Radiology report clarity: a cohort study of structured reporting compared with conventional dictation

Journal of the American College of Radiology : JACR
Annette J JohnsonBenjamin Littenberg

Abstract

The aim of this study was to determine if radiology residents who use a structured reporting system (SRS) produce reports of greater clarity than residents who use free-text dictation to report cranial MR imaging in patients with clinical suspicion of stroke. This double-cohort study included residents creating reports for 25 cranial MR imaging studies using an SRS in the intervention group and free text in the control group (report n = 1,685). Attending physicians from multiple subspecialties were surveyed seeking clarity ratings of randomly selected reports. Two neuroradiology fellows rated the clarity of 180 of the reports. Clarity ratings were analyzed by using Wilcoxon's signed-rank test for paired data and the Mann-Whitney U test for unpaired data. Forty-three of 95 surveyed physicians returned completed surveys, with mean clarity ratings for SRS (4.9) and free-text (5.1) reports that did not differ significantly. Respondents' comments most often referred to confusing syntax, unfamiliar terms, or format preferences. Fellow raters rated the clarity of SRS reports lower than that of free-text reports (P < .001). The use of an SRS to create MRI reports did not seem to improve or worsen attending physicians' perceptions of re...Continue Reading

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Citations

Nov 1, 2011·Journal of Digital Imaging·Elizabeth A KrupinskiEliot Siegel
Oct 24, 2006·AJR. American Journal of Roentgenology·Bruce Reiner, Eliot Siegel
Sep 26, 2013·AJR. American Journal of Roentgenology·Andrew J GunnGarry Choy
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Dec 18, 2013·Academic Radiology·Michael D CollardLisa H Lowe
Feb 2, 2013·Journal of the American College of Radiology : JACR·David M NaegerGerald D Dodd
May 20, 2015·Journal of the American College of Radiology : JACR·William R WalterMeir H Scheinfeld
Apr 7, 2007·Journal of the American College of Radiology : JACR·Annette J JohnsonBenjamin Littenberg
Mar 31, 2018·European Radiology·Franziska SchoeppeAlexander A Fingerle
Sep 28, 2017·AJR. American Journal of Roentgenology·Francesco AlessandrinoStefano Bastianello
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