Frequency and classification of addenda in paediatric neuroradiological reports as part of quality assurance

AIMTo determine the frequency and classification of addenda seen in paediatric brain magnetic resonance imaging (MRI) reports. MATERIALS AND METHODSA retrospective review of the addenda of brain MRI reports from a large tertiary children's hospital was undertaken between January 2013 to Decembe...

Full description

Saved in:
Bibliographic Details
Published in:Clinical radiology 2024-04, Vol.79 (4), p.303-311
Main Authors: Venkatakrishna, S.S.B, Ghosh, A, Sharma, P, Miranda-Schaeubinger, M, Prakash, A.V, Addisu, L, Sze, R.W, Andronikou, S
Format: Article
Language:English
Subjects:
Child
Diagnostic Errors
Humans
Magnetic Resonance Imaging
Radiology
Research Report
Retrospective Studies
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:AIMTo determine the frequency and classification of addenda seen in paediatric brain magnetic resonance imaging (MRI) reports. MATERIALS AND METHODSA retrospective review of the addenda of brain MRI reports from a large tertiary children's hospital was undertaken between January 2013 to December 2021 and a subset of above radiology reports was used to classify addenda over 6-month periods, October to March, spanning 2018 to 2021. A radiology fellow and a medical doctor classified the addenda into previously published categories using their best judgement. RESULTSOut of 73,643 brain MRI reports over 9 years (108 months) included in the study, only 923 reports (1.25%) had addenda. There was a total of 13,615 brain MRI reports from 6-month periods, of which only 179 reports (1.31%) had an addendum. The number of errors according to categories were: observational 88/13,615 (0.65%); interpretational 16/13,615 (0.12%); non-observational and non-interpretative 82/13,615 (0.6%). Notifications to referring physician made in 29/13,615 (0.21%). CONCLUSIONSThe overall proportion of addenda to the brain MRI reports of children in the present study was low, at 1.25%. Categorisation of different addenda revealed the most common errors to be observational in 0.65%, including under-reading in the region of interest in 0.25%. Appropriate measures can now be introduced to minimise the error-based addenda further and improve MRI diagnosis in children. Other paediatric practices may choose to follow suit in evaluating their addenda and errors to improve practice.
ISSN:0009-9260
1365-229X
1365-229X
DOI:10.1016/j.crad.2023.12.025