Show simple item record

dc.contributor.authorHardy, Maryann L.
dc.contributor.authorSnaith, Beverly
dc.contributor.authorScally, Andy J.
dc.date.accessioned2014-05-30T16:25:33Z
dc.date.available2014-05-30T16:25:33Z
dc.date.issued2012
dc.identifier.citationHardy, ML., Snaith, B. and Scally, A. (2012). The impact of immediate reporting on interpretive discrepancies and patient referral pathways within the emergency department: a randomised controlled trial. The British Journal of Radiology, 86(1021), 8p.en_US
dc.identifier.urihttp://hdl.handle.net/10454/6366
dc.descriptionNo
dc.description.abstractObjective To determine whether an immediate reporting service for musculoskeletal trauma reduces interpretation errors and positively impacts on patient referral pathways. Methods A pragmatic multicentre randomised controlled trial was undertaken. 1502 patients were recruited and randomly assigned to an immediate or delayed reporting arm and treated according to group assignment. Assessment was made of concordance in image interpretation between emergency department (ED) clinicians and radiology; discharge and referral pathways; and patient journey times. Results 1688 radiographic examinations were performed (1502 patients). 91 discordant interpretations were identified (n=91/1688; 5.4%) with a greater number of discordant interpretations noted in the delayed reporting arm (n=67/849, 7.9%). In the immediate reporting arm, the availability of a report reduced, but did not eliminate, discordance in interpretation (n=24/839, 2.9%). No significant difference in number of patients discharged, referred to hospital clinics or admitted was identified. However, patient ED recalls were significantly reduced (z=2.66; p=0.008) in the immediate reporting arm, as were the number of short-term inpatient bed days (5 days or less) (z=3.636; p<0.001). Patient journey time from ED arrival to discharge or admission was equivalent (z=0.79, p=0.432). Conclusion Immediate reporting significantly reduced ED interpretive errors and prevented errors that would require patient recall. However, immediate reporting did not eliminate ED interpretative errors or change the number of patients discharged, referred to hospital clinics or admitted overall. Advances in knowledge This is the first study to consider the wider impact of immediate reporting on the ED patient pathway as a whole and hospital resource usage.en_US
dc.language.isoenen_US
dc.relation.isreferencedbyhttp://dx.doi.org/10.1259/bjr.20120112en_US
dc.subjectImmediate reportingen_US
dc.subjectInterpretation errorsen_US
dc.subjectPatient referral pathwaysen_US
dc.subjectEmergency departmenten_US
dc.subjectMusculoskeletal traumaen_US
dc.subjectRadiologyen_US
dc.titleThe impact of immediate reporting on interpretive discrepancies and patient referral pathways within the emergency department: a randomised controlled trial.en_US
dc.status.refereedyesen_US
dc.typeArticleen_US
dc.type.versionNo full-text available in the repositoryen_US


This item appears in the following Collection(s)

Show simple item record