An audit of revised radiology reports of a medical center in Taiwan

Po-Yen Chang, Chia-Yuen Chen, Min Szu Yao, Chien-Ju Huang, Wing P. Chan

Research output: Contribution to conferencePaper

Abstract

Background and Aims: Radiologists can learn from referring clinicians’ feedback to improve quality
and accuracy of radiology reports. The present report aims to understand revised radiology reports of
a medical center in Taiwan, and compare the results in 2011-2012 (Period-1) vs. 2013-2014 (Period-2).
Methods: A total of 318 revised reports in Period-1 (vs. 235, Period-2) were analyzed and divided into
five types: initial misdiagnosis, transcription errors, requested by clinicians, obtained additional
information, and defective films. All initial radiology reports were included and trainees reports were
excluded in this audit.
Results: The rate of revised reports was 0.05% in Period-1 (vs. 0.03%, Period-2). Of these, plain Xrays had 64 films (vs. 34, Period-2), CT had 105 films (vs. 100, Period-2), MRI had 98 films (vs. 70,
Period-2), and other special procedure examinations had 51 films (vs. 31, Period-2). The most frequent
reason for revision of plain X-rays reports was initial misdiagnosis 48.4% (vs. 50%, Period-2). Initial
misdiagnosis was the main reason for revision of CT reports in Period-1 (35.2%) and requested by
clinicians was the main reason for revision of CT reports in Period-2 (42%). Requested by clinicians was
the main reason for revision of MRI reports 31.6% (vs. 30%, Period-2). Requested by clinicians was the
main reason for revision of special procedure examinations in Period-1 (25.5%) and transcription errors
was the main reason in Period-2 (32.3%).
Conclusion: The rates of revised reports were slightly decreased in two audited periods. The diagnostic
discrepancies were various among different imaging modalities. This audit has allowed and stimulated
the medical team for fully awareness of the interpretation and reporting process, thereby improving the
quality of our work.
Original languageEnglish
Publication statusPublished - Nov 2015
EventAsia-Pacific Forum on Quality and Safety of Medical Imaging 2015 - Taipei, Taiwan
Duration: Nov 14 2014Nov 15 2014
http://www.nrst.tw/news/news_info.asp?id=553

Conference

ConferenceAsia-Pacific Forum on Quality and Safety of Medical Imaging 2015
Abbreviated titleAPQS 2015
CountryTaiwan
CityTaipei
Period11/14/1411/15/14
Internet address

Fingerprint

Taiwan
Radiology
Diagnostic Errors
X-Rays

Cite this

Chang, P-Y., Chen, C-Y., Yao, M. S., Huang, C-J., & Chan, W. P. (2015). An audit of revised radiology reports of a medical center in Taiwan. Paper presented at Asia-Pacific Forum on Quality and Safety of Medical Imaging 2015 , Taipei, Taiwan.

An audit of revised radiology reports of a medical center in Taiwan. / Chang, Po-Yen; Chen, Chia-Yuen; Yao, Min Szu; Huang, Chien-Ju; Chan, Wing P.

