Simple changes to the reporting environment produce a large reduction in the frequency of interruptions to the reporting radiologist: an observational study.
| Autor: | Banziger C; School of Medicine, University of St Andrews, St Andrews, Scotland, UK., McNeil K; Department of Radiology, NHS Tayside, Ninewells Hospital, Dundee, Scotland, UK., Goh HL; Department of Radiology, NHS Greater Glasgow and Clyde, Glasgow, Scotland, UK., Choi S; Department of Radiology, Royal Hospital for Children and Young People, Edinburgh, Scotland, UK., Zealley IA; Department of Radiology, NHS Tayside, Ninewells Hospital, Dundee, Scotland, UK. |
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| Jazyk: | angličtina |
| Zdroj: | Acta radiologica (Stockholm, Sweden : 1987) [Acta Radiol] 2023 May; Vol. 64 (5), pp. 1873-1879. Date of Electronic Publication: 2022 Nov 27. |
| DOI: | 10.1177/02841851221139624 |
| Abstrakt: | Background: Interruptions are a cause of discrepancy, errors, and potential safety incidents in radiology. The sources of radiological error are multifactorial and strategies to reduce error should include measures to reduce interruptions. Purpose: To evaluate the effect of simple changes in the reporting environment on the frequency of interruptions to the reporting radiologist of a hospital radiology department. Material and Methods: A prospective observational study was carried out. The number and type of potentially disruptive events (PDEs) to the radiologist reporting inpatient computed tomography (CT) scans were recorded during 20 separate 1-h observation periods during both pre- and post-intervention phases. The interventions were (i) relocation of the radiologist to a private, quiet room, and (ii) initial vetting of clinician enquiries via a separate duty radiologist. Results: After the intervention there was an 82% reduction in the number of frank interruptions (PDEs that require the radiologist to abandon the reporting task) from a median 6 events per hour to 1 (95% confidence interval [CI] = 4-6; P < 0.00001). The overall number of PDEs was reduced by 56% from a median 11 events per hour to 5 (95% CI = 4.5-11: P < 0.00001). Conclusion: Relocation of inpatient CT reporting to a private, quiet room, coupled with vetting of clinician enquiries via the duty radiologist, resulted in a large reduction in the frequency of interruptions, a frequently cited avoidable source of radiological error. |
| Databáze: | MEDLINE |
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