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The Bristol Radiology Report Assessment Tool (BRRAT): developing a workplace-based assessment tool for radiology
1Department of Radiology, Queen Alexandra Hospital, Portsmouth, UK.
A new tool, the Bristol Radiology Report Assessment Tool (BRRAT), reliably assesses radiology report quality. It is best suited for formative feedback rather than summative evaluation.
Area of Science:
- Radiology
- Medical Education
- Quality Improvement
Background:
- High-quality radiology reports are crucial for patient care.
- Standardized assessment tools are needed to evaluate report quality.
- Workplace-based assessments enhance medical training.
Purpose of the Study:
- To develop and validate the Bristol Radiology Report Assessment Tool (BRRAT).
- To assess the reliability, feasibility, and validity of the BRRAT for evaluating written radiology reports.
- To determine the tool's suitability for different assessment purposes.
Main Methods:
- Development of the BRRAT through literature review and a Delphi study.
- The BRRAT comprises 19 questions and a global assessment score.
- Three assessors evaluated 240 reports from 24 radiology trainees using the BRRAT.
Main Results:
- Reliability coefficient for the 19 questions was 0.79.
- Reliability coefficient for global assessment scores was 0.67.
- Assessor subjectivity necessitates more assessors/assessments for reliable summative evaluations.
Conclusions:
- The BRRAT demonstrates good validity and a strong foundation in best practices.
- The developed assessment tool is reliable for radiology reporting.
- The BRRAT is most appropriate for formative assessments in radiology training.
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