Keywords:
Musculoskeletal spine, CT, Computer Applications-General, Acute
Authors:
S. B. Gagrani1, R. Bhatt2, S. Lee3, N. Khan3; 1Birmingham/UK, 2Leicester /UK, 3Leicester/UK
DOI:
10.1594/essr2016/P-0019
Methods and Materials
Retrospective collected database of CT scan of cervical spine reported by residents out of hours using 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 term morbidity. Minor discrepancy was regarded as having no impact on clinical course of the patient. The level of training residents and the radiologist specific causes such as cognitive (misinterpretation),
observational (complete miss) or satisfaction of search were documented according to the Royal College of Radiologists (RCR) standards for learning from discrepancies meetings [1]. The findings were independently verified by 2 experienced musculoskeletal radiologists.