The use of structured reporting of head and neck ultrasound ensures time-efficiency and report quality during residency.
Adult
Documentation
/ standards
Female
Forms and Records Control
/ standards
Head
/ diagnostic imaging
Head and Neck Neoplasms
/ diagnostic imaging
Humans
Internship and Residency
/ standards
Male
Medical Records
/ standards
Neck
/ diagnostic imaging
Radiology Information Systems
/ standards
Reproducibility of Results
Surveys and Questionnaires
Ultrasonography
/ standards
Head and neck cancer
Medical education
Structured reporting
Ultrasonography
Workflow
Journal
European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
ISSN: 1434-4726
Titre abrégé: Eur Arch Otorhinolaryngol
Pays: Germany
ID NLM: 9002937
Informations de publication
Date de publication:
Jan 2020
Jan 2020
Historique:
received:
12
05
2019
accepted:
01
10
2019
pubmed:
16
10
2019
medline:
18
11
2020
entrez:
16
10
2019
Statut:
ppublish
Résumé
Free text reports (FTR) of head and neck ultrasound studies are currently deployed in most departments. Because of a lack of composition and language, these reports vary greatly in terms of quality and reliability. This may impair the learning process during residency. The purpose of the study was to analyze the longitudinal effects of using structured reports (SR) of head and neck ultrasound studies during residency. Attending residents (n = 24) of a tripartite course on head and neck ultrasound, accredited by the German Society for Ultrasound in Medicine (DEGUM), were randomly allocated to pictures of common diseases. Both SRs and FTRs were compiled. All reports were analyzed concerning completeness, acquired time and legibility. Overall user contentment was evaluated by a questionnaire. SRs achieved significantly higher ratings regarding completeness (95.6% vs. 26.4%, p < 0.001), description of pathologies (72.2% vs. 58.9%, p < 0.001) and legibility (100% vs. 52.4%, p < 0.001) with a very high inter-rater reliability (Fleiss' kappa 0.9). Reports were finalized significantly faster (99.1 s vs. 115.0 s, p < 0.001) and user contentment was significantly better when using SRs (8.3 vs. 6.3, p < 0.001). In particular, only SRs showed a longitudinally increasing time efficiency (- 20.1 s, p = 0.036) while maintaining consistent completeness ratings. The use of SRs of head and neck ultrasound studies results in an increased longitudinal time-efficiency while upholding the report quality at the same time. This may indicate an additive learning effect of structured reporting. Superior outcomes in terms of comprehensiveness, legibility and time-efficiency can be observed immediately after implementation.
Identifiants
pubmed: 31612337
doi: 10.1007/s00405-019-05679-z
pii: 10.1007/s00405-019-05679-z
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
269-276Références
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