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Published on: March 1, 2019
The effect of reporting speed on plain film reporting errors
A J Edwards1, C Ricketts, P A Dubbins
1Department of Radiology, Derriford Hospital, Devon, Plymouth, UK. andrew.edwards@phnt.swest.nhs.uk
Clinical Radiology
|December 5, 2003
Summary
Reporting plain films faster does not impact overall accuracy. However, increased reporting speeds for accident and emergency radiographs significantly reduce false-positive reports, improving diagnostic efficiency.
Area of Science:
- Radiology
- Medical Imaging Analysis
Background:
- Radiographic interpretation is crucial for timely diagnosis.
- Optimizing reporting speed is essential in high-volume settings like accident and emergency departments.
Purpose of the Study:
- To evaluate the impact of accelerated reporting rates on the diagnostic accuracy of plain film radiographs.
- To determine if faster reporting leads to a decline in radiologist performance.
Main Methods:
- Fourteen consultant radiologists reported 90 radiographs in three sets.
- Reporting times were varied: normal, two-thirds, and one-half of the original time.
- Radiographs were identical across sets, with randomized order for each radiologist.
Main Results:
- No statistically significant difference in overall diagnostic accuracy was observed across the different reporting speeds (p=0.74).
- The number of false-negative reports remained consistent regardless of reporting speed (p=0.14).
- A significant reduction in false-positive reports was noted at higher reporting speeds (p=0.003).
Conclusions:
- Accelerated reporting of accident and emergency radiographs does not compromise overall diagnostic accuracy.
- Increasing reporting speed leads to a decrease in false-positive interpretations.
- Faster reporting may enhance efficiency without sacrificing diagnostic integrity.
