Structured reporting of CT examinations in acute pulmonary embolism

Abstract Objectives To evaluate the effect of structured reporting of CT pulmonary angiography (CTPA) studies on the content, clarity and clinical usefulness of radiology reports in acute pulmonary embolism (PE). Methods Conventional and structured reports were generated for 41 patients with a CTPA...

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Bibliographic Details
Published in:Journal of cardiovascular computed tomography 2017-05, Vol.11 (3), p.188-195
Main Authors: Sabel, Bastian O., MD, Plum, Jessica L, Kneidinger, Nikolaus, MD, Leuschner, Gabriela, MD, Koletzko, Leandra, MD, Raziorrouh, Bijan, MD, Schinner, Regina, Dipl-Stat, Kunz, Wolfgang G, Schoeppe, Franziska, Thierfelder, Kolja M., MD, Sommer, Wieland H., MD, MPH, Meinel, Felix G., MD
Format: Article
Language:English
Subjects:
Acute Disease
Adolescent
Adult
Aged
Aged, 80 and over
Attitude of Health Personnel
Cardiovascular
Chest CT
Computed tomography pulmonary angiography
Documentation - standards
Female
Humans
Information Dissemination
Male
Medical Records - standards
Middle Aged
Perception
Predictive Value of Tests
Prognosis
Pulmonary embolism
Pulmonary Embolism - diagnostic imaging
Pulmonary Embolism - therapy
Pulmonologists - psychology
Report quality
Retrospective Studies
Speech Recognition Software
Structured reporting
Tomography, X-Ray Computed
Young Adult
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Summary:Abstract Objectives To evaluate the effect of structured reporting of CT pulmonary angiography (CTPA) studies on the content, clarity and clinical usefulness of radiology reports in acute pulmonary embolism (PE). Methods Conventional and structured reports were generated for 41 patients with a CTPA positive for acute PE. Conventional reports were dictated in a free-text form using speech recognition; structured reports contained a consistent ordering of observations with standardized subheadings. Conventional reports were compared to standardized structured reports. Two general internists and two pulmonologists rated their satisfaction with the clarity and content of the report and its clinical usefulness and hypothetically assigned the patients to a suitable disposition and therapy. Results Overall, structured reports received higher ratings for content (median rating 10.0 vs. 8.5, p 
ISSN:1934-5925
1876-861X
DOI:10.1016/j.jcct.2017.02.008