Resident vs. attending interpretation of on-call studies: clinical impact |
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Authors: | R M Bilow B R Schnier |
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Institution: | (1) Department of Radiology, Santa Barbara Cottage Hospital, Pueblo at Bath Street Santa Barbara, CA 93102, USA e-mail: rbilow@cottagehealthsystem.org Tel.: + 1-8 05-5 69 72 79 Fax: + 1-8 05-5 69 82 79, US |
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Abstract: | Purpose: This study was performed to determine whether significant changes to patient treatment plan or outcome result from discrepancies
between on-call radiology residents and follow-up attending radiologists in their interpretation of examinations. Methods: For 70 days we recorded on-call radiology residents' readings of all computed tomography and ultrasound examinations performed
in our institution and the follow-up attending radiologists' readings of these same examinations. A chart review was performed
to determine whether interpretation discrepancies changed the treatment plan and clinical outcome. Results: Eight-hundred thirty-four examinations met the study guidelines. The overall discrepancy rate was 5.16 %. Of these discrepancies,
6.98 % affected the treatment plan (0.36 % of all 834 studies) and none affected the clinical outcome. Conclusion: Where there is a discrepancy between interpretation of computed tomography and ultrasound after hours by on-call radiology
residents and follow-up readings by attending radiologists, this discrepancy has no significant effect on the immediate or
long-term care of patients. |
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Keywords: | Internship and residency – Radiology/education – Diagnostic errors – Tomography X-ray computed – Ultrasonography |
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