Adoption of a diagnostic certainty scale in abdominal imaging: 2-year experience at an academic institution

Purpose Assess use of a diagnostic certainty scale (CS) for abdominal imaging reports and identify factors associated with greater adoption. Methods This retrospective, Institutional Review Board-exempt study was conducted at an academic health system. Abdominal radiology reports containing diagnost...

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Veröffentlicht in:Abdominal imaging 2022-03, Vol.47 (3), p.1187-1195
Hauptverfasser: Glazer, Daniel I., Budiawan, Elvira, Burk, Kristine S., Shinagare, Atul B., Lacson, Ronilda, Boland, Giles W., Khorasani, Ramin
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Sprache:eng
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Zusammenfassung:Purpose Assess use of a diagnostic certainty scale (CS) for abdominal imaging reports and identify factors associated with greater adoption. Methods This retrospective, Institutional Review Board-exempt study was conducted at an academic health system. Abdominal radiology reports containing diagnostic certainty phrases (DCPs) generated 4/1/2019–3/31/2021 were identified by a natural language processing tool. Reports containing DCPs were subdivided into those with/without a CS inserted at the end. Primary outcome was monthly CS use rate in reports containing DCPs. Secondary outcomes were assessment of factors associated with CS use, and usage of recommended DCPs over time. Chi-square test was used to compare proportions; univariable and multivariable regression assessed impact of other variables. Results DCPs were used in 81,281/124,501 reports (65.3%). One-month post-implementation, 82/2310 (3.6%) of reports with DCPs contained the CS, increasing to 1862/4644 (40.1%) by study completion ( p  
ISSN:2366-004X
2366-0058
DOI:10.1007/s00261-021-03391-3