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Standardized Reporting in IR: A Prospective Multi-Institutional Pilot Study. J Vasc Interv Radiol 2016 Dec;27(12):1779-1785

Date

09/28/2016

Pubmed ID

27670943

DOI

10.1016/j.jvir.2016.07.016

Scopus ID

2-s2.0-84995938590   5 Citations

Abstract

PURPOSE: To assess adoption and survey-based satisfaction rates following deployment of standardized interventional radiology (IR) procedure reports across multiple institutions.

MATERIALS AND METHODS: Standardized reporting templates for 5 common interventional procedures (central venous access, inferior vena cava [IVC] filter insertion, IVC filter removal, uterine artery embolization, and vertebral augmentation) were distributed to 20 IR practices in a prospective quality-improvement study. Participating sites edited the reports according to institutional preferences and deployed them for a 1-year pilot study concluding in July 2015. Study compliance was measured by sampling 20 reports of each procedure type at each institution, and surveys of interventionalists and referring physicians were performed. Modifications to the standardized reporting templates at each site were analyzed.

RESULTS: Ten institutions deployed the standardized reports, with 8 achieving deployment of 3-12 months. The mean report usage rate was 57%. Each site modified the original reports, with 26% mean reduction in length, 18% mean reduction in wordiness, and 60% mean reduction in the number of forced fill-in fields requiring user input. Linear-regression analysis revealed that reduced number of forced fill-in fields correlated significantly with increased usage rate (R2 = 0.444; P = .05). Surveys revealed high satisfaction rates among referring physicians but lower satisfaction rates among interventional radiologists.

CONCLUSIONS: Standardized report adoption rates increased when reports were simplified by reducing the number of forced fill-in fields. Referring physicians preferred the standardized reports, whereas interventional radiologists preferred standard narrative reports.

Author List

McWilliams JP, Shah RP, Quirk M, White SB, Dybul SL, Ahrar J, Steele JR, Kwan SW, Handel J, Winokur RS, Gilliland CA, Durack JC

Author

Sarah B. White MD, MS, FSIR, FCIRSE Vice Chair, Professor in the Radiology department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Catheterization, Central Venous
Device Removal
Documentation
Female
Forms and Records Control
Guideline Adherence
Health Care Surveys
Humans
Male
Medical Records
Pilot Projects
Practice Guidelines as Topic
Practice Patterns, Physicians'
Prospective Studies
Prosthesis Implantation
Quality Improvement
Quality Indicators, Health Care
Radiography, Interventional
United States
Uterine Artery Embolization
Vena Cava Filters
Vertebroplasty