| Neuroimaging reports in a general hospital: results from a quality-improvement program. | |
| | |
MedLine Citation:
|
PMID: 19910106 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: Neurologists working in district general hospitals (DGHs) in the UK frequently rely on neuroimaging reports from general radiologists. Neuroradiologists and general radiologists may disagree in the interpretation of magnetic resonance imaging and computerized tomographs of brain and spine. We sought to analyse disagreements between reports from general radiologists and neuroradiologists in selected patients and to examine the impact of a four-point quality-improvement program in a DGH neuroimaging reporting service. METHODS: A single neurologist selected patients for reporting by neuroradiologists following a recommendation from general radiologists, or because of a concern by the neurologist. Differences between general radiologists and neuroradiologists in pre-planned primary and secondary findings and advice for further investigations were compared. RESULTS: Primary finding disagreements occurred in 41 of 307 patients (13.4%) and secondary finding disagreements were identified in 62 patients (20.2%). There was no evidence from either result of improvement compared to an earlier study, p=0.45 and p=0.52 respectively. Neuroradiologists suggested further investigations in 42 patients (13.7%). Recurrent areas of disagreement included distinguishing perivascular spaces from ischemia, while recurrent missed lesions included subdural hemorrhage and cortical dysplasia. CONCLUSIONS: Despite implementation of a quality-improvement program neuroradiologists frequently identified major discrepancies and recommended additional investigations in this DGH neuroimaging service. Future research should identify interventions which are more effective in improving neuroimaging reports in DGHs. |
| | |
Authors:
|
Mark O McCarron; Carrie Sands; Peter McCarron |
Related Documents
:
|
1579186 - The clinical importance of routine measurement of liver enzymes, total protein and albu... 20972076 - Poc20 do patients like being present when their letters are dictated, and does it matter? 23351086 - Intravesical bacille calmette-guérin (bcg) in immunologically compromised patients wit... 16266416 - A consultation leaflet to improve an older patient's involvement in general practice ca... 2856596 - Erythromycin in acute pharyngitis: a comparison of efficacy and patient tolerance of tw... 7973896 - Frequency and outcome of infectious disease admissions to a pediatric intensive care unit. |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2009-11-11 |
Journal Detail:
|
Title: Clinical neurology and neurosurgery Volume: 112 ISSN: 1872-6968 ISO Abbreviation: Clin Neurol Neurosurg Publication Date: 2010 Jan |
Date Detail:
|
Created Date: 2010-01-19 Completed Date: 2010-03-25 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 7502039 Medline TA: Clin Neurol Neurosurg Country: Netherlands |
Other Details:
|
Languages: eng Pagination: 54-8 Citation Subset: IM |
Copyright Information:
|
2009 Elsevier B.V. All rights reserved. |
Affiliation:
|
Department of Neurology, Altnagelvin Hospital, Glenshane Road, Derry BT476SB, UK. markmccarron@doctors.org.uk |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Diagnostic Imaging / methods* Female Hospitals, General Humans Magnetic Resonance Imaging Male Middle Aged Nervous System Diseases / diagnosis*, therapy Quality Assurance, Health Care Tomography, X-Ray Computed Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Polymyositis presenting with cardiac manifestations: Report of two cases and review of the literatur...
Next Document: Invasive aspergillosis presenting with a painless complete ophthalmoplegia.