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Workload as a predictor of radiographer preliminary image evaluation accuracy
Cameron Brown1,2, Anna Burck1, Michael J Neep1,2,3,4
1Department of Medical Imaging, Logan Hospital, Meadowbrook, Queensland, Australia.
Radiographer preliminary image evaluation (PIE) accuracy is not significantly impacted by imaging workload. While accuracy remained high, it dipped below 85% when workload exceeded 7 exams per hour.
Area of Science:
- Medical Imaging
- Radiography
- Healthcare Management
Background:
- Radiographer preliminary image evaluation (PIE) adoption in Australia is slow despite proven accuracy.
- A perceived lack of time due to imaging workload is a barrier to PIE implementation.
Purpose of the Study:
- To investigate the correlation between radiographer imaging workload and the accuracy of PIE services.
- To determine if workload is a significant barrier to PIE service implementation.
Main Methods:
- Correlational analysis of 45,373 exams and 1152 PIE comments (Jan-Dec 2022).
- PIE comment accuracy was compared against radiologist reports.
- Imaging workload was categorized into three 8-hour shifts.
Main Results:
- No statistically significant linear association was found between increased workload and reduced PIE accuracy (P=0.136).
- Average PIE accuracy consistently fell below 85% when the workload exceeded 7 exams per hour.
Conclusions:
- Perceived workload is not a statistically significant barrier to radiographer PIE service accuracy.
- While not statistically significant, accuracy decline above 7 exams/hour warrants attention.
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