First name
Matthew
Middle name
T
Last name
Whitehead

Title

The fate of radiology report recommendations at a pediatric medical center.

Year of Publication

2017

Number of Pages

1724-1729

Date Published

2017 Dec

ISSN Number

1432-1998

Abstract

<p><strong>BACKGROUND: </strong>The American College of Radiology (ACR) practice parameters for communication dictate that follow-up recommendations be suggested when appropriate. Radiologists assume that referring physicians read their reports and heed their advice. In reality, recommendations might not be carried out or even acknowledged.</p>

<p><strong>OBJECTIVE: </strong>We aimed to determine the proportion of imaging recommendations that are acknowledged and acted upon.</p>

<p><strong>MATERIALS AND METHODS: </strong>We conducted a retrospective review of all consecutive radiology reports containing "recommend" in the impression at a single academic children's hospital over a 1-month period. We documented point of care (emergency department, inpatient, outpatient), study type, recommendation wording, and communication method (report only or direct verbal). We reviewed medical records to ascertain whether the recommendations were acknowledged or executed. We used chi-square tests to evaluate associations between variables. P&lt;0.05 was considered significant.</p>

<p><strong>RESULTS: </strong>We reviewed 526 reports and excluded 73. We included the remaining 453 reports, from 370 unique patients (201 male, 169 female). Inpatients comprised most reports (n=223), followed by emergency department (ED) patients (n=118) and outpatients (n=112). Among these reports, 69% (n=313) of recommendations were executed. Of the 140 recommendations not carried out, 14% were acknowledged in clinical notes. Compliance correlated with point of care (ED&gt;inpatient&gt;outpatient; P=0.001) but not with additional verbal communication (P=0.33), study type (radiograph vs. other; P=0.35) or type of follow-up recommendation (follow-up imaging vs. other; P=0.99).</p>

<p><strong>CONCLUSION: </strong>Nearly one-third of radiology report follow-up recommendations are not executed. Recommendations are most commonly neglected for outpatient imaging reports. The radiology community should take steps to improve recommendation adherence.</p>

DOI

10.1007/s00247-017-3960-4

Alternate Title

Pediatr Radiol

PMID

28852809

Title

MRI determination of volumes for the upper airway and pharyngeal lymphoid tissue in preterm and term infants.

Year of Publication

2017

Number of Pages

51-56

Date Published

2017 Dec 16

ISSN Number

1873-4499

Abstract

<p>We aim to determine average volumes of the upper airway, adenoids and tonsils in preterm and term infants and assess for the differences according to weight, sex and ethnicity. The volumes of the upper airways, tonsils and adenoids were measured from brain MR images in 96 (49 preterm and 47 term) infants and compared using a two-tailed t-test (significant at p&lt;0.05). The average volumes are reported for both groups. Term infants showed larger naso- and oropharyngeal volumes (independent of weight, sex, and ethnicity). No differences in hypopharyngeal, adenoidal or tonsillar volumes were found.</p>

DOI

10.1016/j.clinimag.2017.12.010

Alternate Title

Clin Imaging

PMID

29276961

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