지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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초록· 키워드
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Purpose: For the differential diagnosis of acute abdomen, abdominal computed tomography (CT) is commonly performed in the emergency department (ED). Rapid and accurate interpretation after CT is essential; however, final interpretation of the images by a board-certified radiologist for 24 hours a day is nearly impossible. Therefore, a preliminary interpretation is mainly made by emergency physicians in the ED, which may result in some discrepancy with the interpretations of board-certified radiologists. This study was conducted to determine the discrepancy rate of emergency medicine (EM) residents’preliminary interpretation and any reduction in discrepancy through feedback imaging education programs by attending radiologists. Methods: This was a before-and-after study, including 540 cases of abdominal CT scans performed in the ED between November 1, 2014 and April 30, 2015. Residents first documented their preliminary interpretation of 300 cases for 3 months. Board-certified radiologists then provided feedback image education to EM residents for these cases for 1 month. After feedback education, preliminary interpretations of 240 cases were documented for 2 months. Discrepancy rates before and after feedback education were then analyzed. Results: Total and major discrepancy rates before feedback image education were 28% and 11.7%, respectively, which declined to 14.6% and 4.6%, respectively, after feedback image education (p<0.05). Conclusion: Feedback image education was effective in reducing the discrepancy rate of the interpretation of abdominal CT scans by EM residents.
목차
등록된 정보가 없습니다.
참고문헌 (19)
참고문헌 신청
Hustey FM / 2005 / The use of abdominal computed tomography in older ED patients with acute abdominal pain / Am J Emerg Med 23:259~265
Stromberg C / 2007 / Acute Abdominal Pain : Diagnostic Impact of Immediate CT Scanning / World J Surg 31:2347~2354
Friedman SM / 2013 / Clinical impact of diagnostic imaging discrepancy by radiology trainees in an urban teaching hospital emergency department / Int J Emerg Med 6:24
Berdahl CT / 2013 / Emergency department computed tomography utilization in the United States and Canada / Ann Emerg Med 62:486~494
Wu MZ / 2014 / CT in adults : systematic review and metaanalysis of interpretation discrepancy rates / Radiology 270:717~735
Stromberg C / 2007 / Acute Abdominal Pain : Diagnostic Impact of Immediate CT Scanning / World J Surg 31:2347~2354
Friedman SM / 2013 / Clinical impact of diagnostic imaging discrepancy by radiology trainees in an urban teaching hospital emergency department / Int J Emerg Med 6:24
Berdahl CT / 2013 / Emergency department computed tomography utilization in the United States and Canada / Ann Emerg Med 62:486~494
Wu MZ / 2014 / CT in adults : systematic review and metaanalysis of interpretation discrepancy rates / Radiology 270:717~735
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