Standardized Reporting in IR: A Prospective Multi-Institutional Pilot Study
| Autor: | Joseph R. Steele, Matthew Quirk, Judy Ahrar, Sharon W. Kwan, Sarah B. White, Jeremy Handel, Jeremy C. Durack, Stephanie L. Dybul, Charles A. Gilliland, Ronald S. Winokur, Rajesh Shah, Justin P. McWilliams |
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| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Catheterization Central Venous Vena Cava Filters medicine.medical_treatment Ivc filter Pilot Projects Documentation Radiography Interventional User input Inferior vena cava Medical Records 030218 nuclear medicine & medical imaging Prosthesis Implantation 03 medical and health sciences 0302 clinical medicine Uterine artery embolization medicine Humans Radiology Nuclear Medicine and imaging Sampling (medicine) Prospective Studies Practice Patterns Physicians' Device Removal Quality Indicators Health Care Vertebroplasty medicine.diagnostic_test business.industry Interventional radiology Uterine Artery Embolization Institutional review board Quality Improvement United States Venous access medicine.vein 030220 oncology & carcinogenesis Health Care Surveys Emergency medicine Practice Guidelines as Topic Female Radiology Forms and Records Control Guideline Adherence Cardiology and Cardiovascular Medicine business |
| Zdroj: | Journal of vascular and interventional radiology : JVIR. 27(12) |
| ISSN: | 1535-7732 |
| Popis: | Purpose To assess adoption and survey-based satisfaction rates following deployment of standardized interventional radiology (IR) procedure reports across multiple institutions. Materials and Methods Standardized reporting templates for 5 common interventional procedures (central venous access, inferior vena cava [IVC] filter insertion, IVC filter removal, uterine artery embolization, and vertebral augmentation) were distributed to 20 IR practices in a prospective quality-improvement study. Participating sites edited the reports according to institutional preferences and deployed them for a 1-year pilot study concluding in July 2015. Study compliance was measured by sampling 20 reports of each procedure type at each institution, and surveys of interventionalists and referring physicians were performed. Modifications to the standardized reporting templates at each site were analyzed. Results Ten institutions deployed the standardized reports, with 8 achieving deployment of 3–12 months. The mean report usage rate was 57%. Each site modified the original reports, with 26% mean reduction in length, 18% mean reduction in wordiness, and 60% mean reduction in the number of forced fill-in fields requiring user input. Linear-regression analysis revealed that reduced number of forced fill-in fields correlated significantly with increased usage rate ( R 2 = 0.444; P = .05). Surveys revealed high satisfaction rates among referring physicians but lower satisfaction rates among interventional radiologists. Conclusions Standardized report adoption rates increased when reports were simplified by reducing the number of forced fill-in fields. Referring physicians preferred the standardized reports, whereas interventional radiologists preferred standard narrative reports. |
| Databáze: | OpenAIRE |
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