Abstract:
RATIONALE AND OBJECTIVES:We systematically characterized the information provided by chest radiography reports on a nationally representative sample of 822 elderly patients hospitalized in 297 acute-care hospitals in five states who had an admission diagnosis of congestive heart failure, acute myocardial infarction, or pneumonia. METHODS:We studied the content of radiography reports, including mention of the type or adequacy of radiography; the presence or absence of a prior radiograph; comments about bones, the aorta, the mediastinum, and pleura and notation of the laterality of findings; and the presence of diagnosis. Two physicians reviewed each patient's report, and a third assigned the final rating when they disagreed. RESULTS:Our analysis found wide variation in content of chest radiography reports, extensive variation in terms used to identify the presence or absence of abnormal findings, and a large degree of uncertainty in what was found. CONCLUSION:With most hospitals introducing new information systems in response to technological advances and the need to generate more formal hospitalwide reports, the time is right to improve the quality of chest radiography reporting.
journal_name
Acad Radioljournal_title
Academic radiologyauthors
Sobel JL,Pearson ML,Gross K,Desmond KA,Harrison ER,Rubenstein LV,Rogers WH,Kahn KLdoi
10.1016/s1076-6332(96)80407-7subject
Has Abstractpub_date
1996-09-01 00:00:00pages
709-17issue
9eissn
1076-6332issn
1878-4046journal_volume
3pub_type
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