Clinicians’ perceptions of the quality of outsourced radiology and actions taken around perceived imaging errors in practice
- 20 Downloads
Outsourcing of radiological reporting services has fundamentally altered communication between radiologists and clinicians in clinical decision making, which relies heavily on diagnostic imaging. The aim of this study was to understand clinicians’ perspectives and experiences of interpretation of outsourced reports in clinical practice, if the author of imaging reports matters to clinicians, and actions taken to deal with perceived errors.
A printed survey was distributed to a purposive sample of 50 of the 250 senior medical and surgical staff of a large National Health Service hospital in the UK who regularly engaged with the Radiology Department between May and October 2017, representing 20% of this hospital workforce. The survey consisted of ten questions examining clinicians’ opinions on radiology reporting, with comment options to encourage respondents to give further detail. Participants were requested to return the survey to the study investigators.
The survey elicited a 100% response rate (n = 50). A constant comparative framework was used to guide analysis, revealing themes relevant to the ongoing inter-professional relationship between clinicians and radiologists. The disparity between in-house and externally sourced radiology reports and underlying issues of trust surrounding outsourced reports were the most significant themes identified.
This study found outsourcing of radiology reporting needs multi-disciplinary team availability regarding the interpretation and discussions around capacity for effective communication. It raises important issues around often under-acknowledged additional workloads imposed on in-house radiologists. There are financial and pragmatic clinical aspects in pathways of radiology practice which require further research and examination.
• Utilisation of outsourcing is increasing in practice in response to imaging demands.
• Outsourcing increases departmental primary reporting capacity but may increase the workload of the local radiologist.
• The development of strategies for outsourcing examinations may lessen demands on the in-house workforce.
KeywordsOutsourcing Workload Clinical decision making
The authors state that this work has not received any funding.
Compliance with ethical standards
The scientific guarantor of this publication is Dr. Julie Cox.
Conflict of interest
The authors of this manuscript declare no relationships with any companies whose products or services may be related to the subject matter of the article.
Statistics and biometry
No complex statistical methods were necessary for this paper.
Written informed consent was not required for this study because the participants were hospital staff, and written informed consent was waived by the Institutional Review Board.
Institutional Review Board approval was obtained.
- 1.Royal College of Radiologists (2017) Clinical radiology UK workforce census 2016 report. Royal College of Radiologists, London Contract No.: BFCR (17)6Google Scholar
- 2.Royal College of Radiologists (2014) Cancer multidisciplinary team meetings - standards for clinical radiologists. Royal College of Radiolgists, London Contract No.: BFCR (14)15Google Scholar
- 8.Corbin C, Strauss A (2008) Basics of qualitative research, 3rd edn. Sage, LondonGoogle Scholar
- 9.Bryman A (2008) Social research methods, 3rd edn. Oxford University Press, New YorkGoogle Scholar
- 10.Creswell J (2009) Research design: qualitative, quantitative and mixed-methods approaches, 3rd edn. Sage, LondonGoogle Scholar
- 11.Charmaz K (2014) Constructing grounded theory. 2nd edn. Sage, LondonGoogle Scholar
- 13.Blumberg S, Mahajan PV, O’Connell KJ et al (2017) Radiologic safety events within a pediatric emergency medicine network. Pediatr Emerg Care 33(2):92–96Google Scholar
- 14.Royal College of Radiologists (2010) Teleradiology and outsourcing census. Royal College of Radiologists, LondonGoogle Scholar
- 16.Gutzeit A, Heiland R, Sudarski S et al (2018) Direct communication between radiologists and patients following imaging examinations. Should radiologists rethink their patient care? Eur Radiol. https://doi.org/10.1007/s00330-018-5503-2