Evaluation of Radiology Request Forms in a Tertiary Care Hospital: An Audit With a Focus on the Impact of Technological Intervention

Barakzai, Muhammad Danish; Sheer, Zara Za; Azeemuddin, Muhammad; Alvi, Amna; Khan, Noman; Nizamani, Waseem Mehmood; Beg, Mohammad Asim; Siddiqui, Saad

doi:10.7759/cureus.13335

Cited by 6 publications

(6 citation statements)

References 7 publications

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“…5 Previous audits around the same area showed a worldwide deficiency in filling radiology request forms appropriately. 1 Our results show that all the forms had the names of the patients and parts to be examined properly filled in. This is expected since a form without the above two data would not qualify to go through the process of payment as required in the hospital before being sent to the Department of Radiology.…”

Section: Discussionmentioning

confidence: 68%

“…Reasons for the request should be clearly stated, and sufficient clinical details should be supplied to enable the imaging specialist to understand the particular diagnostic or clinical problems to be resolved by the radiological investigation". 1 A radiological requisition form is a clinical document filled by the physician which includes a patient's particulars, date, a brief but significant clinical history, the examination requested and the name and signature of the attending physician. 2 However, no standardized format for radiology request forms is available.…”

Section: Introductionmentioning

confidence: 99%

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Are Clinicians Communicating Adequately with Radiologists through Radiological Requisition? A Clinical Audit Assessing Current Local Practice

Koirala

Bhandari

2022

Nep J Radiology

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Introduction: A radiological request form is the only communication tool between the treating physician and the radiologist. This study was conducted to assess the adequacy of filled radiological request forms in a tertiary health institute. Methods: Three hundred radiological requisition forms which were filled by doctors at the tertiary hospital were selected randomly and analyzed. The forms were evaluated for completeness of the information entered by the physician. The request forms were selected by convenience sampling method to avoid bias and included forms from multiple departments both inpatient and outpatient. Results: Our audit data revealed that out of the total 250 request forms that were analyzed only the names of the patients and the part to be examined was filled. The age and gender of the patients were filled in 99.2% and 99.6% forms respectively. A total of 59.6% of forms had provisional clinical diagnosis, name and department of the physician requesting the investigation were present in 75.6% and 66% of forms respectively. None of the forms contained the contact number of the requesting physician with 8% forms without the name of the physician and department who had filled the request form. Conclusion: At the end of our audit, we concluded that radiological request forms are rarely filled properly which results in inadequate transmission of clinical information.

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Section: Discussionmentioning

confidence: 68%

Section: Introductionmentioning

confidence: 99%

Are Clinicians Communicating Adequately with Radiologists through Radiological Requisition? A Clinical Audit Assessing Current Local Practice

Koirala

Bhandari

2022

Nep J Radiology

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“…Perhaps the most direct approach to mitigate the low detection rate of otosclerosis by general radiologists would be to communicate the clinical data accurately and thoroughly in CT request forms. Radiological request forms are an integral part of clinician–radiologist communication [ 28 , 29 , 30 ]. Inadequately completed request forms are a well-known concern, and are associated with diagnostic errors as well as unhelpful or unnecessary scans [ 28 , 29 , 30 ].…”

Section: Discussionmentioning

confidence: 99%

“…Radiological request forms are an integral part of clinician–radiologist communication [ 28 , 29 , 30 ]. Inadequately completed request forms are a well-known concern, and are associated with diagnostic errors as well as unhelpful or unnecessary scans [ 28 , 29 , 30 ]. In the present study, insufficient request forms were significantly correlated with a higher likelihood of missed diagnoses.…”

Section: Discussionmentioning

confidence: 99%

Missed Radiological Diagnosis of Otosclerosis in High-Resolution Computed Tomography of the Temporal Bone—Retrospective Analysis of Imaging, Radiological Reports, and Request Forms

