Does Reporting of Plain Chest Radiographs Affect the Immediate Management of Patients Admitted to a Medical Assessment Unit?
| Autor: | L.J Grosvenor, D.B.L. Finlay, James Entwisle, R O'Brien, R. Verma |
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| Rok vydání: | 2003 |
| Předmět: |
Male
Thorax medicine.medical_specialty Radiography Specialist registrar Medical Records Patient Care Planning medicine Humans Radiology Nuclear Medicine and imaging In patient Prospective Studies Aged Aged 80 and over Ward round Radiology Department Hospital medicine.diagnostic_test business.industry General Medicine Hospitalization Acute Disease Emergency medicine Female Radiography Thoracic Medical team Medical assessment business Chest radiograph |
| Zdroj: | Clinical Radiology. 58:719-722 |
| ISSN: | 0009-9260 |
| DOI: | 10.1016/s0009-9260(03)00219-8 |
| Popis: | AIM: The purpose of our study was to investigate whether reporting of plain chest radiographs affects immediate management of patients admitted to a medical assessment unit. MATERIALS AND METHODS: During a 3 month period we prospectively evaluated 200 patients who had a plain chest radiograph on admission. After the post on-call ward round, an independent medical specialist registrar reviewed the notes, retrieving relevant clinical details. The plain chest films were reported independently by a trainee radiologist and consultant, reaching a consensus report. RESULTS: There was 93% agreement between trainee and consultant radiologists (95% CI=89–96%). Seventy percent had documented reports by the on-call medical team. There was disagreement between radiology and medical reports in 49% of reported films (95% CI=40–57%). The radiologist's report led to a direct change in the immediate management of 22 patients (11%). CONCLUSION: Only 70% of films had documented reports in the clinical notes despite this being a legal requirement. Radiology reporting does cause a direct change in patient management. Chest radiographs of patients admitted to a medical admissions unit should be reported by a radiologist with the minimum of delay. |
| Databáze: | OpenAIRE |
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