How well can radiographers triage x ray films in accident and emergency departments?

Abstract:

OBJECTIVE:To assess the ability of radiographers to identify abnormal radiographs of patients attending accident and emergency departments. DESIGN:Prospective study over six weeks. SETTING:Teaching hospital casualty x ray department. PATIENTS:3394 consecutive patients referred for radiography. INTERVENTIONS:Radiographs were assessed by radiographers who were offered a four point triage scheme: normal, abnormal, insignificantly abnormal, or further advice required. MAIN OUTCOME MEASURES:Comparison of radiographers' assessments with an assessment made independently by the reporting radiologists. RESULTS:Overall disagreement between the radiographers and radiologists was 9.4%. There were 7% false positives and 14% false negatives. Most errors occurred in assessing radiographs of the skull, facial bones, chest, abdomen, and soft tissues. CONCLUSION:Unselected radiographers can offer useful advice on radiographs to casualty officers, but their high rate of false positive diagnoses indicates that they cannot triage casualty radiographs sufficiently accurately to allow them to extend their current reporting role.

journal_name

BMJ

authors

Renwick IG,Butt WP,Steele B

doi

10.1136/bmj.302.6776.568

subject

Has Abstract

pub_date

1991-03-09 00:00:00

pages

568-9

issue

6776

eissn

0959-8138

issn

1756-1833

journal_volume

302

pub_type

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