Bassiouni

Bauknecht

Muench

et al. 2023

JCM

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Objectives: Several studies reported low detection rates of otosclerosis in high-resolution computed tomography (HRCT), especially when the scans were reviewed by non-specialized general radiologists. In the present study, we conducted a retrospective review of the detection of otosclerosis in HRCT by general radiologists and the impact of inadequately filled radiological request forms on the detection rate. Methods: Retrospective analysis of hospital records, HRCT reports, and radiological referral notes of 40 patients who underwent stapedotomy surgery for otosclerosis. HRCT imaging data sets were retrospectively reviewed by a blinded experienced neuroradiologist, whose reading served as the gold standard. Results: General radiologists reading HRCT scans had an overall detection rate of otosclerosis of 36.1% in this cohort (13 of 36 available HRCT reports). The neuroradiologist had a much higher detection rate of 82.5% (33 of 40 cases). Interobserver agreement between the general radiologists and the subspecialist neuroradiologist was poor (Cohen’s kappa κ = 0.26). General radiologists missed the diagnosis in 15 of the 33 CT-positive scans, corresponding to a missed diagnosis rate of 45.4%. There was a highly significant association between a missed diagnosis and the lack of an explicitly mentioned clinical suspicion of otosclerosis in the request forms (Pearson’s chi-squared test, p < 0.005). Conclusion: The diagnosis of otosclerosis is frequently missed by radiologists on HRCT scans of the temporal bone in a clinical setting. Possible reasons include a relative lack of experience of general radiologists with temporal bone imaging as well as the failure of clinicians to unambiguously communicate their suspicion of otosclerosis.

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“…Modern medicine depends heavily on radiology, but many recently graduated physicians and radiologists believe that radiology education in med colleges is often insufficient. 11,12 The key clinical facets of radiology, including assessing the appropriateness of imaging, comprehending how radiology departments prioritise investigations, comprehending negative challenges and responses, and interacting with the radiology department, are regions where trainees and radiologists may feel new doctors enter their career opportunities with insufficient preparation. This inability to communicate abilities can demotivate both the radiologist and non-radiology trainee, as well as raise the risk that patients will receive higher levels of radiation as a consequence of unnecessary treatment and improper imaging will be achieved.…”

Section: Discussionmentioning

confidence: 99%

Are Clinicians Communicating Adequately with Radiologists Through Radiological Requisition? A Clinical Audit Assessing Current Local Practice

Orakzai¹,

Begum²,

Rashid³

et al. 2023

PJMHS

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Background: To prevent controversy, the request forms were selected to use a method of convenience sampling and also included forms from both inpatient and outpatient different department. The aim of this study whether the different request forms that were submitted to the radiological department and notice that the patients having complete information in each form of different department of radiology. Study design: This was retrospective and descriptive study. The study was carried out at the department of Radiology, MTI Mardan Medical Complex, Mardan for six months duration from May 2022 to October 2022. Methods: The total participants request form were 300 which distribute, 85 forms in CT (computated tomography), 105 forms in MRI (magnetic resonance imaging) and 110 forms in US (ultrasound image). The completeness of the data entered by the doctors was examined on the forms to avoid bias. Results: Our audit information indicate that to analysed 300 request forms were filled out just the name of patients as well as part of examination. The different category of request form included name, age, diagnosis diseases, relevant history and Dr. Name or contact number. Conclusion: The referring doctors managed to fail to fully and precisely fill out all of the disciplines. To recognize this system and communicate about how it may be done better, we suggest having discussions with radiologists and doctors from different departments. Keywords: Radiologists, Radiology request form, Adequate.

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Evaluation of Radiology Request Forms in a Tertiary Care Hospital: An Audit With a Focus on the Impact of Technological Intervention

Abstract: Barakzai et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Cited by 6 publications

References 7 publications

Are Clinicians Communicating Adequately with Radiologists through Radiological Requisition? A Clinical Audit Assessing Current Local Practice

Are Clinicians Communicating Adequately with Radiologists through Radiological Requisition? A Clinical Audit Assessing Current Local Practice

Missed Radiological Diagnosis of Otosclerosis in High-Resolution Computed Tomography of the Temporal Bone—Retrospective Analysis of Imaging, Radiological Reports, and Request Forms

Are Clinicians Communicating Adequately with Radiologists Through Radiological Requisition? A Clinical Audit Assessing Current Local Practice

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