Radiographers and trainee radiologists reporting accident radiographs: A comparative plain film-reading performance study

Buskov, Laura Katrine; Abild, Annemette; Christensen, Anders; Holm, O.; Hansen, Christine Krarup; Christensen, Hanne

doi:10.1016/j.crad.2012.06.104

Cited by 33 publications

(22 citation statements)

References 12 publications

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“…In this study, most of the respondents agreed that having a reporting radiographer to provide reporting, after hours, would benefit the patient influx and their subsequent management. This finding was also in keeping with other researchers who found that having a reporting radiographer, after hours, would ease workflowdan improvement that has also been argued to be cost-effective [3,23,24,[31][32][33][34][35]. Echoing this sentiment, 41.0% of the respondents in this study agreed and 46.2% strongly agreed that having a radiologist reporting on images, after hours, would increase productivity, with regard to patient influx and service delivery ( Figure 6).…”

Section: The Need For An After-hours Reporting Service By a Radiograpsupporting

confidence: 89%

Determining the Need for After-Hours Diagnostic Radiological Reporting in Emergency Departments at Public Hospitals in South Africa: Perceptions of Emergency Physicians in KwaZulu-Natal

Chetty

Venter

Speelman

2020

Journal of Medical Imaging and Radiation Sciences

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Background: Emergency departments in South African public hospitals have a high patient load after hours, with inadequate numbers of health care professionals available to satisfy patient influx. In addition, there is often no provision of after-hours diagnostic reporting services in public hospitals, to an extent that the emergency physician is responsible for interpreting all radiographic images requested themseves. Emergency physicians, in this study, can be described as any medical doctor registered with the Health Professions Council of South Africa and working in the emergency department as a registrar or consultant physician because there were no physicians specialized in emergency medicine working at the hospitals selected for this study. Aim: The aim of this study was to determine the views of emergency physicians on whether there is a need for an after-hours diagnostic radiological reporting service in selected public hospitals in KwaZulu-Natal Province, South Africa. Methods: A descriptive cross-sectional quantitative research design was utilized, through means of a survey, to assess the emergency physicians' perceptions regarding the need for after-hours diagnostic radiological reporting. In addition, the study used a descriptive quantitative research design to record the number of conventional diagnostic radiographic examinations performed at the selected hospitals, after hours, and the proportional number of these radiographic examinations that were reported on by radiologists during office hours, the following day. The distribution of questionnaires and data collection, with regard to the number of examinations reported on, and those not reported on, were carried out simultaneously during the execution of this study. The study was conducted over a three-month period in 2017, at four public hospitals in KwaZulu-Nataldone of the nine provinces of South Africa. Results: This study found that, during the study period, between 0.1% and 0.6% of the conventional diagnostic radiographic examinations performed, after hours, were reported on by radiologists during office hours, the following day. The surveyed emergency physicians felt that the interpretation of diagnostic images took up valuable time that could be spent on patient management, and there was near-total agreement, whereby 92% (n ¼ 36) of the physicians would have preferred after-hours reporting to be performed by a radiologist. Physicians agreed that having a radiologist or reporting radiographer to provide radiological reports would allow for more effective and efficient patient management. Conclusion: The results of this study indicated that there is a need for after-hours radiographic reporting at the selected public hospitals and for the further training of emergency physicians in radiographic image interpretation. Based on the findings of this study, it is recommended that after-hours radiological reporting services be considered for public hospitals and that courses be offered to emergency physicians on the interpretation of diagnostic Co...

