Lecture 7: Using structured reports to reduce errors
Goal: Understand how structured reports can be used to reduce diagnostic errors
Recommended reading
Lecture 7 Pretest

A report that contains common reporting headings (e.g. “Indication; Findings; Impression, etc), subheadings within the Findings section, and a standardized lexicon is a _________ structured report.

  1. Tier 1
  2. Tier 2
  3. Tier 3
  4. Tier 4

An advantage of structured reporting is that it prompts radiologists to continue inspecting anatomic regions on the images whether or not the radiologist has already made a pertinent diagnosis.  In so doing, structured reporting mitigates against:

  1. Anchoring bias
  2. Alliterative bias
  3. Satisfaction of search bias
  4. Framing bias

“Contextual reporting” is a form of structured reporting where:

  1. The report template is tailored to the clinical indication or diagnosis in question
  2. Each report subheading includes pre-populated drop-down menus
  3. Free-text reporting is always permitted
  4. Date and time of report creation are incorporated into the report

A potential pitfall of structured reporting is:

  1. Increases syntactic errors in reports
  2. Reduces reimbursement by rigid documentation of imaging technique and findings
  3. Reduces radiologist “dwell time” on the images by increasing their focus on filling out the report template
  4. Promotes “satisfaction of search”tendency among radiologists

When implementing structured reporting templates, it is recommended to:

  1. Use financial incentives to encourage adherence with structured reporting
  2. Create reporting templates that prioritize efficiency and reimbursement
  3. Tailor templates to specific clinical presentations or diagnoses
  4. Develop report templates among a select group of subspecialist radiologists
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Optional reading
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