The use of structured reporting of head and neck ultrasound ensures time-efficiency and report quality during residency

Ernst, Benjamin Philipp; Strieth, Sebastian; Katzer, Fabian; Hodeib, Mohamed; Eckrich, Jonas; Bahr, Katharina; Künzel, Julian; Froelich, Matthias F.; Matthias, Christoph; Sommer, Wieland H.; Becker, Sven

doi:10.1007/s00405-019-05679-z

Cited by 20 publications

(41 citation statements)

References 32 publications

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“…Free text reporting was carried out using a standardized, handwritten template which used to be our department's standard. Structured reporting was performed through a specifically designed online-based software (Smart Reporting GmbH, Munich, Germany, http:// www.smart-reporting.com) for HNU as previously published [19,20,23].…”

Section: Methodsmentioning

confidence: 99%

“…Consequently, report quality was categorized as very high (80 -100%), high (60 -80%), moderate (40 -60%), poor (20 -40%) or insufficient (0 -20%). Besides, user contentment was evaluated using an established questionnaire [19,20,23]. Participating medical students and residents were surveyed about practicability (question 1), usefulness in everyday practice (question 2), improvement in report-quality (question 3), time efficiency, timewise economy (question 4), justification of additional time needed (question 5), benefits for inexperienced physicians learning ultrasound examinations (question 6) and reporting (question 7) of the head and neck, usability by intuition (question 8) and clarity of arrangement of the template (question 9) using a ten-point visual analogue scale.…”

Section: Methodsmentioning

confidence: 99%

“…The implementation of structured reports (SR) into clinical practice has been shown to overcome these obstacles by standardizing the report content and terminology of HNU and other imaging techniques [14][15][16][17][18][19][20][21][22][23][24][25]. On the one hand, the use of SRs decreases the risk of missing key structures and increases the user satisfaction of examining and referring physicians [21,22,[26][27][28][29][30].…”

Section: Introductionmentioning

confidence: 99%

“…While different clinical studies were able to demonstrate that the implementation of structured reporting of HNU increases report quality and time efficiency [19,20,23], there is no data at which the level of training SRs should be introduced in order to accomplish the best possible benefit. Even though it may be suggestive that the highest profit can be achieved by the earliest possible implementation, the opposite could be the case.…”

Section: Introductionmentioning

confidence: 99%

“…Even though it may be suggestive that the highest profit can be achieved by the earliest possible implementation, the opposite could be the case. The use of free text reporting (FTR) inevitably leads to the acquisition of an extensive knowledge of the diagnostic modality and its reporting through repetitive free text formulation and the necessary terminology and structure in order to do so [23]. Secondary, a steeper learning curve in structured reporting may arise from previously acquired knowledge.…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of optimal education level to implement structured reporting into ultrasound training

et al. 2020

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Aims: Reporting of head and neck ultrasound (HNU) has been outlined to be a major obstacle during ultrasound training due to a lack of standardized structure, content and terminology. Consequently, overall report quality differs significantly between various examiners posing a severe risk factor for information loss and miscommunication. Therefore, the present study’s purpose is to compare the overall quality of free text reports (FTR) and structured reports (SR) of HNU at various stages of training in order to determine the optimal educational level to implement SR.Material and methods: Typical pathologies in HNU were reported upon using SR and FTR by medical students, junior residents and senior residents. The reports were assessed for overall quality, time efficiency and readability. Additionally, user satisfaction was determined using a questionnaire.Results: SRs exhibited a significantly superior report quality (93.1% vs. 45.6%, p<0.001) at all training levels. Overall time efficiency was significantly better for SRs, especially at the stages of medical school and early residency (89.4 s vs. 160.2 s., p<0.001). Using structured reporting also increased user satisfaction significantly (VAS 8.6 vs. 3.9, p<0.001).Conclusions: Implementing structured reporting of HNU results in a superior report quality at all training stages. Greatest benefits for time efficiency are achieved by implementation during medical school. Therefore, structured reporting of HNU should be implemented early on in the training of HNU.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Evaluation of optimal education level to implement structured reporting into ultrasound training

et al. 2020

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Template-Based Structured Reporting

Coppola

Faggioni

2022

Structured Reporting in Radiology

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Qualität in der Befundung von Kopf- und Halssonographien an Universitätskliniken – eine Stichprobe

Künzel

Bozzato

Ernst

et al. 2021

HNO

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Zusammenfassung Hintergrund Die Ultraschalldiagnostik gilt für den Radiologen, Hals-Nasen-Ohren-Arzt (HNO) oder Mund-Kiefer-Gesichts-Chirurgen als Standard in der Abklärung zahlreicher Pathologien. Es besteht ein Konsens, dass die digitale Dokumentation heute dringend notwendig ist, um die Qualität der sonographischen Dokumentationen zu verbessern und zu standardisieren. Es häufen sich Publikationen zur Implementierung standardisierter Befunddokumentation einschließlich der Kopf- und Halssonographie. Ziel der Arbeit Die vorliegende Arbeit zielt darauf ab, die Qualität von routinemäßig angefertigten Kopf- und Halssonographiebefunden nach Kriterien der Kassenärztlichen Vereinigung (KV) Bayern an einer Auswahl deutscher HNO-Universitätskliniken stichprobenartig zu ermitteln. Material und Methoden Insgesamt wurden retrospektiv 70 zufällig ausgewählte, anonymisierte schriftliche Befunde einschließlich Bildmaterial von insgesamt 7 HNO-Universitätskliniken stichprobenartig nach KV-Kriterien durch einen erfahrenen Prüfer der KV Bayern ausgewertet und deskriptiv analysiert. Ergebnisse Von 70 Befunden konnten 69 ausgewertet werden. Die Dokumentationsvollständigkeit lag im Mittel bei 80,6 %. Neun Befunde waren vollständig korrekt dokumentiert (13 %). Die Dokumentationsvollständigkeit der einzelnen Kliniken lag zwischen 68,1 % und 93 %. Mit 88,5 % vs. 75 % erbrachte eine strukturierte Befundung eine höhere Befundvollständigkeit. In 75 % der Fälle verfügten die Kliniken mit strukturiertem Befund auch über digitale Dokumentationslösungen. Schlussfolgerung Die Vollständigkeit und Qualität von routinemäßig angefertigten Kopf- und Halssonographiebefunden an einer Auswahl von HNO-Universitätskliniken ist insgesamt optimierbar. Die Implementierung strukturierter Befundmasken und die Umstellung der analogen Dokumentation auf digitale Lösungen sowie Vernetzung mit dem Klinikinformationssystem (KIS) und Bildarchivierungs- und Kommunikationssystem (PACS) sollte weiter vorangetrieben werden. Darüber hinaus sind leitende Ärzte dazu angehalten, die Befundqualität unerfahrener Kollegen regelmäßig zu prüfen und im Rahmen der Facharztausbildung auf die Erfüllung entsprechender Standards wie der KV-Ultraschallvereinbarung hinzuarbeiten.

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The use of structured reporting of head and neck ultrasound ensures time-efficiency and report quality during residency

Cited by 20 publications

References 32 publications

Evaluation of optimal education level to implement structured reporting into ultrasound training

Evaluation of optimal education level to implement structured reporting into ultrasound training

Template-Based Structured Reporting

Qualität in der Befundung von Kopf- und Halssonographien an Universitätskliniken – eine Stichprobe

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