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Section: The Need For An After-hours Reporting Service By a Radiograpsupporting

confidence: 89%

Determining the Need for After-Hours Diagnostic Radiological Reporting in Emergency Departments at Public Hospitals in South Africa: Perceptions of Emergency Physicians in KwaZulu-Natal

Chetty

Venter

Speelman

2020

Journal of Medical Imaging and Radiation Sciences

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“…To the best of our knowledge, this is the first study of its kind on the African continent. The results are strikingly similar to those from EU countries over the past two decades [ 14 – 18 ]. Experienced radiographers with no additional training in plain-film reporting have been shown to perform significantly better than junior doctors, consistently achieving above 80% overall accuracy in acute fracture detection.…”

Section: Discussionsupporting

confidence: 77%

“…In the European Union (EU), experienced radiographers with no specific training have been shown to be more accurate than medical officers in reporting trauma radiographs of the appendicular skeleton [ 14 ], while EU radiographers who receive additional training can reach accuracies comparable to radiologists [ 15 – 18 ]. There are thus increasing data from high-income countries that radiographers constitute an important potential resource to help address imaging service demands.…”

Section: Introductionmentioning

confidence: 99%

Towards task shifting? A comparison of the accuracy of acute trauma-radiograph reporting by medical officers and senior radiographers in an african hospital

Plessis¹,

Pitcher²

2015

Pan Afr Med J

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IntroductionDue to the universal shortage of radiologists, medical officers are largely responsible for acute trauma radiograph reporting in public sector healthcare facilities in well-resourced countries. In poorly-resourced countries, a shortage of medical officers results in most acute trauma radiographs being unreported. In the European Union (EU), experienced radiographers with no specific training have been shown to be more accurate than medical officers in trauma radiograph reporting, while EU radiographers who receive additional training can reach accuracies comparable to radiologists. In some EU countries, the role of the radiographer has been extended to include trauma reporting. However, there has been no study of the accuracy of trauma radiograph reporting by radiographers in Africa, where task-shifting could yield potentially greater benefits, due to shortages of both radiologists and medical officers. The aim of this study was therefore to compare the accuracy of acute trauma-radiograph reporting by medical officers and senior radiographers in an African settingMethodsA prospective study was conducted at a South African hospital from November 2013-April 2014. Medical officers and senior radiographers reported the same set of appendicular skeleton trauma radiographs. Reporting accuracy, sensitivity and specificity were calculated using a consultant radiologist's report as the reference standard. Differences were evaluated using the Mann-Whitney U test, with p < 0.05 significantResultsSenior radiographers achieved significantly higher reporting accuracy and sensitivity than medical officers (81.5% vs 67.8%, p = 0.002)ConclusionSenior radiographers represent a potentially important resource for acute trauma-radiograph reporting in the public healthcare sector in Africa.

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“…[6][7][8] Sustained implementation of extended radiography roles in the UK 9 and other developed countries [10][11][12][13][14] has demonstrated latent benefits to healthcare in terms of reduced patient waiting times, reduced healthcare costs, enhanced job satisfaction for practitioners and increased accuracy of reports. 7,[15][16][17][18][19][20][21][22][23][24][25][26] Despite such benefits, professional divisions endure between radiography and radiology regarding the appropriate scope of practices. [15][16][17]27 Developing countries share the generic workload drivers for role extension, but face additional resources constraints 28 and a particular historical development of professional power hierarchies or political/social systems that favour the status quo.…”

Section: Introductionmentioning

confidence: 99%

Opportunities for radiographer reporting in Ghana and the potential for improved patient care

2020

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Radiographers and trainee radiologists reporting accident radiographs: A comparative plain film-reading performance study

Cited by 33 publications

References 12 publications

Determining the Need for After-Hours Diagnostic Radiological Reporting in Emergency Departments at Public Hospitals in South Africa: Perceptions of Emergency Physicians in KwaZulu-Natal

Determining the Need for After-Hours Diagnostic Radiological Reporting in Emergency Departments at Public Hospitals in South Africa: Perceptions of Emergency Physicians in KwaZulu-Natal

Towards task shifting? A comparison of the accuracy of acute trauma-radiograph reporting by medical officers and senior radiographers in an african hospital

Opportunities for radiographer reporting in Ghana and the potential for improved patient care

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