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Improving the quality and safety of radiology reporting: a prospective audit of discrepancies amongst consultant radiologists

Connor, Jenny, Graham, Yitka, McGarry, Kenneth, Hayes, Catherine, Mehrotra, Pallavi and Cox, Julie (2023) Improving the quality and safety of radiology reporting: a prospective audit of discrepancies amongst consultant radiologists. iRadiology, 1 (1). pp. 103-108. ISSN 2834-2879

Item Type: Article


Objectives: To examine discrepancy rates over multiple annual cycles in reporting by consultant radiologists for the interpretation of acute CT examinations.
Methods: A prospective audit with peer review second reading of acute CT scans was implemented in one radiology department in the UK. A longitudinal audit over five years was performed to determine the discrepancy rate of acute and emergency CT scans conducted at weekends. The examinations comprised CT Head, Thorax, Abdomen and Pelvis, CT KUB, and CT Angiography scans. Discrepancies were scored as no discrepancy (zero), minor discrepancy (one), moderate discrepancy (two) or significant discrepancy (three). Seventeen consultants took part in the audit as primary reporters and second readers. All consultants were on-call radiologists, and the allocation of cases was randomised depending on the on-call rota. Results were reported annually to one consultant radiologist.
Results: A significant discrepancy rate of 1.2% (p=0.026) was found for consultant radiologists interpreting acute CT examinations based on 2951 second read CT scans.
Conclusions: To the best of our knowledge, this is the first study to establish significant discrepancy rates amongst consultant radiologists interpreting acute CT examinations over time.

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Uncontrolled Keywords: Discrepancy rates Radiologists CT scan
Depositing User: Yitka Graham


Item ID: 15758
Identification Number:
ISSN: 2834-2879
Official URL:

Users with ORCIDS

ORCID for Yitka Graham: ORCID iD
ORCID for Kenneth McGarry: ORCID iD
ORCID for Catherine Hayes: ORCID iD

Catalogue record

Date Deposited: 22 Mar 2023 11:52
Last Modified: 23 Apr 2024 08:30


Author: Yitka Graham ORCID iD
Author: Kenneth McGarry ORCID iD
Author: Catherine Hayes ORCID iD
Author: Jenny Connor
Author: Pallavi Mehrotra
Author: Julie Cox

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Faculty of Health Sciences and Wellbeing > School of Nursing and Health Sciences


Sciences > Nursing

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