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Emergency medicine summary code for reporting CT scan results: implementation and survey results
Joanne Lam1, Ryan Coughlin2, Luce Buhl3
1Hartford Hospital, 80 Seymour Street, Hartford, CT, 06102, USA. Joanne.Lam@hhchealth.org.
Emergency Radiology
|February 9, 2018
Summary
A standardized summary code for emergency department (ED) CT scans did not definitively improve communication. However, ED providers recognize the importance of radiology reports for patient management.
Area of Science:
- Radiology
- Emergency Medicine
- Health Informatics
Background:
- Effective communication of imaging results is critical in emergency departments.
- Standardized reporting formats aim to improve clarity and efficiency.
Purpose of the Study:
- To evaluate emergency department (ED) provider interest and satisfaction with CT scan result reporting.
- To assess the impact of a standardized summary code on ED CT reporting.
Main Methods:
- A summary code was implemented for all ED CT scans over a three-month period.
- Retrospective review of CT examinations and pre- and post-implementation surveys of ED and radiology providers were conducted.
Main Results:
- 69% of 3980 ED CT examinations included a summary code.
- 15% of coded CTs revealed critical or diagnostic positive results.
- No definitive improvement in communication was observed post-implementation.
Conclusions:
- The ED CT summary code did not significantly enhance communication.
- ED providers value radiology reports for patient care.
- Slightly higher satisfaction was noted among less experienced providers, suggesting potential for future improvements with user-friendly codes.
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