A literature review investigating the benefits of all radiographers providing compulsory written comments on trauma radiographs of the appendicular skeleton

Kaylor, Katherine (2009) A literature review investigating the benefits of all radiographers providing compulsory written comments on trauma radiographs of the appendicular skeleton. BSc dissertation, University of Portsmouth.

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    Aim: Increased demands on radiology services over the past thirty years and the advent of skill mix initiatives have led to radiographers extending their role in image interpretation. This has culminated in the College of Radiographers' stated aim that by 2010 it will be a standard expectation of all radiographers to provide an initial written comment on the trauma images they produce of the appendicular skeleton. This literature review aims to provide an informed answer to the question of whether current evidence suggests it will be beneficial to introduce compulsory written comments from all radiographers on appendicular trauma images. Methods: A systematic literature review was undertaken and evidence obtained from a wide range of sources. Databases including PUBMED, CINAHL, Science Direct, Cochrane library, Intute, Web of Science and EBSCO Host were searched. Effort was made to include peer reviewed evidence and every piece of literature was critically evaluated for methodological validity using critical appraisal skills programme tools. Findings: Currently, only twenty per cent of emergency departments or minor injury units participate in radiographer comment schemes and there are no national standards or protocols in place to regulate radiographers comments and define the scope of practice. The accuracy, sensitivity and specificity levels of radiographers' initial image interpretation were found to be greater than that of emergency nurse practitioners and casualty officers. Therefore radiographer comment schemes may reduce diagnostic errors and improve service delivery in the emergency department. Additionally image interpretation training was found to improve radiographers'�������� comments and so should be provided pre-registration, post-registration and as part of continuing professional development. Conclusions: Introducing compulsory radiographer comment schemes has the potential to benefit patients and staff within the emergency department, by reducing diagnostic errors and helping to inform patient management. However in order for optimum benefit to be gained from compulsory radiographer comment schemes certain provisions including training, audit and national protocols need to be implemented.

    Item Type: Dissertation
    Departments/Research Groups: Faculty of Science > School of Health Sciences and Social Work
    Depositing User: Jane Polwin
    Date Deposited: 20 Jan 2011 12:48
    Last Modified: 28 Jan 2015 11:14
    URI: http://eprints.port.ac.uk/id/eprint/651

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