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Added value of doub...
Added value of double reading in diagnostic radiology, a systematic review
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- Geijer, Håkan, 1961- (författare)
- Örebro University,Örebro universitet,Institutionen för medicinska vetenskaper,Department of Radiology, Faculty of Health and Medical Sciences, Örebro University, Örebro, Sweden
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- Geijer, Mats, 1957- (författare)
- Örebro University,Lund University,Lunds universitet,Örebro universitet,Institutionen för medicinska vetenskaper,Department of Radiology, Faculty of Health and Medical Sciences, Örebro University, Örebro, Sweden; Department of Radiology, Skåne University Hospital, Lund, Sweden; Lund University, Lund, Sweden,Diagnostisk radiologi, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Diagnostic Radiology, (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine
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(creator_code:org_t)
- 2018-03-28
- 2018
- Engelska.
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Ingår i: Insights into Imaging. - : Springer. - 1869-4101. ; 9:3, s. 287-301
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Abstract
Ämnesord
Stäng
- OBJECTIVES: Double reading in diagnostic radiology can find discrepancies in the original report, but a systematic program of double reading is resource consuming. There are conflicting opinions on the value of double reading. The purpose of the current study was to perform a systematic review on the value of double reading.METHODS: A systematic review was performed to find studies calculating the rate of misses and overcalls with the aim of establishing the added value of double reading by human observers.RESULTS: The literature search resulted in 1610 hits. After abstract and full-text reading, 46 articles were selected for analysis. The rate of discrepancy varied from 0.4 to 22% depending on study setting. Double reading by a sub-specialist, in general, led to high rates of changed reports.CONCLUSIONS: The systematic review found rather low discrepancy rates. The benefit of double reading must be balanced by the considerable number of working hours a systematic double-reading scheme requires. A more profitable scheme might be to use systematic double reading for selected, high-risk examination types. A second conclusion is that there seems to be a value of sub-specialisation for increased report quality. A consequent implementation of this would have far-reaching organisational effects.KEY POINTS: • In double reading, two or more radiologists read the same images. • A systematic literature review was performed. • The discrepancy rates varied from 0.4 to 22% in various studies. • Double reading by sub-specialists found high discrepancy rates.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Radiologi och bildbehandling (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Radiology, Nuclear Medicine and Medical Imaging (hsv//eng)
Nyckelord
- Diagnostic errors
- Observer variation
- Diagnostic imaging
- Review
- Quality assurance
- healthcare
- Diagnostic errors
- Diagnostic imaging
- Observer variation
- Quality assurance, healthcare
- Review
Publikations- och innehållstyp
- ref (ämneskategori)
- for (ämneskategori)
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