Subspecialized Radiological Reporting Expedites Turnaround Time ofRadiology Reports and Increases Productivity.

Abstract

To assess the impact of changing from general to subspecialized reporting on turnaround time of radiology reports (TAT), the fraction of radiology reports available within 24 hours (R< 24 h) and productivity. Reporting workflow in our radiology department was changed from general reporting (radiologists report imaging studies of all areas [neuroradiological, abdominal, musculoskeletal imaging et cetera]) to subspecialized reporting (radiologists solely report imaging studies of their subspecialty field [e. g. musculoskeletal]). TAT, R< 24 h and productivity were calculated for a 12-month period of general reporting (January-December 2012) and compared to a 12-month period of subspecialized reporting (April 2014-March 2015) using Mann Whitney U-test, Pearson chi-square test and odds ratios, respectively. Report TAT decreased from a median of 17:04 hours (h) during general reporting to 3:38 h during subspecialized reporting, resulting in a 4.7-fold improvement (p < 0.001). R< 24 h improved significantly from 65 % to 87 % (p < 0.001). The odds of a radiology report being available < 24 h was 3.6- fold higher during subspecialized compared to general reporting. Productivity increased from a median of 301 to 376 (reports/full-time radiologist/month) (p = 0.001). Changing the workflow from general to subspecialized reporting significantly improved the turnaround time of radiology reports, the fraction of radiology reports available within 24 hours and productivity. · Changing the radiology reporting workflow from general to subspecialized reporting is feasible.. · Implementation of subspecialized reporting yielded significant improvement of radiology report turnaround time.. · Implementation of subspecialized reporting substantially increased the fraction of radiology reports available < 24 h.. · Radiologists' productivity increased after changing to subspecialized reporting.. · Stern C, Boehm T, Seifert B et al. Subspecialized Radiological Reporting Expedites Turnaround Time of Radiology Reports and Increases Productivity. Fortschr Röntgenstr 2018; 190: 623 - 629.