Clinicians of varying seniority who request CT head scans as part of their routine clinical practice Not Applicable
Conditions
Interventions
This is a prospective observational cohort study to assess the improvement in the image interpretation accuracy and confidence of reporters using online simulation training for CT head scan interpreta
Sponsors
Oxford University Hospitals NHS Trust
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Emergency department clinicians who review CT head scans as part of their clinical practice 2. Working in the relevant ED during the clinical phase of the project
Exclusion criteria
Exclusion criteria: 1. Previous formal postgraduate CT reporting training 2. Previous career to registrar level in radiology/neurosurgery 3. Staff in Emergency Department post for less than 4 months
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Accuracy of ED clinicians in reporting non-contrast CT head scans (sensitivity and specificity) measured using online assessment at pre/post-training, 3 months, 6 months post-training | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Confidence of ED clinicians in reporting non-contrast CT head scans measured using self-reported confidence scores at pre/post-training, 3 months, 6 months post-training 2. Time difference between ED clinician interpretation and final radiology report measured using recorded report times at 3 months post-training 3. Real-world diagnostic accuracy of ED staff at interpreting medical imaging (sensitivity and specificity) measured using comparison of ED findings versus radiology report findings (reference standard) at 3 months post-training 4. Ability of clinicians to retain newly acquired CT reporting skills measured using online assessment at 6 months post-training 5. Factors that influence clinicians’ reporting accuracy (abnormal finding, size of abnormality, image quality, rotation/position, other abnormalities present) measured using online assessment pre- and post-training 6. Factors affecting the uptake of new image reporting roles in the ED clinical population measured using a participant survey at 6 months post-training 7. Potential clinical and health economic impact of introducing CT head reporting into ED clinical practice measured using health economic modelling based on the difference between ED and radiologists report times during the clinical phase 8. Clinicians’ interpretation accuracy with and without undergoing online training (sensitivity, specificity) measured using online assessment at pre-training/clinical phase, 3 months, 6 months post the start of the study | — |
Countries
England, United Kingdom
Contacts
Public ContactJose Martinez
Outcome results
None listed