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- Dokumenttyp:
- Journal Article
- Autor(en):
- Dickerson, Elliot; Davenport, Matthew S; Syed, Faiz; Stüve, Olaf; Cohen, Jeffrey A; Rinker, John R; Goldman, Myla D; Segal, Benjamin M; Foerster, Bradley R
- Titel:
- Effect of Template Reporting of Brain MRIs for Multiple Sclerosis on Report Thoroughness and Neurologist-Rated Quality: Results of a Prospective Quality Improvement Project.
- Abstract:
- To assess the impact of structured reporting templates on the objective and subjective quality of radiology reports for brain MRIs in patients with multiple sclerosis (MS).A HIPAA-compliant prospective quality improvement initiative was undertaken to develop and implement a 12-item structured reporting template for brain MRI examinations in patients with known or suspected MS based on published guidelines. Reports created 1 year before implementing the template served as the baseline. A random sample of 10 template and 10 non-template reports was sent to five neurologists outside the study institution with MS expertise, who reviewed the reports for comprehensiveness and quality. The number of MS-relevant elements in template and non-template reports were compared with unpaired t tests. Proportions were compared with ?(2) and Fisher exact tests.There were 63 reports in the pre-template period and 93 reports in the post-template period. Use of the template increased over time in the post-template period (P = .04). All 12 MS-relevant findings were addressed more often and with less variability in template reports: (11.1 ± 0.7 findings versus 5.8 ± 2.2 findings in non-template reports, P < .001). Neurologists were more likely to give the template reports the highest positive rating (56% [107/190] versus 28% [56/199], P < .001) and less likely to give the template reports a lower rating (7% [13/190] versus 15% [29/199], P = .01) compared with the non-template reports.Template reporting of brain MRI examinations increases the rate at which MS-relevant findings are included in the report. Standardized reports are preferred by neurologists with MS expertise.
- Zeitschriftentitel:
- J Am Coll Radiol
- Jahr:
- 2017
- Band / Volume:
- 14
- Heft / Issue:
- 3
- Seitenangaben Beitrag:
- 371-379.e1
- Sprache:
- eng
- Volltext / DOI:
- doi:10.1016/j.jacr.2016.09.037
- PubMed:
- http://view.ncbi.nlm.nih.gov/pubmed/27932248
- Print-ISSN:
- 1546-1440
- TUM Einrichtung:
- Neurologische Klinik und Poliklinik
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