Mammography film-labeling practices

Area of Science:

• Radiology
• Medical Imaging
• Quality Improvement

Background:

• Accurate patient and facility identification on mammography images is crucial for patient safety and diagnostic integrity.
• Variations in labeling practices can lead to potential errors in medical records and patient care.

Purpose of the Study:

• To evaluate current labeling practices for screening mammography images submitted to the American College of Radiology (ACR) Mammography Accreditation Program.
• To identify common methods and information included in mammography film labeling.

Main Methods:

• A review of labeling practices was conducted for 390 facilities submitting screening mammography images (mediolateral oblique and craniocaudal views).
• Data collection focused on identification methods (flash cards, labels, handwriting) and information included (patient name, date, facility name, ID number, age, physician, DOB).

Main Results:

• Flash cards were the most common identification method (85%), followed by paper labels (14%).
• Essential information like patient name (95%) and date (95%) was frequently included, but variations existed in other data points such as patient age (43%) and date of birth (33%).
• Significant variability in labeling practices and information provided was observed across facilities.

Conclusions:

• Current mammography labeling practices demonstrate considerable heterogeneity.
• Adoption and consistent application of ACR guidelines for mammography film labeling are encouraged to enhance quality and reduce potential errors.