CT scan of cervical spine following trauma is one of the most common investigations performed in any emergency radiology department. In most institutions, radiology residents provide out of hours interpretation of post traumatic cervical spine CT scans. Reports are subsequently checked and verified by specialist radiologists. Timely and accurate interpretation of the CT scans plays an important role in patient treatment and outcome following cervical spine injury. Discordant reports between radiology residents and Consultant Radiologists can occur due to a variety of factors. These include...

Retrospective collected database of CT scan of cervical spine reported by residentsout of hoursusing radiological information system (CRIS) between November 2014 and November 2015. Out of hours was defined as between 5pm and 9am and weekends. The discrepancies were graded as minor, significant and major. For this study, major discrepancy was regarded as having an adverse effect on patient outcome, change in management, cause significant morbidity or mortality. Significant discrepancy was regarded as having an impact on patient management but did not contribute to long...

630 CT scans were reported by radiology residents out of hours within one year period. There were 34 discrepancies giving the discrepancy rate of 5.4%. There were 3 major (0.5%), 14 significant (2.2%) and 17 minor (2.7%) discrepancies. Radiologist specific causes included 11 cognitive, 18 observational and 6 satisfaction of search errors. There were 3 false positive errors. No significant difference in discrepancy rate for various levels of training. The three major discrepancies (Cases 1-3) and 3 of the 14 significant discrepancies (Cases 4-7) are...

There is an ever increasing demand on radiology residents to promptly and accurately report emergency CT scan of cervical spine following trauma to expedite patient care. The discrepancy rate at our institution is comparable to published literature. Our centre also provides comprehensive on call radiology course and training for the residents prior to commencing on call duties out of hours. It is imperative to provide adequate training, identify common mistakes and the cause for the mistakes prior to starting on call. Resident reports are reliable...

The Royal College of Radiologists. Standards for radiology discrepancy meetings. London, England: The Royal College of Radiologists, 2007; 5. Briggs RH, Rowbotham E, Johnstone AL, et al. Provisional reporting of polytrauma CT by on-call radiology registrars. Is it safe?Clin Radiol. 2010;65:616–622. http://dx.doi.org/10.1016/j.crad.2010.04.010 Terreblanche OD, Andronikou S, Hlabangana LT, et al. Should registrars be reporting after-hours CT scans? A calculation of error rate and the influencing factors in South Africa.Acta Radiol. 2012;53:61–68. http://dx.doi.org/10.1258/ar.2011.110103 C Bowles, IE Tribe, S Ameli-Renani, et al. Accuracy of Radiology Trainee Major...

S.B. Gagrani, R. Bhatt, S. Lee, N. Khan Imaging Department, Leicester Royal Infirmary, Page 12 of 12 Infirmary Square, Leicester LE1 5WW, England. Email: [email protected]