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bjhc&im
Abstract

April 2007
Volume 24 Number 3

Use of computer-based systems in communication practices involving carotid ultrasound

Ophthalmic surgeons Muhammad Usman Saeed, Bernard Chang, Muniba Usman-Saeed and Mona Khandawala offer a case for better data standards in investigation requesting and reporting in their field.

ABSTRACT

We describe a retrospective review of carotid duplex requesting and reporting in an English district general hospital using computer-based forms.

Our results are in line with previously published reports regarding incidence of carotid stenosis and ophthalmic complaints.

Our study shows a variable quality of requesting and reporting of investigations. Insufficient clinical data was offered in at least 27% of instances. According to the criteria we used, 70% of the reports were judged to be satisfactory and 30% unsatisfactory. Amongst these 30% unsatisfactory reports, 17.7% of reports required clarification. Amongst these 3.2% were considered misleading.

This data highlights variable reporting by different individuals, even within a single ultrasound department. A fixed format of requesting and reporting may help to minimise variation in information quality.

Br J Healthcare Comput Info Manage 2007; 24(3): 18–21.

 

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