放射科住院医生的初步报告的差异率和临床影响
Juan Felipe Orejuela-Zapata1, Valentina Mejía-Quiñones2,3, Ana María Granados-Sánchez1,3
1Fundación Valle del Lili, Departamento de Radiología e Imágenes Diagnósticas, Av. Simón Bolívar - Carrera 98 # 18-49, Cali, Colombia.
Heliyon
|August 14, 2023
概括
放射科住院人员的初步报告显示差异率很低,随着培训而改善. 这表明,住户覆盖夜间和周末班次可以增强学习,而不会损害患者的安全.
科学领域:
- 放射学 放射学是一门学科.
- 医学教育 医学教育
- 患者安全 患者安全
背景情况:
- 放射科医生在夜间和周末班次解释研究,以建立独立决策能力.
- 对于实习生解释的准确性以及患者安全与学术经验之间的平衡存在担忧.
研究的目的:
- 评估和描述居民发布的初步放射学报告中的差异.
- 评估居民学年和成像模式对报告准确性的影响.
主要方法:
- 放射科医生使用问卷审查了9072份初步报告.
- 分析的数据包括诊断,发现描述,临床方法变化和关键发现.
- 统计分析使用了奇平方测试,考虑模式,成像类型,身体部位和学年.
主要成果:
- 总体而言,主要和小差异率分别为1.7%和8.3%.
- 差异率与居民学年有所改善,并因模式和成像类型而异.
- 只有2%的报告存在可能影响医疗方法的差异.
结论:
- 放射科住院初步报告的差异很小,与现有文献相比较.
- 准确性随着居民培训而提高,支持夜间/周末班的教育价值.
- 目前的做法有利于居民教育,而不会对患者安全产生负面影响.
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