The DePICTORS Study: Discrepancies in preliminary interpretation of CT scans between on-call residents and staff

Emergency Radiology

Volumn 16, Issue 4, 2009, Pages 303-308

  Walls, Jessica ^a   Hunter, Natalie ^a   Brasher, Penelope M A ^b   Ho, Stephen G F ^c  

^a UNIVERSITY OF BRITISH COLUMBIA   (Canada)

^b Centre for Clinical Epidemiology and Evaluation   (Canada)

^c VANCOUVER GENERAL HOSPITAL   (Canada)

Author keywords

Computed tomography; Discrepancy; Emergency radiology; Interpretation; Resident reporting

Indexed keywords

ARTICLE; CERVICAL SPINE; CLINICAL PRACTICE; COMPUTER ASSISTED TOMOGRAPHY; CONTROLLED STUDY; DIAGNOSTIC ERROR; HEAD; HUMAN; IMAGE ANALYSIS; PELVIS; PRIORITY JOURNAL; RADIOLOGIST; RESIDENT; THORAX;

CLINICAL COMPETENCE; DIAGNOSTIC ERRORS; HEAD; HUMANS; INTERNSHIP AND RESIDENCY; PROSPECTIVE STUDIES; RADIOLOGY; TOMOGRAPHY, X-RAY COMPUTED;

EID: 67651166664     PISSN: 10703004     EISSN: None     Source Type: Journal    
DOI: 10.1007/s10140-009-0795-9     Document Type: Article

References (24)

1. MC Albano GW Ross JJ Ditchek 2001 Resident interpretation of emergency CT scans in the evaluation of acute appendicitis Acad Radiol 8 915 918 (Pubitemid 32822323)
2. CE Blane JS Desmond MA Helvie 2007 Academic radiology and the emergency department: does it need changing? cad Radiol 14 625 630 (Pubitemid 46551759)
3. BF Branstetter 4th MB Morgan CE Nesbit 2007 Preliminary reports in the emergency department: is a subspecialist radiologist more accurate than a radiology resident? Acad Radiol 14 201 206 (Pubitemid 46108598)
4. E Carney J Kempf V DeCarvalho 2003 Preliminary interpretations of after-hours CT and sonography by radiology residents versus final interpretations by body imaging radiologists at a level 1 trauma center AJR Am J Roentgenol 181 367 373 (Pubitemid 36909477)
5. P Cervini CM Bell HC Roberts 2008 Radiology resident interpretation of on-call CT pulmonary angiograms Acad Radiol 15 556 562
6. VF Cooper LA Goodhartz AA Nemcek Jr 2008 Radiology resident interpretations of on-call imaging studies: the incidence of major discrepancies Acad Radiol 15 1198 1204
7. WK Erly WG Berger E Krupinski 2002 Radiology resident evaluation of head CT scan orders in the emergency department AJNR Am J Neuroradiol 23 103 107 (Pubitemid 34098266)
8. NR Lal UM Murray OP Eldevik 2000 Clinical consequences of misinterpretations of neuroradiologic CT scans by on-call radiology residents AJNR Am J Neuroradiol 21 124 129 (Pubitemid 30225838)
9. MH Roszler KA McCarroll T Rashid 1991 Resident interpretation of emergency computed tomographic scans Invest Radiol 26 374 376
10. RB Ruchman J Jaeger EF Wiggins 3rd 2007 Preliminary radiology resident interpretations versus final attending radiologist interpretations and the impact on patient care in a community hospital AJR Am J Roentgenol 189 523 526 (Pubitemid 47328530)
11. KJ Stevens KL Griffiths J Rosenberg 2008 Discordance rates between preliminary and final radiology reports on cross-sectional imaging studies at a level 1 trauma center Acad Radiol 15 1217 1226
12. WM Strub JL Leach T Tomsick 2007 Overnight preliminary head CT interpretations provided by residents: locations of misidentified intracranial hemorrhage AJNR Am J Neuroradiol 28 1679 1682 (Pubitemid 47598139)
13. WM Strub AA Vagal T Tomsick 2006 Overnight resident preliminary interpretations on CT examinations: should the process continue? Emerg Radiol 13 19 23 (Pubitemid 44440431)
14. N Tieng D Grinberg SF Li 2007 Discrepancies in interpretation of ED body computed tomographic scans by radiology residents Am J Emerg Med 25 45 48 (Pubitemid 44854368)
15. RJ Wechsler CM Spettell AB Kurtz 1996 Effects of training and experience in interpretation of emergency body CT scans Radiology 199 717 720 (Pubitemid 26157473)
16. MG Wysoki CJ Nassar RA Koenigsberg 1998 Head trauma: CT scan interpretation by radiology residents versus staff radiologists Radiology 208 125 128 (Pubitemid 28323319)
17. Agresti A (1990) Categorical data analysis. Wiley-Interscience, New York
18. ES Amis Jr 2008 New program requirements for diagnostic radiology: update and discussion of the more complex requirements AJR Am J Roentgenol 190 2 4
19. JT Arnedt J Owens M Crouch 2005 Neurobehavioral performance of residents after heavy night call vs after alcohol ingestion JAMA 294 1025 1033 (Pubitemid 41248443)
20. L Berlin 2008 Liability of the sleep-deprived resident AJR Am J Roentgenol 190 845 851 (Pubitemid 351571483)
21. Fok MC, Townson A, Hughes B et al (2007) Work hours, sleep deprivation, and fatigue: a British Columbia snapshot. BC Medical Journal. http://www.bcmj.org/work-hours-sleep-deprivation-and-fatigue-british-columbia- snapshot. Accessed 30 December 2008
22. JM McDonald K Berbaum DL Bennett 2005 Radiology residency call: residents' perceptions of the on-call experience J Am Coll Radiol 2 932 938 (Pubitemid 41542839)
23. LS Yoon AH Haims JA Brink 2002 Evaluation of an emergency radiology quality assurance program at a level I trauma center: abdominal and pelvic CT studies Radiology 224 42 46 (Pubitemid 34680373)
24. K Krajewski B Siewert S Yam 2007 A quality assurance elective for radiology residents Acad Radiol 14 239 245 (Pubitemid 46108597)