Accuracy of radiographer preliminary clinical evaluation of skeletal trauma radiographs, in clinical practice at a district general hospital

Verrier, William; Pittock, L.; Bodoceanu, M.; Piper, K.

doi:10.1016/j.radi.2021.12.010

Cited by 14 publications

(4 citation statements)

References 35 publications

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“…The majority of radiographer PIE discrepancies were FN interpretations, which was consistent with prior studies 14,15,19 . Dissimilarly, FPs were the most common discrepancies for emergency clinicians.…”

Section: Discussionsupporting

confidence: 85%

“…Several prior studies have demonstrated radiographers' radiographic interpretation skills are favourable and have compared radiographer interpretations to emergency clinician interpretations 11,14–19 . However, no study has compared the radiographer PIE to emergency clinician's interpretation within clinical practice.…”

Section: Discussionmentioning

confidence: 99%

“…Numerous studies have demonstrated that radiographers can identify radiographic abnormalities with high sensitivity and specificity 11,14–20 . A salient study published in 2019 reviewed 6290 radiographic examinations in the emergency setting 14 .…”

Section: Introductionmentioning

confidence: 99%

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Reducing diagnostic errors in the emergency department at the time of patient treatment

Petts

Neep

Thakkalpalli

2022

Emerg Medicine Australasia

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Objective The purpose of the present study was to compare and combine the radiographic interpretation accuracy of emergency clinicians and radiographers in clinical practice. Methods A total of 838 radiographic examinations were included for analysis from 1 August to 24 August 2020. The range of examinations reviewed included the appendicular and axial skeleton, chest and abdomen. Both paediatric and adult examinations were reviewed. The emergency clinician's and radiographer's interpretations for each examination were compared to the radiologist's report. This allowed mean sensitivity, specificity and diagnostic accuracy to be calculated. Results The radiographer's interpretation demonstrated a mean sensitivity, specificity and accuracy of 80%, 98% and 92%, respectively. The emergency clinician's interpretation demonstrated a mean sensitivity, specificity and accuracy of 82%, 95% and 89%, respectively. When the radiographer's and emergency clinician's interpretations were combined, it yielded a mean sensitivity, specificity and accuracy of 90%, 93% and 92%, respectively. Conclusions This is the first study to directly compare and combine the accuracy of an emergency clinician's radiographic interpretation with a radiographer's interpretation within clinical practice. The present study demonstrated that with the addition of a radiographer's interpretation, an emergency clinician's interpretation can be more accurate than the emergency clinician's interpretation in isolation. This highlights the value of a radiographer's interpretation that can complement an emergency clinician's interpretation when a radiologist's report is unavailable.

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Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 99%

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Reducing diagnostic errors in the emergency department at the time of patient treatment

Petts

Neep

Thakkalpalli

2022

Emerg Medicine Australasia

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“…Hardy and Snaith 4 found 90% provided initial education compared to a combined 53% (16/30) in the current study which suggests there is now perhaps more reliance on preregistration education. Given the lack of specificity in the requirements of image interpretation pre-registration education by professional and statutory regulatory bodies (PSRBs), 1,2,13,16 and the extensive evidence base supporting the role of initial and on-going education 8,12,17 in improving confidence and accuracy, it may be considered highly desirable that some form of initial and on-going learning be a requisite of flagging systems.…”

Section: Discussionmentioning

confidence: 99%

Radiographer abnormality flagging systems in the UK – A preliminary updated assessment of practice

Harcus¹,

Stevens²

2023

Radiography

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Workload as a predictor of radiographer preliminary image evaluation accuracy

Brown,

Burck,

Neep

2024

J of Medical Radiation Sci

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IntroductionDespite a demonstrated high accuracy and reported successful implementations, radiographer preliminary image evaluation (PIE) has been slow and infrequent in its rollout across Australia. A key barrier reported to hamper radiographer PIE service implementation is lack of adequate time to review radiographs and provide an accurate interpretation. This study sought to conduct a correlational analysis between radiographer imaging workload and PIE service accuracy.MethodsA total of 45,373 exams and 1152 PIE comments evenly distributed each month from January 1, 2022, to December 31, 2022, were reviewed. PIE comments were assessed for consistency with the radiologist's report. The imaging workload (average exams completed per hour) was separated into three, eight‐hour ‘shifts’ based on time of imaging. Correlational analysis was performed using linear regression models and assessed for normality using the Shapiro‐Wilks test.ResultsThe study reported no significant linear association between increasing average workload and reduced service accuracy (P = 0.136). It was however noted that when the average workload increased beyond 7 exams/hour, average service accuracy for PIE was always below 85%.ConclusionThis study has demonstrated that, although perceived, there is no statistically significant correlation between x‐ray imaging workload and radiographer PIE service accuracy. Consideration of this correlation to be a significant barrier to participation in such a service was not reported at this site.

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Accuracy of radiographer preliminary clinical evaluation of skeletal trauma radiographs, in clinical practice at a district general hospital

Cited by 14 publications

References 35 publications

Reducing diagnostic errors in the emergency department at the time of patient treatment

Reducing diagnostic errors in the emergency department at the time of patient treatment

Radiographer abnormality flagging systems in the UK – A preliminary updated assessment of practice

Workload as a predictor of radiographer preliminary image evaluation accuracy

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