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Emerg Radiol. 2018 Jun;25(3):303-310. doi: 10.1007/s10140-018-1583-1. Epub 2018 Feb 7.

Emergency medicine summary code for reporting CT scan results: implementation and survey results.

Author information

1
Hartford Hospital, 80 Seymour Street, Hartford, CT, 06102, USA. Joanne.Lam@hhchealth.org.
2
Yale-New Haven Hospital, New Haven, CT, USA.
3
Jefferson Radiology, East Hartford, CT, USA.
4
University of Connecticut Health Center, Farmington, CT, USA.

Abstract

PURPOSE:

The purpose of the study was to assess the emergency department (ED) providers' interest and satisfaction with ED CT result reporting before and after the implementation of a standardized summary code for all CT scan reporting.

MATERIALS AND METHODS:

A summary code was provided at the end of all CTs ordered through the ED from August to October of 2016. A retrospective review was completed on all studies performed during this period. A pre- and post-survey was given to both ED and radiology providers.

RESULTS:

A total of 3980 CT scans excluding CTAs were ordered with 2240 CTs dedicated to the head and neck, 1685 CTs dedicated to the torso, and 55 CTs dedicated to the extremities. Approximately 74% CT scans were contrast enhanced. Of the 3980 ED CT examination ordered, 69% had a summary code assigned to it. Fifteen percent of the coded CTs had a critical or diagnostic positive result.

CONCLUSIONS:

The introduction of an ED CT summary code did not show a definitive improvement in communication. However, the ED providers are in consensus that radiology reports are crucial their patients' management. There is slightly increased satisfaction with the providers with less than 5 years of experience with the ED CT codes compared to more seasoned providers. The implementation of a user-friendly summary code may allow better analysis of results, practice improvement, and quality measurements in the future.

KEYWORDS:

CT; Reporting system; Reporting template; Standardized reporting; Structured reporting

PMID:
29417357
DOI:
10.1007/s10140-018-1583-1
[Indexed for MEDLINE]

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