2015. Paper presented at Asia-Pacific Forum on Quality and Safety of Medical Imaging 2015 , Taipei, Taiwan.

Research output: Contribution to conferencePaper

Chang, P-Y, Chen, C-Y, Yao, MS, Huang, C-J & Chan, WP 2015, 'An audit of revised radiology reports of a medical center in Taiwan' Paper presented at, Taipei, Taiwan, 11/14/14 - 11/15/14, .
Chang P-Y, Chen C-Y, Yao MS, Huang C-J, Chan WP. An audit of revised radiology reports of a medical center in Taiwan. 2015. Paper presented at Asia-Pacific Forum on Quality and Safety of Medical Imaging 2015 , Taipei, Taiwan.
Chang, Po-Yen ; Chen, Chia-Yuen ; Yao, Min Szu ; Huang, Chien-Ju ; Chan, Wing P. / An audit of revised radiology reports of a medical center in Taiwan. Paper presented at Asia-Pacific Forum on Quality and Safety of Medical Imaging 2015 , Taipei, Taiwan.
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abstract = "Background and Aims: Radiologists can learn from referring clinicians’ feedback to improve qualityand accuracy of radiology reports. The present report aims to understand revised radiology reports ofa medical center in Taiwan, and compare the results in 2011-2012 (Period-1) vs. 2013-2014 (Period-2).Methods: A total of 318 revised reports in Period-1 (vs. 235, Period-2) were analyzed and divided intofive types: initial misdiagnosis, transcription errors, requested by clinicians, obtained additionalinformation, and defective films. All initial radiology reports were included and trainees reports wereexcluded in this audit.Results: The rate of revised reports was 0.05{\%} in Period-1 (vs. 0.03{\%}, Period-2). Of these, plain Xrays had 64 films (vs. 34, Period-2), CT had 105 films (vs. 100, Period-2), MRI had 98 films (vs. 70,Period-2), and other special procedure examinations had 51 films (vs. 31, Period-2). The most frequentreason for revision of plain X-rays reports was initial misdiagnosis 48.4{\%} (vs. 50{\%}, Period-2). Initialmisdiagnosis was the main reason for revision of CT reports in Period-1 (35.2{\%}) and requested byclinicians was the main reason for revision of CT reports in Period-2 (42{\%}). Requested by clinicians wasthe main reason for revision of MRI reports 31.6{\%} (vs. 30{\%}, Period-2). Requested by clinicians was themain reason for revision of special procedure examinations in Period-1 (25.5{\%}) and transcription errorswas the main reason in Period-2 (32.3{\%}).Conclusion: The rates of revised reports were slightly decreased in two audited periods. The diagnosticdiscrepancies were various among different imaging modalities. This audit has allowed and stimulatedthe medical team for fully awareness of the interpretation and reporting process, thereby improving thequality of our work.",
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N2 - Background and Aims: Radiologists can learn from referring clinicians’ feedback to improve qualityand accuracy of radiology reports. The present report aims to understand revised radiology reports ofa medical center in Taiwan, and compare the results in 2011-2012 (Period-1) vs. 2013-2014 (Period-2).Methods: A total of 318 revised reports in Period-1 (vs. 235, Period-2) were analyzed and divided intofive types: initial misdiagnosis, transcription errors, requested by clinicians, obtained additionalinformation, and defective films. All initial radiology reports were included and trainees reports wereexcluded in this audit.Results: The rate of revised reports was 0.05% in Period-1 (vs. 0.03%, Period-2). Of these, plain Xrays had 64 films (vs. 34, Period-2), CT had 105 films (vs. 100, Period-2), MRI had 98 films (vs. 70,Period-2), and other special procedure examinations had 51 films (vs. 31, Period-2). The most frequentreason for revision of plain X-rays reports was initial misdiagnosis 48.4% (vs. 50%, Period-2). Initialmisdiagnosis was the main reason for revision of CT reports in Period-1 (35.2%) and requested byclinicians was the main reason for revision of CT reports in Period-2 (42%). Requested by clinicians wasthe main reason for revision of MRI reports 31.6% (vs. 30%, Period-2). Requested by clinicians was themain reason for revision of special procedure examinations in Period-1 (25.5%) and transcription errorswas the main reason in Period-2 (32.3%).Conclusion: The rates of revised reports were slightly decreased in two audited periods. The diagnosticdiscrepancies were various among different imaging modalities. This audit has allowed and stimulatedthe medical team for fully awareness of the interpretation and reporting process, thereby improving thequality of our work.

AB - Background and Aims: Radiologists can learn from referring clinicians’ feedback to improve qualityand accuracy of radiology reports. The present report aims to understand revised radiology reports ofa medical center in Taiwan, and compare the results in 2011-2012 (Period-1) vs. 2013-2014 (Period-2).Methods: A total of 318 revised reports in Period-1 (vs. 235, Period-2) were analyzed and divided intofive types: initial misdiagnosis, transcription errors, requested by clinicians, obtained additionalinformation, and defective films. All initial radiology reports were included and trainees reports wereexcluded in this audit.Results: The rate of revised reports was 0.05% in Period-1 (vs. 0.03%, Period-2). Of these, plain Xrays had 64 films (vs. 34, Period-2), CT had 105 films (vs. 100, Period-2), MRI had 98 films (vs. 70,Period-2), and other special procedure examinations had 51 films (vs. 31, Period-2). The most frequentreason for revision of plain X-rays reports was initial misdiagnosis 48.4% (vs. 50%, Period-2). Initialmisdiagnosis was the main reason for revision of CT reports in Period-1 (35.2%) and requested byclinicians was the main reason for revision of CT reports in Period-2 (42%). Requested by clinicians wasthe main reason for revision of MRI reports 31.6% (vs. 30%, Period-2). Requested by clinicians was themain reason for revision of special procedure examinations in Period-1 (25.5%) and transcription errorswas the main reason in Period-2 (32.3%).Conclusion: The rates of revised reports were slightly decreased in two audited periods. The diagnosticdiscrepancies were various among different imaging modalities. This audit has allowed and stimulatedthe medical team for fully awareness of the interpretation and reporting process, thereby improving thequality of our work.

M3 - Paper

ER -