Image-Rich Radiology Reports: A Value-Based Model to Improve Clinical Workflow.
OBJECTIVE
To determine the value of image-rich radiology reports (IRRR) by evaluating the interest and preferences of referring physicians, potential impact on clinical workflow, and the willingness of radiologists to create them.


METHODS
Referring physicians and radiologists were interviewed in this prospective, HIPAA-compliant study. Subject willingness to participate in the study was determined by an e-mail. A single investigator conducted all interviews using a standard questionnaire. All subjects reviewed a video mockup demonstration of IRRR and three methods for viewing embedded images, as follows: (1) clickable hyperlinks to access a scrollable stack of images, (2) scrollable and enlargeable small-image thumbnails, and (3) scrollable but not enlargeable medium-sized images. Questionnaire responses, free comments, and general impressions were captured and analyzed.


RESULTS
Seventy-two physicians (36 clinicians, 36 radiologists) were interviewed. Thirty-one clinicians (86%) expressed interest in using IRRR. Seventy-seven percent of subjects believed IRRR would improve communication. Ten clinicians (28%) preferred method 1, 18 (50%) preferred method 2, and 8 (22%) preferred method 3 for embedding images. Thirty clinicians (83%) stated that IRRR would improve efficiency. Twenty-two radiologists (61%) preferred selecting a tool button with a mouse and right-clicking images to embed them, 13 (36%) preferred pressing a function key, and 11 (31%) preferred dictating series and image numbers. The average time radiologists were willing to expend for embedding images was 66.7 seconds.


CONCLUSIONS
Referring physicians and radiologist both believe IRRR would add value by improving communication with the potential to improve the workflow efficiency of referring physicians.
Department of Radiology, Duke University Medical Center, Durham, North Carolina. Electronic address: bhavik.patel@dm.duke.edu.
Bhavik N
BN
Patel
Duke University School of Medicine, Durham, North Carolina.
Jose M
JM
Lopez
Duke University School of Medicine, Durham, North Carolina.
Brian G
BG
Jiang
Department of Radiology, Duke University Medical Center, Durham, North Carolina.
Christopher J
CJ
Roth
Department of Radiology, Duke University Medical Center, Durham, North Carolina.
Rendon C
RC
Nelson
D001291:Attitude of Health Personnel; D003952:Diagnostic Imaging / Q000706:statistics & numerical data*; D004282:Documentation / Q000706:statistics & numerical data*; D006306:Health Surveys; D011785:Quality Assurance, Health Care / Q000379:methods; D058996:Quality Improvement / Q000706:statistics & numerical data*; D011873:Radiology Information Systems / Q000706:statistics & numerical data*; D014481:United States; D057188:Workflow
Value-based imaging; image-rich radiology reports; workflow