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Preliminary clinical evaluation: Where are we? An international scoping review
Stevens, B. Pantic, V. Hewis, J.
Stevens, B.
Pantic, V.
Hewis, J.
Publication Date
2024-08
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© 2024 The Author(s). Published by Elsevier Ltd on behalf of The College of Radiographers. This is an
open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
Peer-Reviewed
Yes
Open Access status
openAccess
Accepted for publication
2024-07-07
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Abstract
Background: The College of Radiographers’ vision was that diagnostic radiographers in the UK would be
writing preliminary clinical evaluations (PCE) on images. Their 2013 policy supporting the use of PCE has
not been updated in a decade and it might be suggested PCE practices in the UK have not really moved
on, though elsewhere it appears to have gained traction. The aim of this scoping review was to establish
the current global status of the use of PCE.
Method: The Arksey and O'Malley scoping review framework and PRISMA-ScR guidelines were used to
develop a protocol to identify studies between January 2013 to January 2024 using six databases. Collated
literature was analysed using content analysis to identify themes.
Results: 52 relevant studies were identified for inclusion. Studies focused predominantly on evaluating
accuracy, education, perceptions, and new initiatives. Themes identified a developing role in the use of
PCE internationally, perhaps more than in the UK, and in a range of modalities and clinical settings
though projectional radiography remains the mainstay. Barriers and drivers to the use of PCE were
identified in addition to some quality mechanisms used to support PCE implementation, though impact
of implementation was not well explored.
Conclusion: Considering PCE has been an aspiration for more than a decade, it remains relatively
infrequently researched. There is growing scope internationally, particularly in Australia, yet there is no
real evaluation of the impact and role that PCE may have.
Implications for practice: Until further research into the potential impact of PCE and barriers to its
implementation, it is likely practices may not evolve with the risk AI technologies may supersede necessity
for the practice.
Version
Published version
Citation
Harcus J, Stevens B, Pantic V et al (2024) Preliminary clinical evaluation: Where are we? An international scoping review. Radiography. 30(5): 1474-1482.
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Article