title: Implementation of a virtual learning from discrepancy meeting: a method to improve attendance and facilitate shared learning from radiological error.
abstract: OBJECTIVE
  To assess the effect on radiologist participation in learning from discrepancy meetings (LDMs) in a multisite radiology department by establishing virtual LDMs using OsiriX (Pixmeo).
  
  
  METHODS
  Sets of anonymised discrepancy cases were added to an OsiriX database available for viewing on iMacs in all radiology reporting rooms. Radiologists were given a 3-week period to review the cases and send their feedback to the LDM convenor. Group learning points and consensus feedback were added to each case before it was moved to a permanent digital LDM library. Participation was recorded and compared with that from the previous 4 years of conventional LDMs. Radiologist feedback comparing the two types of LDM was collected using an anonymous online questionnaire.
  
  
  RESULTS
  Numbers of radiologists attending increased significantly from a mean of 12±2.9 for the conventional LDM to 32.7±7 for the virtual LDM (p<0.0001) and the percentage of radiologists achieving the UK standard of participation in at least 50% of LDMs annually rose from an average of 18% to 68%. The number of cases submitted per meeting rose significantly from an average of 11.1±3 for conventional LDMs to 15.9±5.9 for virtual LDMs (p<0.0097). Analysis of 35 returned questionnaires showed that radiologists welcomed being able to review cases at a time and place of their choosing and at their own pace.
  
  
  CONCLUSIONS
  Introduction of virtual LDMs in a multisite radiology department improved radiologist participation in shared learning from radiological discrepancy and increased the number of submitted cases.
authors.affiliation: Imperial College Healthcare NHS Trust, Charing Cross Hospital, Fulham Palace Road, London W6 8RF, UK.
authors.forename: A L
authors.initials: AL
authors.lastname: Carlton Jones
authors.affiliation: Imperial College Healthcare NHS Trust, Charing Cross Hospital, Fulham Palace Road, London W6 8RF, UK. Electronic address: mary.roddie@imperial.nhs.uk.
authors.forename: M E
authors.initials: ME
authors.lastname: Roddie
mesh_terms: D000328:Adult; D003194:Computer-Assisted Instruction / Q000379:methods*; D003951:Diagnostic Errors / Q000517:prevention & control* / Q000706:statistics & numerical data; D005260:Female; D006126:Group Processes; D006801:Humans; D033181:Information Dissemination / Q000379:methods; D008297:Male; D008875:Middle Aged; D015588:Observer Variation; D000072177:Radiologists / Q000193:education* / Q000706:statistics & numerical data*; D011871:Radiology / Q000193:education*; D011873:Radiology Information Systems / Q000706:statistics & numerical data*; D013663:Teaching; D006113:United Kingdom; D014584:User-Computer Interface; D055815:Young Adult