title: Radiographers and radiologists reporting plain radiograph requests from accident and emergency and general practice.
abstract: OBJECTIVE
  To assess selectively trained radiographers and consultant radiologists reporting plain radiographs for the Accident and Emergency Department (A&E) and general practitioners (GPs) within a typical hospital setting.
  
  
  METHODS
  Two radiographers, a group of eight consultant radiologists, and a reference standard radiologist independently reported under controlled conditions a retrospectively selected, random, stratified sample of 400 A&E and 400 GP plain radiographs. An independent consultant radiologist judged whether the radiographer and radiologist reports agreed with the reference standard report. Clinicians then assessed whether radiographer and radiologist incorrect reports affected confidence in their diagnosis and treatment plans, and patient outcome.
  
  
  RESULTS
  For A&E and GP plain radiographs, respectively, there was a 1% (95% confidence interval (CI) -2 to 5) and 4% (95% CI -1 to 8) difference in reporting accuracy between the two professional groups. For both A&E and GP cases there was an 8% difference in the clinicians' confidence in their diagnosis based on radiographer or radiologist incorrect reports. For A&E and GP cases, respectively, there was a 2% and 8% difference in the clinicians' confidence in their management plans based on radiographer or radiologist incorrect reports. For A&E and GP cases, respectively, there was a 1% and 11% difference in effect on patient outcome of radiographer or radiologist incorrect reports.
  
  
  CONCLUSIONS
  There is the potential to extend the reporting role of selectively trained radiographers to include plain radiographs for all A&E and GP patients. Further research conducted during clinical practice at a number of sites is recommended.
authors.affiliation: Department of Health Sciences, University of York, York, UK. sb143@york.ac.uk
authors.forename: S D
authors.initials: SD
authors.lastname: Brealey
authors.forename: D G
authors.initials: DG
authors.lastname: King
authors.forename: S
authors.initials: S
authors.lastname: Hahn
authors.forename: M
authors.initials: M
authors.lastname: Crowe
authors.forename: P
authors.initials: P
authors.lastname: Williams
authors.forename: P
authors.initials: P
authors.lastname: Rutter
authors.forename: S
authors.initials: S
authors.lastname: Crane
mesh_terms: D016001:Confidence Intervals; D004635:Emergency Medicine; D005194:Family Practice; D006801:Humans; D010820:Physicians; D011361:Professional Competence; D011859:Radiography / Q000592:standards*; D011871:Radiology / Q000592:standards*; D012680:Sensitivity and Specificity