@article{ref1,
title="An electronic tool for systematic reporting of fractures on skeletal surveys in suspected child abuse: prototype development and physician feedback",
journal="Pediatric radiology",
year="2014",
author="Barber, Ignasi and Bixby, Sarah D. and Morris, Nicole B. and Kleinman, Patricia L. and Perez-Rossello, Jeannette M. and Chang, Patricia T. and Kleinman, Paul K.",
volume="44",
number="12",
pages="1564-1572",
abstract="OBJECTIVE: To describe a skeletal survey data entry and compilation tool and assess physician attitudes toward this reporting approach. <br><br>BACKGROUND: Narrative skeletal survey reports are highly variable and prone to inconsistencies with potential adverse impact on patients. <br><br>MATERIALS AND METHODS: The prototype skeletal survey data entry and compilation tool was developed and introduced into clinical practice at a large urban children's hospital. Pediatric radiologists and child protection team (CPT) pediatricians completed a survey of reporting preferences. Skeletal survey reports between March 1, 2013, and March 1, 2014, were reviewed to assess use of the tool. <br><br>RESULTS: The survey response rate was 70% (14/20) for radiologists and 100% (4/4) for CPT pediatricians. Among responding radiologists, 54.5% (6/11) indicated that a skeletal survey data entry and compilation tool was helpful for skeletal surveys with >3 fractures; 80% (8/10) of responding radiologists indicated that tabulated data from prior skeletal survey was helpful when interpreting a follow-up skeletal survey with >3 fractures; 90.9% (10/11) of radiologists thought the tool improved report organization; 72.7% (8/11) thought it improved accuracy. Most radiologists (11/12, 91.7%) and 100% (4/4) of CPT clinicians preferred reports with both free text and a tabulated fracture list for testifying in court when >3 fractures were present. The tool was used in the reporting of 14/23 (61%) skeletal surveys with >3 fractures during a 1-year period. A case example using the application is presented. <br><br>CONCLUSION: Most radiologists and CPT physicians at our center prefer skeletal survey reports with tabulated data and narrative description; 91.7% (11/12) of radiologists and all CPT clinicians prefer this approach for testifying in court when >3 fractures are present.<p /> <p>Language: en</p>",
language="en",
issn="0301-0449",
doi="10.1007/s00247-014-3033-x",
url="http://dx.doi.org/10.1007/s00247-014-3033-x"
}