TY - JOUR
T1 - Implementing a Structured Reporting Initiative Using a Collaborative Multistep Approach
AU - Goldberg-Stein, Shlomit
AU - Walter, William R.
AU - Amis, E. Stephen
AU - Scheinfeld, Meir H.
N1 - Publisher Copyright:
© 2017 Elsevier Inc.
PY - 2017/7
Y1 - 2017/7
N2 - Purpose To describe the successful implementation of a structured reporting initiative in a large urban academic radiology department. Methods We describe our process, compromises, and top 10 lessons learned in overhauling traditional reporting practices and comprehensively implementing structured reporting at our institution. To achieve our goals, we took deliberate steps toward consensus building, undertook multistep template refinement, and achieved close collaboration with the technical staff, department coders, and hospital information technologists. Following institutional review board exemption, we audited radiologist compliance by evaluating 100 consecutive cases of 12 common examination types. Fisher exact test was applied to determine significance of association between trainee initial report drafting and template compliance. Results We produced and implemented structured reporting templates for 95% of all departmental computed tomography, magnetic resonance, and ultrasound examinations. Structured templates include specialized reports adhering to the American College of Radiologyʼs Reporting and Data Systems (ACRʼs RADS) recommendations (eg, Lung-RADS and Li-RADS). We attained 94% radiologist compliance within 2 years, without any financial incentives. Conclusions We provide a blueprint of how to successfully achieve structured reporting using a collaborative multistep approach.
AB - Purpose To describe the successful implementation of a structured reporting initiative in a large urban academic radiology department. Methods We describe our process, compromises, and top 10 lessons learned in overhauling traditional reporting practices and comprehensively implementing structured reporting at our institution. To achieve our goals, we took deliberate steps toward consensus building, undertook multistep template refinement, and achieved close collaboration with the technical staff, department coders, and hospital information technologists. Following institutional review board exemption, we audited radiologist compliance by evaluating 100 consecutive cases of 12 common examination types. Fisher exact test was applied to determine significance of association between trainee initial report drafting and template compliance. Results We produced and implemented structured reporting templates for 95% of all departmental computed tomography, magnetic resonance, and ultrasound examinations. Structured templates include specialized reports adhering to the American College of Radiologyʼs Reporting and Data Systems (ACRʼs RADS) recommendations (eg, Lung-RADS and Li-RADS). We attained 94% radiologist compliance within 2 years, without any financial incentives. Conclusions We provide a blueprint of how to successfully achieve structured reporting using a collaborative multistep approach.
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U2 - 10.1067/j.cpradiol.2016.12.004
DO - 10.1067/j.cpradiol.2016.12.004
M3 - Article
C2 - 28104315
AN - SCOPUS:85009343286
SN - 0363-0188
VL - 46
SP - 295
EP - 299
JO - Current Problems in Diagnostic Radiology
JF - Current Problems in Diagnostic Radiology
IS - 4
ER -