Document Detail

The costs and effects of introducing selectively trained radiographers to an A&E reporting service: a retrospective controlled before and after study.
MedLine Citation:
PMID:  15901575     Owner:  NLM     Status:  MEDLINE    
The costs and effects of introducing selectively trained radiographers reporting accident and emergency (A&E) radiographs of the appendicular skeleton in a district general hospital were assessed using a retrospective controlled before and after design. Reference standard reports were compared with a random stratified sample of 200 A&E and 200 general practitioner (GP) reports before and after the intervention. GP reports were used as a non-intervention, non-equivalent control group. An A&E specialist registrar judged whether incorrect A&E reports might have a clinically important effect on patient management. The effect of incorrect A&E reports on outcome was assessed by patient re-attendance to the hospital because of missed abnormalities. The annual, average and incremental costs of radiographers and radiologists reporting A&E radiographs were calculated and a sensitivity analysis was undertaken. The introduction of the radiographers resulted in a 1% (95% CI -7.9 to 5.9) fall in A&E radiograph reporting accuracy and 11% (95% CI -33.7 to 11.3) reduction of cases in which incorrect A&E reports might have a clinically important effect on patient management. Only two A&E reports (one before and one after the intervention) affected patient outcome in that a fracture missed at the first visit resulted in patient re-attendance to the X-ray Department. There was a saving of 361 pounds per annum to the X-ray Department. In conclusion this study provides further evidence that selectively trained radiographers can accurately report A&E plain radiographs and at no additional cost.
S Brealey; D G King; S Hahn; C Godfrey; M T I Crowe; K Bloor; S Crane; D Longsworth
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The British journal of radiology     Volume:  78     ISSN:  0007-1285     ISO Abbreviation:  Br J Radiol     Publication Date:  2005 Jun 
Date Detail:
Created Date:  2005-05-19     Completed Date:  2005-08-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0373125     Medline TA:  Br J Radiol     Country:  England    
Other Details:
Languages:  eng     Pagination:  499-505     Citation Subset:  AIM; IM    
York Trials Unit, Department of Health Sciences, University of York, York YO10 5DD, UK.
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MeSH Terms
Clinical Competence
Education, Continuing
Emergency Service, Hospital / economics,  organization & administration*
Health Services Research
Hospital Costs*
Outcome Assessment (Health Care)
Radiography / economics*
Radiology / education,  organization & administration
Radiology Department, Hospital / economics,  organization & administration*
Retrospective Studies
Sensitivity and Specificity

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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