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J Am Coll Radiol. 2017 Mar;14(3):371-379.e1. doi: 10.1016/j.jacr.2016.09.037. Epub 2016 Dec 5.

Effect of Template Reporting of Brain MRIs for Multiple Sclerosis on Report Thoroughness and Neurologist-Rated Quality: Results of a Prospective Quality Improvement Project.

Author information

1
Department of Radiology, University of Michigan, Ann Arbor, Michigan. Electronic address: elliot.dickerson@ucsf.edu.
2
Department of Radiology, University of Michigan, Ann Arbor, Michigan; Michigan Radiology Quality Collaborative, Ann Arbor, Michigan.
3
Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan.
4
Department of Neurology and Neurotherapeutics, University of Texas Southwestern Medical Center, Dallas, Texas.
5
Department of Neurology, Cleveland Clinic, Mellen Center, Cleveland, Ohio.
6
Department of Neurology, University of Alabama, Birmingham, Alabama.
7
Department of Neurology, University of Virginia Health System, Charlottesville, Virginia.
8
Department of Neurology, University of Michigan, Ann Arbor, Michigan.

Abstract

PURPOSE:

To assess the impact of structured reporting templates on the objective and subjective quality of radiology reports for brain MRIs in patients with multiple sclerosis (MS).

METHODS:

A HIPAA-compliant prospective quality improvement initiative was undertaken to develop and implement a 12-item structured reporting template for brain MRI examinations in patients with known or suspected MS based on published guidelines. Reports created 1 year before implementing the template served as the baseline. A random sample of 10 template and 10 non-template reports was sent to five neurologists outside the study institution with MS expertise, who reviewed the reports for comprehensiveness and quality. The number of MS-relevant elements in template and non-template reports were compared with unpaired t tests. Proportions were compared with χ2 and Fisher exact tests.

RESULTS:

There were 63 reports in the pre-template period and 93 reports in the post-template period. Use of the template increased over time in the post-template period (P = .04). All 12 MS-relevant findings were addressed more often and with less variability in template reports: (11.1 ± 0.7 findings versus 5.8 ± 2.2 findings in non-template reports, P < .001). Neurologists were more likely to give the template reports the highest positive rating (56% [107/190] versus 28% [56/199], P < .001) and less likely to give the template reports a lower rating (7% [13/190] versus 15% [29/199], P = .01) compared with the non-template reports.

CONCLUSION:

Template reporting of brain MRI examinations increases the rate at which MS-relevant findings are included in the report. Standardized reports are preferred by neurologists with MS expertise.

KEYWORDS:

Radiology templates; multiple sclerosis; quality improvement; radiology report; template reporting

PMID:
27932248
DOI:
10.1016/j.jacr.2016.09.037
[Indexed for MEDLINE]

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