Standardized Reporting in IR: A Prospective Multi-Institutional Pilot Study.
OBJECTIVE
To assess adoption and survey-based satisfaction rates following deployment of standardized interventional radiology (IR) procedure reports across multiple institutions.


METHODS
Standardized reporting templates for 5 common interventional procedures (central venous access, inferior vena cava [IVC] filter insertion, IVC filter removal, uterine artery embolization, and vertebral augmentation) were distributed to 20 IR practices in a prospective quality-improvement study. Participating sites edited the reports according to institutional preferences and deployed them for a 1-year pilot study concluding in July 2015. Study compliance was measured by sampling 20 reports of each procedure type at each institution, and surveys of interventionalists and referring physicians were performed. Modifications to the standardized reporting templates at each site were analyzed.


RESULTS
Ten institutions deployed the standardized reports, with 8 achieving deployment of 3-12 months. The mean report usage rate was 57%. Each site modified the original reports, with 26% mean reduction in length, 18% mean reduction in wordiness, and 60% mean reduction in the number of forced fill-in fields requiring user input. Linear-regression analysis revealed that reduced number of forced fill-in fields correlated significantly with increased usage rate (R2= 0.444; P = .05). Surveys revealed high satisfaction rates among referring physicians but lower satisfaction rates among interventional radiologists.


CONCLUSIONS
Standardized report adoption rates increased when reports were simplified by reducing the number of forced fill-in fields. Referring physicians preferred the standardized reports, whereas interventional radiologists preferred standard narrative reports.
Department of Radiology, Division of Interventional Radiology, Ronald Reagan University of California, Los Angeles (UCLA), Medical Center, David Geffen School of Medicine at UCLA, 757 Westwood Plaza, 2nd Floor, Suite 2125C, Los Angeles, CA 90095. Electronic address: jumcwilliams@mednet.ucla.edu.
Justin P
JP
McWilliams
Department of Radiology, Division of Interventional Radiology, Ronald Reagan University of California, Los Angeles (UCLA), Medical Center, David Geffen School of Medicine at UCLA, 757 Westwood Plaza, 2nd Floor, Suite 2125C, Los Angeles, CA 90095.
Rajesh P
RP
Shah
Department of Radiology, Division of Interventional Radiology, Ronald Reagan University of California, Los Angeles (UCLA), Medical Center, David Geffen School of Medicine at UCLA, 757 Westwood Plaza, 2nd Floor, Suite 2125C, Los Angeles, CA 90095.
Matthew
M
Quirk
Department of Radiology, Division of Vascular and Interventional Radiology, Medical College of Wisconsin, Milwaukee, Wisconsin.
Sarah B
SB
White
Department of Radiology, Division of Vascular and Interventional Radiology, Medical College of Wisconsin, Milwaukee, Wisconsin.
Stephanie L
SL
Dybul
Division of Diagnostic Imaging, Department of Interventional Radiology, University of Texas MD Anderson Cancer Center, Houston, Texas.
Judy
J
Ahrar
Division of Diagnostic Imaging, Department of Interventional Radiology, University of Texas MD Anderson Cancer Center, Houston, Texas.
Joseph R
JR
Steele
Department of Radiology, Section of Interventional Radiology, University of Washington Medical Center, Seattle, Washington.
Sharon W
SW
Kwan
Department of Diagnostic Radiology and Molecular Imaging, Section of Interventional Radiology, Beaumont Health, Oakland University William Beaumont School of Medicine, Rochester, Michigan.
Jeremy
J
Handel
Department of Radiology, Division of Interventional Radiology, Weill Cornell/New York Presbyterian Hospital, New York, New York.
Ronald S
RS
Winokur
Division of Interventional Radiology and Image Guided Medicine, Emory University School of Medicine, Atlanta, Georgia.
Charles A
CA
Gilliland
Department of Radiology, Interventional Radiology Service, Memorial Sloan-Kettering Cancer Center, New York, New York.
Jeremy C
JC
Durack
D002405:Catheterization, Central Venous / Q000592:standards; D020878:Device Removal / Q000592:standards; D004282:Documentation / Q000379:methods / Q000592:standards*; D005260:Female; D005568:Forms and Records Control / Q000592:standards*; D019983:Guideline Adherence / Q000592:standards; D019538:Health Care Surveys; D006801:Humans; D008297:Male; D008499:Medical Records / Q000592:standards*; D010865:Pilot Projects; D017410:Practice Guidelines as Topic / Q000592:standards; D010818:Practice Patterns, Physicians' / Q000592:standards*; D011446:Prospective Studies; D019919:Prosthesis Implantation / Q000295:instrumentation / Q000592:standards; D058996:Quality Improvement / Q000592:standards; D019984:Quality Indicators, Health Care / Q000592:standards; D015641:Radiography, Interventional / Q000379:methods / Q000592:standards*; D014481:United States; D055357:Uterine Artery Embolization / Q000592:standards; D016306:Vena Cava Filters; D054854:Vertebroplasty / Q000592:standards