Evidence map›Paper›PMID 34241733›Full record

ArticleEmergency radiology2021

How are our residents doing on trauma tonight? The frequency of overnight resident-faculty report discrepancies in trauma patients.

Christine Peterson, Michael Moore, Eric Gagnon, Nabeel Sarwani, Timothy Mosher, Michael Bruno

Abstract read
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In one paragraph

Article in Emergency radiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 43% of its field
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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Article
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

6 authors at 1 institution in 1 country.

Christine PetersonMilton S. Hershey Penn State Medical Center, 500 University Drive, Mail Code H066, Hershey, PA, 17033, USA. cpeterson3@pennstatehealth.psu.edu.ORCID http://orcid.org/0000-0003-1283-6051
Michael MooreMilton S. Hershey Penn State Medical Center, 500 University Drive, Mail Code H066, Hershey, PA, 17033, USA.
Eric GagnonMilton S. Hershey Penn State Medical Center, 500 University Drive, Mail Code H066, Hershey, PA, 17033, USA.
Nabeel SarwaniMilton S. Hershey Penn State Medical Center, 500 University Drive, Mail Code H066, Hershey, PA, 17033, USA.
Timothy MosherMilton S. Hershey Penn State Medical Center, 500 University Drive, Mail Code H066, Hershey, PA, 17033, USA.
Michael BrunoMilton S. Hershey Penn State Medical Center, 500 University Drive, Mail Code H066, Hershey, PA, 17033, USA.
Penn State Milton S. Hershey Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo determine if preliminary radiology reports issued overnight (10 pm to 7 am) on adult trauma patients cause major changes of high clinical significance or patient harm.

methodsFollowing extraction of preliminary and final radiology reports from the report server, presence of changes was determined by an automated text differential checker. If text changes were present, reports were then subsequently manually graded by an attending radiologist and placed in category by degree of severity. 81 weeks of trauma report data were analyzed by two faculty radiologists.

resultsOf the 6063 preliminary reports from 1214 separate overnight trauma patients, 65.5% had no changes in final report text. The remaining reports were graded: A 8.9% (503), B 17.2% (1005), C 7.0% (426), and D 1.3% (100). No reports demonstrated a major change of high clinical significance (E) or patient harm (F).

conclusionMost preliminary report changes were minor and had no clinical significance. Furthermore, the few that were deemed to be major changes were of little clinical significance, particularly in the setting of the other traumatic injuries that the patient may have sustained. No negative patient safety events were caused by an error in a radiology resident preliminary report.

Indexed as

Internship and ResidencyRadiologyAdultDiagnostic ErrorsFacultyHumansRadiologistsDiscrepancyPatient safetyPreliminary reportTrauma

Identifiers

PMID34241733
OpenAlexW3177589536

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.