On-call or not on-call, what difference does it make in paediatric radiology?

IF 4.1 2区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Insights into Imaging Pub Date : 2025-03-26 DOI:10.1186/s13244-025-01948-0

Willemijn M Klein, Amaka C Offiah, Ola Kvist, Karen Rosendahl

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引用次数: 0

Abstract

Objectives: There is an ever-increasing demand for out-of-hours expert opinion in paediatric radiology, which cannot be delivered in all hospitals. This study was designed to ascertain whether paediatricians, paediatric surgeons and radiologists are satisfied with the current situation; and to investigate the extent to which diagnostic errors are made while on-call with either residents, general or paediatric radiologists reporting on paediatric examinations.

Methods: Two surveys were compiled and dispatched. The first, is to paediatricians, paediatric surgeons and paediatric radiologists questioning their satisfaction with the current on-call paediatric radiology services in their hospitals. The second, is to paediatric radiologists inviting them to retrospectively score the accuracy of the reporting on consecutive paediatric radiology examinations performed during on-call hours in their hospitals.

Results: The first survey revealed that 40/49 (82%) paediatric physicians were satisfied with the paediatric radiology service during office hours, decreasing to 33% during on-call hours. In the second survey, a total of 464 on-call paediatric radiology examinations were analysed, demonstrating 20.2% misdiagnoses. General radiologists had more misdiagnoses and were slower in providing a report than residents.

Conclusion: The current service with a lack of on-call paediatric radiologists, is associated with increased misdiagnoses and dissatisfaction among physicians and requires improvement.

Critical relevance statement: This study shows that it may be a struggle to organise the 24-h availability of an expert paediatric radiologist, yet this might avoid 20% of misdiagnoses, half of which have direct clinical consequences.

Key points: The current organisation of paediatric radiology on-call rotas is unsatisfactory for many clinicians. A substantial amount of on-call paediatric radiology reports contain misdiagnoses, and these may have significant clinical consequences. Hospitals should reconfigure out-of-hours paediatric radiology covers.

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是否随叫随到，对儿科放射学有什么影响？

目的：对儿科放射学非工作时间专家意见的需求不断增加，但并非所有医院都能提供这种意见。本研究旨在确定儿科医生、儿科外科医生和放射科医生对现状是否满意；并调查在住院医师、普通医师或儿科放射科医师报告儿科检查时，诊断错误发生的程度。方法：编制并发放2份调查问卷。第一个是儿科医生、儿科外科医生和儿科放射科医生，他们质疑他们对医院目前的儿科放射学服务的满意度。第二项是给儿科放射科医生，邀请他们对医院在随叫随到时间进行的连续儿科放射学检查报告的准确性进行回顾性评分。结果：第一次调查显示，40/49（82%）的儿科医生在办公时间对儿科放射学服务感到满意，而在随叫随到的时间则下降到33%。在第二次调查中，共分析了464份随叫随到的儿科放射学检查，误诊率为20.2%。普通放射科医生的误诊率更高，提供报告的速度也比住院医生慢。结论：目前的服务缺乏随叫随到的儿科放射科医生，与误诊和医生的不满增加有关，需要改进。关键相关性声明：这项研究表明，组织24小时的儿科放射专家可能是一件困难的事情，但这可能避免20%的误诊，其中一半有直接的临床后果。重点：目前的组织儿科放射随叫随到对许多临床医生是不满意的。相当数量的随叫随到的儿科放射学报告包含误诊，这些可能有显著的临床后果。医院应重新配置非工作时间的儿科放射科。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Insights into Imaging Medicine-Radiology, Nuclear Medicine and Imaging

CiteScore

7.30

自引率

4.30%

发文量

182

审稿时长

13 weeks

期刊介绍： Insights into Imaging (I³) is a peer-reviewed open access journal published under the brand SpringerOpen. All content published in the journal is freely available online to anyone, anywhere! I³ continuously updates scientific knowledge and progress in best-practice standards in radiology through the publication of original articles and state-of-the-art reviews and opinions, along with recommendations and statements from the leading radiological societies in Europe. Founded by the European Society of Radiology (ESR), I³ creates a platform for educational material, guidelines and recommendations, and a forum for topics of controversy. A balanced combination of review articles, original papers, short communications from European radiological congresses and information on society matters makes I³ an indispensable source for current information in this field. I³ is owned by the ESR, however authors retain copyright to their article according to the Creative Commons Attribution License (see Copyright and License Agreement). All articles can be read, redistributed and reused for free, as long as the author of the original work is cited properly. The open access fees (article-processing charges) for this journal are kindly sponsored by ESR for all Members. The journal went open access in 2012, which means that all articles published since then are freely available online.