Structured reporting of MRI of the shoulder - improvement of report quality?

Objectives: To evaluate the effect of structured reports (SRs) in comparison to non-structured narrative free text (NRs) shoulder MRI reports and potential effects of both types of reporting on completeness, readability, linguistic quality and referring surgeons’ satisfaction. Methods: Thirty patien...

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Hauptverfasser: Gassenmaier, Sebastian (VerfasserIn) , Henzler, Thomas (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 13 March 2017
In: European radiology
Year: 2017, Jahrgang: 27, Heft: 10, Pages: 4110-4119
ISSN:1432-1084
DOI:10.1007/s00330-017-4778-z
Online-Zugang:Verlag, Volltext: http://dx.doi.org/10.1007/s00330-017-4778-z
Verlag, Volltext: https://doi.org/10.1007/s00330-017-4778-z
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Verfasserangaben:Sebastian Gassenmaier, Marco Armbruster, Florian Haasters, Tobias Helfen, Thomas Henzler, Sedat Alibek, Dominik Pförringer, Wieland H. Sommer, Nora N. Sommer

MARC

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520 |a Objectives: To evaluate the effect of structured reports (SRs) in comparison to non-structured narrative free text (NRs) shoulder MRI reports and potential effects of both types of reporting on completeness, readability, linguistic quality and referring surgeons’ satisfaction. Methods: Thirty patients after trauma or with suspected degenerative changes of the shoulder were included in this study (2012-2015). All patients underwent shoulder MRI for further assessment and possible surgical planning. NRs were generated during clinical routine. Corresponding SRs were created using a dedicated template. All 60 reports were evaluated by two experienced orthopaedic shoulder surgeons using a questionnaire that included eight questions. Results: Eighty per cent of the SRs were fully complete without any missing key features whereas only 45% of the NRs were fully complete (p < 0.001). The extraction of information was regarded to be easy in 92% of the SRs and 63% of the NRs. The overall quality of the SRs was rated better than that of the NRs (p < 0.001). Conclusions: Structured reporting of shoulder MRI improves the readability as well as the linguistic quality of radiological reports, and potentially leads to a higher satisfaction of referring physicians. 
650 4 |a Medical informatics 
650 4 |a MRI 
650 4 |a Quality improvement 
650 4 |a Radiology 
650 4 |a Shoulder 
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