To create a comprehensive library of templates that enhance the quality and efficiency of radiology reporting.
Discrepancy Classifications
An error in perception is a cognitive error, which occurs when the interpreting radiologist fails to identify or describe an abnormality on a diagnostic image.
An error in interpretation is also a cognitive error that occurs when the interpreting radiologist correctly identifies and describes an imaging abnormality but fails to identify the significance or clinical impact of the abnormality. Interpretive errors are rarely due to a lack of knowledge. Rather, interpretive errors are more likely due to incorrect judgment or misclassification by the radiologist.
An error in communication is a failure to communicate the results of an imaging study to the appropriate provider caring for the patient. This can be due to an unclear or misleading report or a report that does not effectively communicate the radiologist’s recommendations. It can also be due to failure to properly communicate urgent or unexpected findings effectively or within an appropriate time frame. It can be due to simple failure to transmit the report to the referring physician.
Modified RADPEER Scoring System based on ACR Guidelines
Score | Feedback | |
5 | Agree with interpretation | |
4 | Minor Discrepancy in interpretation - Unlikely to be clinically significant | |
3 | Minor Discrepancy in interpretation - Likely to be clinically significant | |
2 | Major Discrepancy in interpretation - Unlikely to be clinically significant | |
1 | Major Discrepancy in interpretation - Likely to be clinically significant |
The structured reporting is communicating information in radiology reports to the referring physicians in language that is direct, clear and concise.
As per recent survey, 20 percent of responding clinicians found the language and style used in radiology reports was unclear. Thus it may reach different conclusions when reading the same reports by different Specialities.
To end this we are developing structured reporting of imaging findings by standardizing format, terminology and content. A uniform way to communicate radiologic findings, clinical impressions and management recommendations.