![]() Schwartz LH, Panicek DM, Berk AR, Li Y, Hricak H: Improving communication of diagnostic radiology findings through structured reporting. Naik SS, Handbridge A, Wilson SR: Radiology reports: examining radiologist and clinician preferences regarding style and content. Liu D, Berman GD, Gray RN: The use of structured radiology reporting at a community hospital: a 4-year case study of more than 200,000 reports. ![]() Kong A, Barnett GO, Mosteller F, Youtz C: How medical professionals evaluate expressions of probability. Khorasani R, Bates DW, Teeger S, Rothschild JM, Adams DF, Selter SE: Is terminology used effectively to convey diagnostic certainty in radiology reports? Acad Radiol 10(6):685–688, 2003 Weiss DL, Langlotz CP: Structured reporting: patient care enhancement or productivity nightmare? Radiology 249(3):739–747, 2008 Tobler HG, Sethi GK, Grover FL, et al: Variations in processes and structures in cardiac surgery practice. Groom RC, Morton JR: Outcomes analysis in cardiac surgery. Sobel JL, Pearson ML, Gross K, et al: Information content and clarity of radiologists’ reports for chest radiography. Sierra AE, Bisesi MA, Rosenbaum TL, et al: Readability of the radiologic report. Plumb AA, Grieve FM, Khan SH: Survey of hospital clinicians’ preferences regarding the format of radiology reports. Hobby JL, Tom BD, Todd C, et al: Communication of doubt and certainty in radiological reports. Gagliardi RA: The evolution of the X-ray report. Our findings suggest that the use of checklists in structured reporting may increase diagnostic accuracy. The lack of statistically significant change in missed fractures was expected given that residents’ search patterns naturally include fracture detection. The use of a checklist-style structured reporting template resulted in a statistically significant decrease in missed non-fracture findings on cervical spine CTs. However, larger differences were noted in the detection of emergent non-fracture findings, with 17 (28.3 %) out of 60 findings missed on reports without use of the checklist template and 5 (9.3 %) out of 54 findings missed on reports using the checklist template, representing a statistically significant decrease in missed non-fracture findings ( p = 0.01). The decrease in missed pathology was not statistically significant ( p = 0.21). ![]() In 1,081 reports generated using the checklist-style template, 13 (11.9 %) out of 109 emergent findings were missed. In 1,832 reports generated without using the checklist-style template, 25 (17.6 %) out of 142 emergent findings were missed. Ten months after implementation of the template, we performed a retrospective cohort study comparing rates of emergent pathology missed on reports generated with and without the checklist-style reporting template. ![]() A checklist-style reporting template for cervical spine CTs was created at our institution and mandated for resident preliminary reports. This study evaluates the efficacy of a checklist-style reporting template in reducing resident misses on cervical spine CT examinations. The increasing use of medical checklists to promote patient safety raises the question of their utility in diagnostic radiology. ![]()
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