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[Audit procedure of radiology reports in a hospital service]
V Barrau1, P Rufat, L Charrada
1Service de radiologie, Hôpital Beaujon, 100, boulevard du Général Leclerc, 92118 Clichy, France.
Purpose:
Presentation of a clinical audit of the radiology reports in our institution.
Material:
and methods: This audit has been performed in several steps: launching the project, elaboration of the reference book, elaboration of the protocol, analysis of the results, improvements made.
Results:
Several dysfunctions were detected: typing errors, the lack of sentences explaining the procedure of examination, the lack of negative pertinent elements, the lack of synthesis. Several interventions were made: checking on the screen of the computer the report before signing it, purchase of personal voice recorders, restructuring the interpretation room. Other interventions are considered: structured data entry, P.A.C.S. systems
Conclusion:
This audit has allowed the modification of the process for realisation of the radiology reports and the stimulation of the medical team, thus improving the quality of our work.