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Software solutions alone cannot guarantee useful radiology requests.

Mathias D Van Borsel1, Pieter Jd Devolder1, Jan Ml Bosmans1,2

  • 11 Ghent University Hospital, Department of Radiology, Ghent, Belgium.

Acta Radiologica (Stockholm, Sweden : 1987)
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Summary

Electronic radiology request forms improved the presence of clinical information and questions but offered limited quality benefits. Raising clinician awareness about request quality remains crucial for diagnostic accuracy.

Keywords:
Health policy and practicecomputed tomography (CT)computer applications – generalradiology reportreferral and consultation

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Area of Science:

  • Radiology
  • Medical Imaging
  • Health Informatics

Background:

  • Clinical information and a clear clinical question enhance diagnostic accuracy in imaging.
  • Effective radiology requests are vital for optimal patient care and diagnostic precision.

Purpose of the Study:

  • To evaluate if an electronic request form enhances the quality of radiology requests.
  • To assess the impact of mandatory clinical information and question input on request quality.

Main Methods:

  • A study of 607 computed tomography (CT) request forms for thorax and/or abdomen scans.
  • Comparison of request quality before and after implementing a new electronic order system.
  • Analysis of clinical information and question presence, quality, and impact on workflow.

Main Results:

  • The new electronic system significantly increased the presence of clinical information and questions (76.7% to 95.3%).
  • However, the overall quality of this information showed minimal improvement, with no significant change in requests needing further clarification.
  • Productivity was not significantly affected by the new system.

Conclusions:

  • Mandatory electronic input for clinical information and questions offers limited improvement in radiology request quality.
  • While increasing the completeness of requests, the system did not substantially enhance the quality of the provided details.
  • Continued education on the importance of well-formulated radiology requests is essential for clinicians.