Evidence map›Paper›PMID 30181912›Full record

ArticleActa radiologica open2018

Process improvement for reducing side discrepancies in radiology reports.

Subba Rao Digumarthy, Rachel Vining, Azadeh Tabari, Sireesha Nandimandalam, Alexi Otrakji, JoAnne O Shepard, Mannudeep K Kalra

Abstract read
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Article in Acta radiologica open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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0cells of the map it votes in
4citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Subba Rao DigumarthyDepartment of Radiology, Division of Thoracic Imaging and Intervention, Massachusetts General Hospital, Boston, MA, USA.
Rachel ViningDepartment of Radiology, Division of Thoracic Imaging and Intervention, Massachusetts General Hospital, Boston, MA, USA.
Azadeh TabariDepartment of Radiology, Division of Thoracic Imaging and Intervention, Massachusetts General Hospital, Boston, MA, USA.ORCID https://orcid.org/0000-0002-5685-6401
Sireesha NandimandalamDepartment of Radiology, Division of Thoracic Imaging and Intervention, Massachusetts General Hospital, Boston, MA, USA.
Alexi OtrakjiDepartment of Radiology, Division of Thoracic Imaging and Intervention, Massachusetts General Hospital, Boston, MA, USA.
JoAnne O ShepardDepartment of Radiology, Division of Thoracic Imaging and Intervention, Massachusetts General Hospital, Boston, MA, USA.
Mannudeep K KalraDepartment of Radiology, Division of Thoracic Imaging and Intervention, Massachusetts General Hospital, Boston, MA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLaterality errors in radiology reports can lead to serious errors in management. PURPOSE: To reduce errors related to side discrepancies in radiology reports from thoracic imaging by 50% over a six-month period with education and voice recognition software tools. MATERIAL AND

methodsAll radiology reports at the Thoracic Imaging Division from the fourth quarter of 2016 were reviewed manually for presence of side discrepancies (baseline data). Side discrepancies were defined as a lack of consistency in side labeling of any abnormality in the "Findings" to "Impression" sections of the reports. Process map and Ishikawa fishbone diagram (Microsoft Visio) were created. All thoracic radiologists were educated on side-related errors in radiology reports for plan-design-study-act cycle 1 (PDSA #1). Two weeks later, voice recognition software was configured to capitalize sides (RIGHT and LEFT) in the reports during dictated (PDSA# 2). Radiology reports were analyzed to determine side-discrepancy errors following each PDSA cycle (post-interventional data). Statistical run charts were created using QI Macros statistical software.

resultsBaseline data revealed 33 side-discrepancy errors in 47,876 reports with an average of 2.5 errors per week (range = 1-8 errors). Following PDSA #1, there were seven errors pertaining to side discrepancies over a two-week period. Errors declined following implementation of PDSA #2 to meet the target of 0.85 side-discrepancy error per week over seven weeks.

conclusionAutomated processes (such as capitalization of sides) help reduce left/right errors substantially without affecting reporting turnaround time.

Indexed as

chest CTlaterality errorsRadiology report

Identifiers

PMID30181912
PMCPMC6114526

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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.