Aims and objectives
In our tertiary teaching centre hospitals,
there are two registrars on-call overnight and during the evening,
with three on-call over the weekend.
The out of hours study reports are released to the clinical team as a 'provisional report' and checked by a consultant the following working day. The registrars have noted a progressive increase in on-call workload. The aims of this audit were to: Analyse the registrar discrepancy rate when compared to consultant reports,
and to grade these...
Methods and materials
All provisional registrar reports from July 2017 were retrospectively analysed.
These included reports from trainees from their first to fifth year of training. The consultant addendums were used as a 'gold standard'. We used a 1-5 numerical grading system as set out in table 1 ,correlating to the Royal college of Radiologists grading system (major vs minor) as labelled. While grading the discrepancy,
we considered theclinical significance of the delay between provisional report and...
In total we reviewed 1443 scans,
all of which were performed outside the hours of 9am-5pm Monday to Friday.The results are displayed in fig.
1 . 1276 ( 88.4% ) of scans had no discrepancy. 167 ( 11.6% ) of scans contained some level of discrepancy. 4 (0.3%) scans contained a grade 1 discrepancy 13 (0.9%) scans contained a grade 2 discrepancy 150 (10.4%) scans contained a grade 3 discrepancy Our total rate of major discrepancy was 1.2% (i.e.
below the standard of 2% set by the RCR). We also...
We found that our rate ofmajor discrepancies was well below the nationaltarget (1.2% vs national target of 2%).
we found our rate of minor discrepancies was above the nationaltarget (10.4% vs national target of 5%),
and that the rate correlates with workload. We have suggested a number of methods to decrease these discrepancies: Consultant led teaching on common pitfalls (e.g.
The (anonymised) discrepancies will also be included in our teaching folder. Reduction...
Dr Aisling Fagan Dr Sara ffrench-Constant Dr Aia Mehdi Dr Cillian McNamara Registrars,
Department of Radiology,
Imperial College Healthcare NHS trust Dr Maureen Dumba Neuroradiology fellow, Department of Radiology,
Imperial College Healthcare NHS trust Dr Bryn Jones Neuroradiology consultant, Department of Radiology,
Imperial College Healthcare NHS trust Imperial College Healthcare NHS Trust Fulham Palace Road W6 8RF London United Kingdom
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