Evidence map›Paper›PMID 25694167›Full record

ArticleJournal of digital imaging2015

Improving Radiology Report Quality by Rapidly Notifying Radiologist of Report Errors.

Matthew J Minn, Arash R Zandieh, Ross W Filice

Abstract read
In one paragraph

Article in Journal of digital imaging, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Speech recognition for clinical documentation from 1990 to 2018: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2019
    Pooled it
  4. Article
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  12. Article
  13. Using automated methods to detect safety problems with health information technology: a scoping review.Journal of the American Medical Informatics Association : JAMIA · 2023
    Article
  14. Article
  15. Radiology Reporting Errors: Learning from Report Addenda.The Indian journal of radiology & imaging · 2021
    Article
  16. Article
  17. Article
  18. Article
  19. Detecting Technical Image Quality in Radiology Reports.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2018
    Article
  20. 'WhenThe Ulster medical journal · 2018
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Matthew J MinnMedStar Georgetown University Hospital, 3800 Reservoir Rd, NW, Washington, DC, 20007, USA, mjminn@gmail.com.
Arash R Zandieh
Ross W Filice

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Radiology report errors occur for many reasons including the use of pre-filled report templates, wrong-word substitution, nonsensical phrases, and missing words. Reports may also contain clinical errors that are not specific to the speech recognition including wrong laterality and gender-specific discrepancies. Our goal was to create a custom algorithm to detect potential gender and laterality mismatch errors and to notify the interpreting radiologists for rapid correction. A JavaScript algorithm was devised to flag gender and laterality mismatch errors by searching the text of the report for keywords and comparing them to parameters within the study's HL7 metadata (i.e., procedure type, patient sex). The error detection algorithm was retrospectively applied to 82,353 reports 4 months prior to its development and then prospectively to 309,304 reports 15 months after implementation. Flagged reports were reviewed individually by two radiologists for a true gender or laterality error and to determine if the errors were ultimately corrected. There was significant improvement in the number of flagged reports (pre, 198/82,353 [0.24%]; post, 628/309,304 [0.20%]; P = 0.04) and reports containing confirmed gender or laterality errors (pre, 116/82,353 [0.014%]; post, 285/309,304 [0.09%]; P < 0.0001) after implementing our error notification system. The number of flagged reports containing an error that were ultimately corrected improved dramatically after implementing the notification system (pre, 17/116 [15%]; post, 239/285 [84%]; P < 0.0001). We developed a successful automated tool for detecting and notifying radiologists of potential gender and laterality errors, allowing for rapid report correction and reducing the overall rate of report errors.

Indexed as

Quality ImprovementAlgorithmsFemaleHumansMaleMedical ErrorsMedical Records Systems, ComputerizedRadiologyRadiology Information SystemsReproducibility of ResultsRetrospective StudiesSpeech Recognition Software

Identifiers

PMID25694167
PMCPMC4501955

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.