Abstract
Purpose
To determine if preliminary radiology reports issued overnight (10 pm to 7 am) on adult trauma patients cause major changes of high clinical significance or patient harm.
Methods
Following extraction of preliminary and final radiology reports from the report server, presence of changes was determined by an automated text differential checker. If text changes were present, reports were then subsequently manually graded by an attending radiologist and placed in category by degree of severity. 81 weeks of trauma report data were analyzed by two faculty radiologists.
Results
Of the 6063 preliminary reports from 1214 separate overnight trauma patients, 65.5% had no changes in final report text. The remaining reports were graded: A 8.9% (503), B 17.2% (1005), C 7.0% (426), and D 1.3% (100). No reports demonstrated a major change of high clinical significance (E) or patient harm (F).
Conclusion
Most preliminary report changes were minor and had no clinical significance. Furthermore, the few that were deemed to be major changes were of little clinical significance, particularly in the setting of the other traumatic injuries that the patient may have sustained. No negative patient safety events were caused by an error in a radiology resident preliminary report.
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Data availability
The authors declare that they had full access to all of the data in this study and the author(s) take complete responsibility for the integrity of the data and the accuracy of the data analysis.
Code availability
Not applicable.
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William Murray
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Peterson, C., Moore, M., Gagnon, E. et al. How are our residents doing on trauma tonight? The frequency of overnight resident-faculty report discrepancies in trauma patients. Emerg Radiol 28, 1113–1117 (2021). https://doi.org/10.1007/s10140-021-01963-w
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DOI: https://doi.org/10.1007/s10140-021-01963-w