Effect of Template Reporting of Brain MRIs for Multiple Sclerosis on Report Thoroughness and Neurologist-Rated Quality: Results of a Prospective Quality Improvement Project

Michigan Radiology Quality Collaborative

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

Purpose To assess the impact of structured reporting templates on the objective and subjective quality of radiology reports for brain MRIs in patients with multiple sclerosis (MS). Methods A HIPAA-compliant prospective quality improvement initiative was undertaken to develop and implement a 12-item structured reporting template for brain MRI examinations in patients with known or suspected MS based on published guidelines. Reports created 1 year before implementing the template served as the baseline. A random sample of 10 template and 10 non-template reports was sent to five neurologists outside the study institution with MS expertise, who reviewed the reports for comprehensiveness and quality. The number of MS-relevant elements in template and non-template reports were compared with unpaired t tests. Proportions were compared with χ2 and Fisher exact tests. Results There were 63 reports in the pre-template period and 93 reports in the post-template period. Use of the template increased over time in the post-template period (P =.04). All 12 MS-relevant findings were addressed more often and with less variability in template reports: (11.1 ± 0.7 findings versus 5.8 ± 2.2 findings in non-template reports, P <.001). Neurologists were more likely to give the template reports the highest positive rating (56% [107/190] versus 28% [56/199], P <.001) and less likely to give the template reports a lower rating (7% [13/190] versus 15% [29/199], P =.01) compared with the non-template reports. Conclusion Template reporting of brain MRI examinations increases the rate at which MS-relevant findings are included in the report. Standardized reports are preferred by neurologists with MS expertise.

Original languageEnglish (US)
Pages (from-to)371-379.e1
JournalJournal of the American College of Radiology
Volume14
Issue number3
DOIs
StatePublished - Mar 1 2017

Fingerprint

Quality Improvement
Multiple Sclerosis
Brain
Health Insurance Portability and Accountability Act
Neurologists
Radiology
Guidelines

Keywords

  • multiple sclerosis
  • quality improvement
  • radiology report
  • Radiology templates
  • template reporting

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

@article{aad5874457c242b6aad99743fef215ff,
title = "Effect of Template Reporting of Brain MRIs for Multiple Sclerosis on Report Thoroughness and Neurologist-Rated Quality: Results of a Prospective Quality Improvement Project",
abstract = "Purpose To assess the impact of structured reporting templates on the objective and subjective quality of radiology reports for brain MRIs in patients with multiple sclerosis (MS). Methods A HIPAA-compliant prospective quality improvement initiative was undertaken to develop and implement a 12-item structured reporting template for brain MRI examinations in patients with known or suspected MS based on published guidelines. Reports created 1 year before implementing the template served as the baseline. A random sample of 10 template and 10 non-template reports was sent to five neurologists outside the study institution with MS expertise, who reviewed the reports for comprehensiveness and quality. The number of MS-relevant elements in template and non-template reports were compared with unpaired t tests. Proportions were compared with χ2 and Fisher exact tests. Results There were 63 reports in the pre-template period and 93 reports in the post-template period. Use of the template increased over time in the post-template period (P =.04). All 12 MS-relevant findings were addressed more often and with less variability in template reports: (11.1 ± 0.7 findings versus 5.8 ± 2.2 findings in non-template reports, P <.001). Neurologists were more likely to give the template reports the highest positive rating (56{\%} [107/190] versus 28{\%} [56/199], P <.001) and less likely to give the template reports a lower rating (7{\%} [13/190] versus 15{\%} [29/199], P =.01) compared with the non-template reports. Conclusion Template reporting of brain MRI examinations increases the rate at which MS-relevant findings are included in the report. Standardized reports are preferred by neurologists with MS expertise.",
keywords = "multiple sclerosis, quality improvement, radiology report, Radiology templates, template reporting",
author = "{Michigan Radiology Quality Collaborative} and Elliot Dickerson and Davenport, {Matthew S.} and Faiz Syed and Olaf Stuve and Cohen, {Jeffrey A.} and Rinker, {John R.} and Goldman, {Myla D.} and Segal, {Benjamin M.} and Foerster, {Bradley R.}",
year = "2017",
month = "3",
day = "1",
doi = "10.1016/j.jacr.2016.09.037",
language = "English (US)",
volume = "14",
pages = "371--379.e1",
journal = "Journal of the American College of Radiology",
issn = "1558-349X",
publisher = "Elsevier BV",
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}

