified Radiologists for Emergency Radiology: Studies in a University Hospital |
| title_sort | analysis of the rate of discrepancy between preliminary reports by radiology residents and final reports by certified radiologists for emergency radiology studies in a university hospital |
| topic | radiology radiologists emergency medical services internship and residency diagnostic errors |
| url | https://doi.org/10.3348/jksr.2020.0189 |
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