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Do double reading and a radiograph discussion at the emergency department influence radiology discrepancies?

Hoorn, E.S. van (2019) Do double reading and a radiograph discussion at the emergency department influence radiology discrepancies?

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Abstract:Objective: To assess the added value of the double reading of the radiograph and the presence of a daily radiograph meeting at the emergency department by comparing the occurrence and type of discrepancies made in plain musculoskeletal radiographs requested by the general practitioner (GP) and the emergency department (ED). Methods: Information about 138 discrepancies in plain musculoskeletal radiographs requested by the GP and 50 discrepancies in plain musculoskeletal radiographs requested by the ED was derived from a Dutch hospital information system. Information about the organization of care in the different care pathways for diagnosing fractures used within the hospital was collected from the hospital information system and on-site visits. The differences in discrepancies were analysed using the Pearson Chi-square test, Fisher’s Exact test and ANOVA. Results: The hospital has a discrepancy rate of 0.14 and 0.03 in plain radiographs requested by the GP and ED. The discrepancies in plain radiographs requested by the GP do not significantly differ from the discrepancies in the same type of imaging requested by the ED on the type of discrepancy, the severity of the discrepancy, method of discrepancy discovery, the maker of the discrepancy, the presence of supervision and the discovery time of the discrepancy. Conclusion: The discrepancies in plain radiographs requested by the GP and ED do not significantly differ from each other and there is no added value to the double reading of the radiograph. No clear conclusion can be given about the influence of the radiograph meeting on the discrepancies.
Item Type:Essay (Master)
Faculty:TNW: Science and Technology
Subject:44 medicine
Programme:Health Sciences MSc (66851)
Link to this item:http://purl.utwente.nl/essays/78723
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