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European Archives of Oto-Rhino-Laryngology

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01-01-2020 | Ultrasound | Head and Neck

The use of structured reporting of head and neck ultrasound ensures time-efficiency and report quality during residency

Authors: Benjamin P. Ernst, Sebastian Strieth, Fabian Katzer, Mohamed Hodeib, Jonas Eckrich, Katharina Bahr, Tobias Rader, Julian Künzel, Matthias F. Froelich, Christoph Matthias, Wieland H. Sommer, Sven Becker

Published in: European Archives of Oto-Rhino-Laryngology | Issue 1/2020

Abstract

Purpose

Free text reports (FTR) of head and neck ultrasound studies are currently deployed in most departments. Because of a lack of composition and language, these reports vary greatly in terms of quality and reliability. This may impair the learning process during residency. The purpose of the study was to analyze the longitudinal effects of using structured reports (SR) of head and neck ultrasound studies during residency.

Methods

Attending residents (n = 24) of a tripartite course on head and neck ultrasound, accredited by the German Society for Ultrasound in Medicine (DEGUM), were randomly allocated to pictures of common diseases. Both SRs and FTRs were compiled. All reports were analyzed concerning completeness, acquired time and legibility. Overall user contentment was evaluated by a questionnaire.

Results

SRs achieved significantly higher ratings regarding completeness (95.6% vs. 26.4%, p < 0.001), description of pathologies (72.2% vs. 58.9%, p < 0.001) and legibility (100% vs. 52.4%, p < 0.001) with a very high inter-rater reliability (Fleiss’ kappa 0.9). Reports were finalized significantly faster (99.1 s vs. 115.0 s, p < 0.001) and user contentment was significantly better when using SRs (8.3 vs. 6.3, p < 0.001). In particular, only SRs showed a longitudinally increasing time efficiency (− 20.1 s, p = 0.036) while maintaining consistent completeness ratings.

Conclusions

The use of SRs of head and neck ultrasound studies results in an increased longitudinal time-efficiency while upholding the report quality at the same time. This may indicate an additive learning effect of structured reporting. Superior outcomes in terms of comprehensiveness, legibility and time-efficiency can be observed immediately after implementation.

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Title: The use of structured reporting of head and neck ultrasound ensures time-efficiency and report quality during residency
Authors: Benjamin P. Ernst
Sebastian Strieth
Fabian Katzer
Mohamed Hodeib
Jonas Eckrich
Katharina Bahr
Tobias Rader
Julian Künzel
Matthias F. Froelich
Christoph Matthias
Wieland H. Sommer
Sven Becker
Publication date: 01-01-2020
Publisher: Springer Berlin Heidelberg
Keywords: Ultrasound
Ultrasound
Pathology
Published in: European Archives of Oto-Rhino-Laryngology / Issue 1/2020
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-019-05679-z

At a glance: The STEP trials

Springer Medicine

The use of structured reporting of head and neck ultrasound ensures time-efficiency and report quality during residency

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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