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dc.contributor.authorBanziger, Carina
dc.contributor.authorMcNeil, Kirsty
dc.contributor.authorGoh, Nui Luh
dc.contributor.authorChoi, Samantha
dc.contributor.authorZealley, Ian
dc.date.accessioned2022-11-28T15:30:05Z
dc.date.available2022-11-28T15:30:05Z
dc.date.issued2023-05-01
dc.identifier281977856
dc.identifier6412f2d5-d428-45f7-ba59-6cddb126bd68
dc.identifier85143241861
dc.identifier000891211600001
dc.identifier.citationBanziger , C , McNeil , K , Goh , N L , Choi , S & Zealley , I 2023 , ' Simple changes to the reporting environment produce a large reduction in the frequency of interruptions to the reporting radiologist : an observational study ' , Acta Radiologica , vol. 64 , no. 5 , pp. 1873-1879 . https://doi.org/10.1177/02841851221139624en
dc.identifier.issn0284-1851
dc.identifier.urihttps://hdl.handle.net/10023/26506
dc.description.abstractBackground Interruptions are a cause of discrepancy, errors, and potential safety incidents in radiology. The sources of radiological error are multifactorial and strategies to reduce error should include measures to reduce interruptions.   Purpose To evaluate the effect of simple changes in the reporting environment on the frequency of interruptions to the reporting radiologist of a hospital radiology department.   Material and Methods A prospective observational study was carried out. The number and type of potentially disruptive events (PDEs) to the radiologist reporting inpatient computed tomography (CT) scans were recorded during 20 separate 1-h observation periods during both pre- and post-intervention phases. The interventions were (i) relocation of the radiologist to a private, quiet room, and (ii) initial vetting of clinician enquiries via a separate duty radiologist. Results After the intervention there was an 82% reduction in the number of frank interruptions (PDEs that require the radiologist to abandon the reporting task) from a median 6 events per hour to 1 (95% confidence interval [CI] = 4–6; P < 0.00001). The overall number of PDEs was reduced by 56% from a median 11 events per hour to 5 (95% CI = 4.5–11: P < 0.00001).   Conclusion Relocation of inpatient CT reporting to a private, quiet room, coupled with vetting of clinician enquiries via the duty radiologist, resulted in a large reduction in the frequency of interruptions, a frequently cited avoidable source of radiological error.
dc.format.extent7
dc.format.extent773056
dc.language.isoeng
dc.relation.ispartofActa Radiologicaen
dc.subjectComputed tomographyen
dc.subjectInteruptionsen
dc.subjectReportingen
dc.subjectReducing interruptionsen
dc.subjectRC Internal medicineen
dc.subjectNDASen
dc.subjectMCCen
dc.subject.lccRCen
dc.titleSimple changes to the reporting environment produce a large reduction in the frequency of interruptions to the reporting radiologist : an observational studyen
dc.typeJournal articleen
dc.contributor.institutionUniversity of St Andrews. School of Medicineen
dc.identifier.doihttps://doi.org/10.1177/02841851221139624
dc.description.statusPeer revieweden


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