Value of radiograph audit in an accident service department

Comparing the accuracy of initial head CT reporting by radiologists, radiology trainees, neuroradiographers and emergency doctors

“…These have usually been undertaken to determine whether it may be appropriate for such individuals to provisionally report radiological studies and therefore help to meet the increasing demand for on-call radiology. For instance, several studies have evaluated the discrepancy rates between radiologists and emergency doctors in reporting trauma radiographs, demonstrating misreporting rates in the region of 1-3% [5][6][7]. In the context of cranial CT, previous studies have assessed the clinically significant non-concordance rates between the reports of radiology trainees and neuroradiologists, showing these to be between 1.7% and 5.7% [8][9][10].…”

The effect of a Picture Archiving and Communications System (PACS) on diagnostic performance in the accident and emergency department

“…Misdiagnosis in the A&E department is an apparently common and potentially serious problem, and previous studies have found that misdiagnosis rates by A&E staV range from 0.6% to 7%. [1][2][3][4][5][6][7][8][9][10][11][12][13] Failure to interpret radiographic images correctly is a common cause of diagnostic error and litigation in the A&E department. 6 14 Radiology departments have begun to make use of new technology known as Picture Archiving and Communications System (PACS) that acquires, transports and stores radiographic images electronically.…”

<title>Evaluation of PACS at Hammersmith Hospital: assessment of radiology performance in the accident and emergency department</title>

“…These results compare well with the published results in other studies and are in the lower part of the range of these results . They are also similar to the misdiagnosis rate of 1.4% found by Thomas et al (1992) at the John Radcliffe Hospital, Oxford which is another British teaching hospital with some characteristics similar to the Hammersmith and which is being used as one of the comparator hospitals in the evaluation.…”