Discrepancy rate and clinical impact of preliminary reports from radiology residents
Background: Residents usually cover night and weekend shifts issuing the preliminary reading of radiological studies in university hospitals. This is essential to strengthening decision-making skills when facing complex cases independently. However, there should be a balance between patient safety a...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-08-01
|
| Series: | Heliyon |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2405844023059224 |
| _version_ | 1797732978509479936 |
|---|---|
| author | Juan Felipe Orejuela-Zapata Valentina Mejía-Quiñones Ana María Granados-Sánchez |
| author_facet | Juan Felipe Orejuela-Zapata Valentina Mejía-Quiñones Ana María Granados-Sánchez |
| author_sort | Juan Felipe Orejuela-Zapata |
| collection | DOAJ |
| description | Background: Residents usually cover night and weekend shifts issuing the preliminary reading of radiological studies in university hospitals. This is essential to strengthening decision-making skills when facing complex cases independently. However, there should be a balance between patient safety and academic experience since some concern has been expressed about the accuracy of the interpretations generated by trainees. This work aims to evaluate and characterize the discrepancies in preliminary reports issued by radiology residents. Material and methods: Radiologists filled out a questionnaire to evaluate preliminary reports of trainees considering diagnosis, findings description, clinical approach changes, and critical findings. Analysis was performed considering modality, imaging type, body part, and resident academic year. A Chi-square test with a significance level α of 0.05 was used to make group comparisons. Results: A total of 9072 studies were reviewed. Major and minor overall discrepancy rates were 1.7% and 8.3%, respectively. Minor discrepancy rate, findings description, and critical findings identification improved with increasing academic year, both overall and by modality. Discrepancy rates were lower for CT than MR and neuroimaging than for body-imaging studies. The highest major and minor discrepancy rates as abdomen/pelvis CT and lumbar-spine MR, respectively. Two percent of reports presented discrepancies that could generate a medical approach change. Conclusion: Discrepancy rates are low and comparable with those reported in the literature. These rates tend to improve as the resident's academic year increases. Our results suggest that radiology residents' coverage of night shifts and weekends is a practice that benefits the educational process without negatively impacting patient safety. |
| first_indexed | 2024-03-12T12:21:23Z |
| format | Article |
| id | doaj.art-1dae913eaa3c47cb9403ca0ecf9bb167 |
| institution | Directory Open Access Journal |
| issn | 2405-8440 |
| language | English |
| last_indexed | 2024-03-12T12:21:23Z |
| publishDate | 2023-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Heliyon |
| spelling | doaj.art-1dae913eaa3c47cb9403ca0ecf9bb1672023-08-30T05:52:19ZengElsevierHeliyon2405-84402023-08-0198e18714Discrepancy rate and clinical impact of preliminary reports from radiology residentsJuan Felipe Orejuela-Zapata0Valentina Mejía-Quiñones1Ana María Granados-Sánchez2Fundación Valle del Lili, Departamento de Radiología e Imágenes Diagnósticas, Av. Simón Bolívar - Carrera 98 # 18-49, Cali, ColombiaFundación Valle del Lili, Centro Investigaciones Clínicas, Cali, Colombia; Universidad Icesi, Facultad de Ciencias de la Salud, Cali, Colombia; Corresponding author. Fundación Valle del Lili, Av. Simón Bolívar, Carrera 98 # 18-49, Cali, Colombia.Fundación Valle del Lili, Departamento de Radiología e Imágenes Diagnósticas, Av. Simón Bolívar - Carrera 98 # 18-49, Cali, Colombia; Universidad Icesi, Facultad de Ciencias de la Salud, Cali, ColombiaBackground: Residents usually cover night and weekend shifts issuing the preliminary reading of radiological studies in university hospitals. This is essential to strengthening decision-making skills when facing complex cases independently. However, there should be a balance between patient safety and academic experience since some concern has been expressed about the accuracy of the interpretations generated by trainees. This work aims to evaluate and characterize the discrepancies in preliminary reports issued by radiology residents. Material and methods: Radiologists filled out a questionnaire to evaluate preliminary reports of trainees considering diagnosis, findings description, clinical approach changes, and critical findings. Analysis was performed considering modality, imaging type, body part, and resident academic year. A Chi-square test with a significance level α of 0.05 was used to make group comparisons. Results: A total of 9072 studies were reviewed. Major and minor overall discrepancy rates were 1.7% and 8.3%, respectively. Minor discrepancy rate, findings description, and critical findings identification improved with increasing academic year, both overall and by modality. Discrepancy rates were lower for CT than MR and neuroimaging than for body-imaging studies. The highest major and minor discrepancy rates as abdomen/pelvis CT and lumbar-spine MR, respectively. Two percent of reports presented discrepancies that could generate a medical approach change. Conclusion: Discrepancy rates are low and comparable with those reported in the literature. These rates tend to improve as the resident's academic year increases. Our results suggest that radiology residents' coverage of night shifts and weekends is a practice that benefits the educational process without negatively impacting patient safety.http://www.sciencedirect.com/science/article/pii/S2405844023059224RadiologyDiscrepancyRadiology residentRadiologist |
| spellingShingle | Juan Felipe Orejuela-Zapata Valentina Mejía-Quiñones Ana María Granados-Sánchez Discrepancy rate and clinical impact of preliminary reports from radiology residents Heliyon Radiology Discrepancy Radiology resident Radiologist |
| title | Discrepancy rate and clinical impact of preliminary reports from radiology residents |
| title_full | Discrepancy rate and clinical impact of preliminary reports from radiology residents |
| title_fullStr | Discrepancy rate and clinical impact of preliminary reports from radiology residents |
| title_full_unstemmed | Discrepancy rate and clinical impact of preliminary reports from radiology residents |
| title_short | Discrepancy rate and clinical impact of preliminary reports from radiology residents |
| title_sort | discrepancy rate and clinical impact of preliminary reports from radiology residents |
| topic | Radiology Discrepancy Radiology resident Radiologist |
| url | http://www.sciencedirect.com/science/article/pii/S2405844023059224 |
| work_keys_str_mv | AT juanfelipeorejuelazapata discrepancyrateandclinicalimpactofpreliminaryreportsfromradiologyresidents AT valentinamejiaquinones discrepancyrateandclinicalimpactofpreliminaryreportsfromradiologyresidents AT anamariagranadossanchez discrepancyrateandclinicalimpactofpreliminaryreportsfromradiologyresidents |