TY - JOUR

T1 - Effect of Template Reporting of Brain MRIs for Multiple Sclerosis on Report Thoroughness and Neurologist-Rated Quality

T2 - Results of a Prospective Quality Improvement Project

AU - Michigan Radiology Quality Collaborative

AU - Dickerson, Elliot

AU - Davenport, Matthew S.

AU - Syed, Faiz

AU - Stuve, Olaf

AU - Cohen, Jeffrey A.

AU - Rinker, John R.

AU - Goldman, Myla D.

AU - Segal, Benjamin M.

AU - Foerster, Bradley R.

PY - 2017/3/1

Y1 - 2017/3/1

N2 - Purpose To assess the impact of structured reporting templates on the objective and subjective quality of radiology reports for brain MRIs in patients with multiple sclerosis (MS). Methods A HIPAA-compliant prospective quality improvement initiative was undertaken to develop and implement a 12-item structured reporting template for brain MRI examinations in patients with known or suspected MS based on published guidelines. Reports created 1 year before implementing the template served as the baseline. A random sample of 10 template and 10 non-template reports was sent to five neurologists outside the study institution with MS expertise, who reviewed the reports for comprehensiveness and quality. The number of MS-relevant elements in template and non-template reports were compared with unpaired t tests. Proportions were compared with χ2 and Fisher exact tests. Results There were 63 reports in the pre-template period and 93 reports in the post-template period. Use of the template increased over time in the post-template period (P =.04). All 12 MS-relevant findings were addressed more often and with less variability in template reports: (11.1 ± 0.7 findings versus 5.8 ± 2.2 findings in non-template reports, P <.001). Neurologists were more likely to give the template reports the highest positive rating (56% [107/190] versus 28% [56/199], P <.001) and less likely to give the template reports a lower rating (7% [13/190] versus 15% [29/199], P =.01) compared with the non-template reports. Conclusion Template reporting of brain MRI examinations increases the rate at which MS-relevant findings are included in the report. Standardized reports are preferred by neurologists with MS expertise.

AB - Purpose To assess the impact of structured reporting templates on the objective and subjective quality of radiology reports for brain MRIs in patients with multiple sclerosis (MS). Methods A HIPAA-compliant prospective quality improvement initiative was undertaken to develop and implement a 12-item structured reporting template for brain MRI examinations in patients with known or suspected MS based on published guidelines. Reports created 1 year before implementing the template served as the baseline. A random sample of 10 template and 10 non-template reports was sent to five neurologists outside the study institution with MS expertise, who reviewed the reports for comprehensiveness and quality. The number of MS-relevant elements in template and non-template reports were compared with unpaired t tests. Proportions were compared with χ2 and Fisher exact tests. Results There were 63 reports in the pre-template period and 93 reports in the post-template period. Use of the template increased over time in the post-template period (P =.04). All 12 MS-relevant findings were addressed more often and with less variability in template reports: (11.1 ± 0.7 findings versus 5.8 ± 2.2 findings in non-template reports, P <.001). Neurologists were more likely to give the template reports the highest positive rating (56% [107/190] versus 28% [56/199], P <.001) and less likely to give the template reports a lower rating (7% [13/190] versus 15% [29/199], P =.01) compared with the non-template reports. Conclusion Template reporting of brain MRI examinations increases the rate at which MS-relevant findings are included in the report. Standardized reports are preferred by neurologists with MS expertise.

KW - multiple sclerosis

KW - quality improvement

KW - radiology report

KW - Radiology templates

KW - template reporting

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U2 - 10.1016/j.jacr.2016.09.037

DO - 10.1016/j.jacr.2016.09.037

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SP - 371-379.e1

JO - Journal of the American College of Radiology

JF - Journal of the American College of Radiology

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