(1) Background: We aimed to compare the accuracy of after-hours CT reports created in a traditional in-house setting versus a teleradiology setting by assessing the discrepancy rates between preliminary and final reports. (2) Methods: We conducted a prospective study to determine the number and severity of discrepancies between preliminary and final reports for 7761 consecutive after-hours CT scans collected over a 21-month period. CT exams were performed during on-call hours and were proofread by an attending the next day. Discrepancies between preliminary and gold-standard reports were evaluated by two senior attending radiologists, and differences in rates were assessed for statistical significance. (3) Results: A total of 7209 reports were included in the analysis. Discrepancies occurred in 1215/7209 cases (17%). Among these, 433/7209 reports (6%) showed clinically important differences between the preliminary and final reports. A total of 335/5509 of them were in-house reports (6.1%), and 98/1700 were teleradiology reports (5.8%). The relative frequencies of report changes were not significantly higher in teleradiology. (4) Conclusions: The accuracy of teleradiology reports was not inferior to that of in-house reports, with very similar clinically important differences rates found in both reporting situations.

ZusammenfassungAußerhalb der Regelarbeitszeit wird der Präsenzdienst in den meisten Krankenhäusern von Weiterbildungsassistenten geleistet. Sie sind gut beraten, einerseits die wichtigsten Krankheitsbilder zu kennen, die in dieser Übersichtsarbeit dargestellt werden, und andererseits die Fälle, die sie nicht lösen können, an ihren Hintergrund weiterzuleiten.

Außerhalb der Regelarbeitszeit wird der Präsenzdienst in den meisten Krankenhäusern von Weiterbildungsassistenten geleistet. Sie sind gut beraten, einerseits die wichtigsten Krankheitsbilder zu kennen, die in dieser Übersichtsarbeit dargestellt werden, und andererseits die Fälle, die sie nicht lösen können, an ihren Hintergrund weiterzuleiten.