超声医学影像工作站在住院医师超声报告质量控制方面的应用

目的探讨超声医学影像工作站在住院医师超声报告质量控制方面的应用价值。 方法从超声医学影像工作站导出2017级住院医师培训6个月和12个月的门诊患者胰腺超声报告,分别作为G6M组和G12M组（G,group;M,month）。G6M组超声报告共1582份,患者,男性420例,女性1162例,年龄<65岁计1318例,≥65岁计264例;G12M组超声报告共2723份,患者,男性760例,女性1963例,患者年龄<65岁计2323例,≥65岁计400例。同时记录报告中"胰尾显示不清"的出现频率、标准存图和体表标识等资料,采用χ²检验比较两组患者性别、年龄等情况及住院医师的报告质量有无差别。 结果两组患者的性别、年龄构成比比较,差异均无统计学意义（P均>0.05）。G6M组和G12M组提示"胰尾显示不清"的报告分别为554份（35.02%）和734份（26.96%）,两组相比,差异有统计学意义（χ²=31.029,P<0.001）。在"胰尾显示不清"的报告中,G6M组和G12M组无图的报告分别为8份（1.44%）和14份（1.91%）,两组比较,差异无统计学意义（P>0.05）,有图无标识、有图有标识分别为337份（60.83%）、209份（37.73%）及308份（41.96%）、412份（56.13%）,两组比较,差异均有统计学意义（χ²=44.960、42.834,P均<0.001）。 结论超声医学影像工作站可用于住院医师报告的定期抽查、评价和反馈,对于超声报告的质量控制有积极的促进作用。

Application of ultrasound medical imaging workstation in quality control of ultrasonic reports issued by resident doctors

ObjectiveTo explore the application value of ultrasound medical imaging workstation in quality control of ultrasound reports issued by resident doctors. MethodsThe pancreatic ultrasound reports of outpatients provided by resident doctors with 6 months and 12 months of training were derived from the ultrasound medical imaging workstation as 6-month group (G6M) and 12-month group (G12M), respectively. There were 1582 ultrasound reports in the G6M, including 420 for males and 962 for females, with 1318 for patients<65 years old and 264 for patients≥65 years old. There were 2723 ultrasound reports in the G12M, including for 760 males and 1963 for females, with 2323 for patients <65 years old and 400 for patients ≥65 years old. Frequency of "unclear tail of the pancreas" in the report, standard image, and body markers were recorded. The chi-square test was used to compare patient gender, age, and the quality of resident reports between the two groups. ResultsThe chi-square test showed that there was no significant difference in sex or age composition between the two groups (all P>0.05). The number of cases of "unclear tail of the pancreas" reported in the G6M and G12M was 554 (35.02%) and 734 (26.96%), respectively, and there was a statistical difference between the two groups (χ²=31.029, P<0.001). In the reports with "unclear tail of the pancreas", the number of reports with "no map" was 8 (1.44%) and 14 (1.91%) in the G6M and G12M, respectively, and there was no significant difference between the two groups (P>0.05). As to "map without marker" and "map with marker", there were 337 (60.83%) vs 209 (37.73%) and 308 (41.96%) vs 412 (56.13%) in the G6M and G12M, respectively, and the chi-square test showed that there were significant differences between the two groups (χ²=44.960 and 42.834, all P<0.001). ConclusionUltrasound medical imaging workstation can be used for periodic spot check, evaluation, and feedback of resident reports, which has a positive role in promoting the quality control of ultrasound reports.