Radiological reports: a comparison between the transmission efficiency of information in free text and in structured reports
INTRODUCTION: This work proposes to improve the transmission of information between requiring physicians and radiologists. OBJECTIVES: Evaluate the implementation of a structured report (SR) in a university hospital. METHODS: A model of a structured report for thyroid sonography was developed according to information gathered from radiologists and endocrinologists working in this field. The report was based on a web platform and installed as a part of a Radiological Information System (RIS) and a Hospital Information System (HIS). The time for the report generation under the two forms was evaluated over a four-month period, two months for each method. After this period, radiologists and requiring physicians were questioned about the two methods of reporting. RESULTS: For free text, 98 sonograms were reported to have thyroids with nodules in an average time of 8.71 (+/-4.11) minutes, and 59 sonograms of thyroids without nodules were reported in an average time of 4.54 (+/- 3.97) minutes. For SR, 73 sonograms in an average time of 6.08 (+/-3.8) minutes for thyroids with nodules and 3.67 (+/-2.51) minutes for thyroids without nodules. Most of the radiologists (76.2%) preferred the SR, as originally created or with suggested changes. Among endocrinologists, 80% preferred the SR. DISCUSSION: From the requiring physicians' perspective, the SR enabled standardization and improved information transmission. This information is valuable because physicians need reports prepared by radiologists. CONCLUSIONS: The implementation of a SR in a university hospital, under an RIS/HIS system, was viable. Radiologists and endocrinologists preferred the SR when compared to free text, and both agreed that the former improved the transmission of information.
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Faculdade de Medicina / USP
2010
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oai:scielo:S1807-593220100001000042010-02-22Radiological reports: a comparison between the transmission efficiency of information in free text and in structured reportsBarbosa,FlavioMaciel,Lea Maria ZaniniVieira,Elizabeth MelmiMarques,Paulo M. de AzevedoElias Jr,JorgeMuglia,Valdair Francisco Computerized reports Free text Thyroid sonography INTRODUCTION: This work proposes to improve the transmission of information between requiring physicians and radiologists. OBJECTIVES: Evaluate the implementation of a structured report (SR) in a university hospital. METHODS: A model of a structured report for thyroid sonography was developed according to information gathered from radiologists and endocrinologists working in this field. The report was based on a web platform and installed as a part of a Radiological Information System (RIS) and a Hospital Information System (HIS). The time for the report generation under the two forms was evaluated over a four-month period, two months for each method. After this period, radiologists and requiring physicians were questioned about the two methods of reporting. RESULTS: For free text, 98 sonograms were reported to have thyroids with nodules in an average time of 8.71 (+/-4.11) minutes, and 59 sonograms of thyroids without nodules were reported in an average time of 4.54 (+/- 3.97) minutes. For SR, 73 sonograms in an average time of 6.08 (+/-3.8) minutes for thyroids with nodules and 3.67 (+/-2.51) minutes for thyroids without nodules. Most of the radiologists (76.2%) preferred the SR, as originally created or with suggested changes. Among endocrinologists, 80% preferred the SR. DISCUSSION: From the requiring physicians' perspective, the SR enabled standardization and improved information transmission. This information is valuable because physicians need reports prepared by radiologists. CONCLUSIONS: The implementation of a SR in a university hospital, under an RIS/HIS system, was viable. Radiologists and endocrinologists preferred the SR when compared to free text, and both agreed that the former improved the transmission of information.info:eu-repo/semantics/openAccessFaculdade de Medicina / USPClinics v.65 n.1 20102010-01-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322010000100004en10.1590/S1807-59322010000100004 |
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Barbosa,Flavio Maciel,Lea Maria Zanini Vieira,Elizabeth Melmi Marques,Paulo M. de Azevedo Elias Jr,Jorge Muglia,Valdair Francisco |
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Barbosa,Flavio Maciel,Lea Maria Zanini Vieira,Elizabeth Melmi Marques,Paulo M. de Azevedo Elias Jr,Jorge Muglia,Valdair Francisco Radiological reports: a comparison between the transmission efficiency of information in free text and in structured reports |
author_facet |
Barbosa,Flavio Maciel,Lea Maria Zanini Vieira,Elizabeth Melmi Marques,Paulo M. de Azevedo Elias Jr,Jorge Muglia,Valdair Francisco |
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Barbosa,Flavio |
title |
Radiological reports: a comparison between the transmission efficiency of information in free text and in structured reports |
title_short |
Radiological reports: a comparison between the transmission efficiency of information in free text and in structured reports |
title_full |
Radiological reports: a comparison between the transmission efficiency of information in free text and in structured reports |
title_fullStr |
Radiological reports: a comparison between the transmission efficiency of information in free text and in structured reports |
title_full_unstemmed |
Radiological reports: a comparison between the transmission efficiency of information in free text and in structured reports |
title_sort |
radiological reports: a comparison between the transmission efficiency of information in free text and in structured reports |
description |
INTRODUCTION: This work proposes to improve the transmission of information between requiring physicians and radiologists. OBJECTIVES: Evaluate the implementation of a structured report (SR) in a university hospital. METHODS: A model of a structured report for thyroid sonography was developed according to information gathered from radiologists and endocrinologists working in this field. The report was based on a web platform and installed as a part of a Radiological Information System (RIS) and a Hospital Information System (HIS). The time for the report generation under the two forms was evaluated over a four-month period, two months for each method. After this period, radiologists and requiring physicians were questioned about the two methods of reporting. RESULTS: For free text, 98 sonograms were reported to have thyroids with nodules in an average time of 8.71 (+/-4.11) minutes, and 59 sonograms of thyroids without nodules were reported in an average time of 4.54 (+/- 3.97) minutes. For SR, 73 sonograms in an average time of 6.08 (+/-3.8) minutes for thyroids with nodules and 3.67 (+/-2.51) minutes for thyroids without nodules. Most of the radiologists (76.2%) preferred the SR, as originally created or with suggested changes. Among endocrinologists, 80% preferred the SR. DISCUSSION: From the requiring physicians' perspective, the SR enabled standardization and improved information transmission. This information is valuable because physicians need reports prepared by radiologists. CONCLUSIONS: The implementation of a SR in a university hospital, under an RIS/HIS system, was viable. Radiologists and endocrinologists preferred the SR when compared to free text, and both agreed that the former improved the transmission of information. |
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Faculdade de Medicina / USP |
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2010 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322010000100004 |
work_keys_str_mv |
AT barbosaflavio radiologicalreportsacomparisonbetweenthetransmissionefficiencyofinformationinfreetextandinstructuredreports AT macielleamariazanini radiologicalreportsacomparisonbetweenthetransmissionefficiencyofinformationinfreetextandinstructuredreports AT vieiraelizabethmelmi radiologicalreportsacomparisonbetweenthetransmissionefficiencyofinformationinfreetextandinstructuredreports AT marquespaulomdeazevedo radiologicalreportsacomparisonbetweenthetransmissionefficiencyofinformationinfreetextandinstructuredreports AT eliasjrjorge radiologicalreportsacomparisonbetweenthetransmissionefficiencyofinformationinfreetextandinstructuredreports AT mugliavaldairfrancisco radiologicalreportsacomparisonbetweenthetransmissionefficiencyofinformationinfreetextandinstructuredreports |
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