...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of the American College of Radiology: JACR >Application of the RADPEER? scoring language to interpretation discrepancies between diagnostic radiology residents and faculty radiologists
【24h】

Application of the RADPEER? scoring language to interpretation discrepancies between diagnostic radiology residents and faculty radiologists

机译：RADPEER的应用？对诊断放射科住院医师与放射科医师之间的解释差异进行语言评分

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Purpose: The objectives of this study were to assess the rate of discrepancies between radiology residents and faculty radiologists at an academic hospital using the RADPEER? scoring language and to determine if a correlation existed between assigned RADPEER score (2, 3, or 4) and the clinical significance of the error. Methods: Over 19 months, preliminary resident interpretations were graded using the RADPEER scoring system. A retrospective review of discrepant cases was performed to assess the percentage of discrepancy, change in clinical management, and identification of error patterns. Results: Of 2,255 preliminary interpretations, 29 discrepancies (1.29%) were judged to be potentially clinically significant. Of these, 14 (0.62%) resulted in immediate changes in clinical management. Discrepancies assigned RADPEER scores of 3 or 4 were significantly more likely to be judged clinically significant than those assigned scores of 2 (54.5% of 33 studies graded 3 or 4 and 7.7% of 142 studies graded 2, P <.0001). CT imaging generated a higher percentage of discrepancies that were predicted to be clinically significant than plain-film radiography, as well as a higher percentage of discrepancies that resulted in immediate changes in management, but the incidence of each remained low overall (≤2.1%). Conclusions: Discrepancy rates in this study are comparable with previously reported data for discrepancies between attending radiologists and those between attending radiologists and residents data. A significant correlation was observed between increasing RADPEER scores and the clinical significance of discrepancies. This study supports the use of the RADPEER scoring language as both a resident quality assurance measure and an educational tool for quality improvement.
机译：目的：本研究的目的是评估使用RADPEER的学术医院放射科住院医师与放射科医师之间的差异率。评分语言，并确定分配的RADPEER评分（2、3或4）与错误的临床意义之间是否存在相关性。方法：在超过19个月的时间里，使用RADPEER评分系统对居民的初步解释进行了分级。对差异病例进行回顾性评估，以评估差异百分比，临床管理变化和确定错误模式。结果：在2255个初步解释中，有29个差异（1.29％）被认为具有潜在的临床意义。其中14例（0.62％）导致临床治疗立即改变。被判定为RADPEER得分3或4的差异比被指定为2的差异更有可能被判定为临床显着（33个评分为3或4的研究为54.5％，而142个评分为2的142个研究为7.7％，P <.0001）。 CT影像产生的差异据认为比平片X线照相具有更高的临床意义，并且差异百分率更高，从而导致管理上的即时变化，但每种检查的发生率总体上仍然很低（≤2.1％） 。结论：本研究中的差异率与先前报道的主治放射科医生之间以及主治放射科医生与居民数据之间差异的数据相当。 RADPEER分数增加与差异的临床意义之间观察到显着相关性。这项研究支持使用RADPEER评分语言作为居民质量保证措施和质量改进教育工具。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号