Strategies for Improving the Value of the Radiology Report: A Retrospective Analysis of Errors in Formally Over-read Studies

摘要: Abstract Purpose The radiology report is a critical component of the Imaging Value Chain. Unfortunately, quality this aspect radiologist's work often heterogeneous and fails to add significant value referring provider and, ultimately, patient. Gauging what defines can be elusive; however, we elucidate techniques that employed ensure reports are more comprehensible, actionable, useful our customers. Methods Four hundred consecutive studies (July-August 2015) submitted institution with request for formal over-read were reviewed retrospectively, specifically focused on analyzing differences in language, organization, impression between outside over-reads performed at institution. classified into one following categories: (1) no clinically change; (2) emergent (3) nonemergent change. Clinically changes further as either perceptual or cognitive errors. Results A total 12.4% formally had changes. Of these, 22.2% composed 64.4% error 35.6% error. strategies discovered related reporting helped mitigate these errors over-reads: synthesizing varied anatomic findings cohesive disease process; integration relevant electronic health record data; use structured reporting; (4) forming actionable impressions. Conclusions We identify, through examples, four reduction radiologic error, helping rate found reinterpretation studies.