Radiographs in the office: is a second reading always needed?

The Journal of the American Board of Family Practice
Paul D SmithMarlon Mundt

Abstract

We evaluated the frequency, nature, and importance of the changes in patient care that occurred as a result of differences in outpatient radiograph readings for cases in which the primary care clinician, hypothetically, would not request a second reading by a radiologist. During 4 months, 1393 pairs of radiographic readings were collected from 9 volunteer primary care practices with 86 clinicians and a second reading by one of 42 radiologists. For 553, hypothetically, the clinician would not request a consultation from a radiologist. Review analysis of the 553 pairs revealed 100 (18.1%) radiographs in which the radiologist's reading did not agree with the clinician's reading. Data from the original visit and subsequent related care were abstracted from patient charts and reviewed. Changes in clinical care resulting from the radiologist's reading were identified. The radiologists' second reading of these 553 sets of radiographs resulted in 14 (2.5% of 553 and 14% of 100) cases of one or more changes in care. We found 38 documented or presumed changes in care and zero substantial changes in care. Primary care clinicians are able to identify radiographs for which a second reading by a radiologist will not result in substantial cha...Continue Reading

Citations

Jul 17, 2012·The American Journal of Emergency Medicine·Daniel L LemkinWilliam J Brady
Sep 10, 2010·The American Journal of Emergency Medicine·Bruno PetinauxJaime Aristizabal
Apr 9, 2016·AJR. American Journal of Roentgenology·Majid ChalianJohn A Carrino
Jun 5, 2020·Clinical Orthopaedics and Related Research·Richard HwangNicholas M Bernthal
Mar 30, 2018·Insights Into Imaging·Håkan Geijer, Mats Geijer
Feb 19, 2021·BMC Family Practice·Malak Al ShammariHind S Alsaif
Mar 7, 2021·Critical Reviews in Oncology/hematology·Marco MaruzzoStefania Gori

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Archives of Orthopaedic and Trauma Surgery
Vinzenz SmekalDietmar Krappinger
Journal of the American Medical Association
C S NEER
Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
Marcel EmondLouis Rochette
© 2022 Meta ULC. All rights reserved